Midway Dental Center of Ft Pierce LLC

Primary specialty

DentistTaxonomy code 122300000X

License

FL006163 Issued in FL

Legal business name

MIDWAY DENTAL CENTER OF FT PIERCE LLC

Practice address

5054 S 25TH St
Ft Pierce, FL 34981

Phone

(772) 464-4822

Fax

(772) 464-8656

NPI assigned

May 14, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Lowell Strawn, DDS

Title

President

Phone

(772) 464-4822

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1992972442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 S 25TH ST",
            "city": "FT PIERCE",
            "state": "FL",
            "postal_code": "34981",
            "telephone_number": "772-464-4822",
            "fax_number": "772-464-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5054 S 25TH ST",
            "city": "FT PIERCE",
            "state": "FL",
            "postal_code": "34981",
            "telephone_number": "772-464-4822",
            "fax_number": "772-464-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY DENTAL CENTER OF FT PIERCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "STRAWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-464-4822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "FL006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Costello MD PA
• Judith Michalski, LCSW
• Vicki N Michel, APRN
• Mid Florida Radiation Oncology Asso
• Mid Florida Radiation Oncology Asso (Lawnwood Cancer Center)
• Midway Immunology and Research Center
• Midway Infectious Diseases, LLC
• Midway Primary Care LLC
• Midway Specialty Care Center Inc
• Midway Specialty Care RX LLC

• Dentist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.