ECONOMY DENTISTRY DUPONT STATION (NPI# 1124364971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124364971 |
| Entity Type | Organization |
| Organization Name | ECONOMY DENTISTRY DUPONT STATION |
| Practice Address |
3615 Dupont Ave 200-400 Jacksonville FL 32217-2790 |
| Practice Telephone | 9047146939 |
| Practice Fax Number | 9047519196 |
| Mailing Telephone | 9047146939 |
| Mailing Fax Number | 9047519196 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | DR. LEROY RONALD POLITE (PRESIDENT) |
| Authorized Official Telephone | 9047146939 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN8243 | FL | Ambulatory Health Care Facilities |
| Street Address |
3615 DUPONT AVE 200-400 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1285242941 | Neil K Stevenson Dmd, Pllc | Clinic/Center | 12078 San Jose Blvd Ste 1, Jacksonville, FL 32223-8671 | 2020-07-20 |
| 1699306803 | Gina Collins Mancini, Dmd | Clinic/Center | 3685 Henderson Dr, Jacksonville, NC 28546-5218 | 2020-01-28 |
| 1598305823 | Lenz Dental, Pllc | Clinic/Center | 13050 Gran Bay Pkwy Unit 1445, Jacksonville, FL 32258-4542 | 2020-01-15 |
| 1265070916 | Allcare Dentistry P.a. | Clinic/Center | 11915 Beach Blvd Ste 115, Jacksonville, FL 32246-6707 | 2019-12-12 |
| 1922641083 | Mariam Barikbin, Dmd, Pa | Clinic/Center | 4114 Herschel St Ste 106, Jacksonville, FL 32210-2200 | 2019-10-22 |
| 1821509340 | River Oaks Dental | Clinic/Center | 6120 San Jose Blvd, Jacksonville, FL 32217-2333 | 2017-10-24 |
| 1073024006 | Jacksonville Family Dentistry At Southside, Inc | Clinic/Center | 8101 Southside Blvd Ste 8, Jacksonville, FL 32256-8005 | 2017-10-17 |
| 1083136881 | Samir K. Hanna & Associates, P.a. | Clinic/Center | 5435 Ortega Blvd Ste 1, Jacksonville, FL 32210-8435 | 2017-07-13 |
| 1376964353 | Sorrento Dental | Clinic/Center | 106 Julington Plaza Dr, Suite 6, Jacksonville, FL 32259-6217 | 2013-12-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on ECONOMY DENTISTRY DUPONT STATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.