DR. GREGORY W HARTLEY


Address: 4181 Southpoint Dr E, Suite 200, Jacksonville, FL 32216-0993
Phone: 9047376733

DR. GREGORY W HARTLEY (NPI# 1477606267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477606267
Entity Type Individual
Full Name DR. GREGORY W HARTLEY
Credential DMD
Practice Address 4181 Southpoint Dr E
Suite 200
Jacksonville
FL 32216-0993
Mailing Address 24615 Marsh Landing Pkwy
Ponte Vedra Beach
FL 32082-2138
Practice Telephone 9047376733
Mailing Telephone 9042859799
Enumeration Date 2007-01-18
Last Update Date 2011-07-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DN10300 FL Dental Providers

Office Location

Street Address 4181 SOUTHPOINT DR E
SUITE 200
City JACKSONVILLE
State FL
Zip Code 32216-0993

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
Find all providers in zip 32216

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154760411 Tyler J Holley Dentist University of Florida- Jacksonville, 653-1 West 8th Street, Jacksonville, FL 32209 2013-06-20
1851602734 Carlo Enrico Guevara Dentist 4540 Southside Blvd Ste 1001, Jacksonville, FL 32216-5495 2010-06-25
1306073754 Bouali Frederick Amoli Dentist 5149 Normandy Blvd Unit 4, Jacksonville, FL 32205-4861 2009-06-12
1154555035 Salam Omar Salman Dentist 653 W. 8th Street, Uf - Jacksonville Dept. of Oral & Maxillofacial Surgery, Jacksonville, FL 32209 2009-05-07
1316151301 Scott Roberts Sklenicka Dentist 2511 Saint Johns Bluff Rd S, Suite 207, Jacksonville, FL 32246-2346 2007-05-09
1851417406 North Florida Oral & Facial Surgery, P.a. Dentist 11481 Old Saint Augustine Rd Ste 203, Jacksonville, FL 32258-1475 2007-03-22
1992832059 Vanni Russ Strenta Dentist 3914 Blanding Blvd, Jacksonville, FL 32210-5413 2007-02-27
1184760480 Gregory Joseph Groshan Dentist 3007 Hartley Rd, Jacksonville, FL 32257-6201 2007-01-30
1366591265 Pairot Tayapongsak Dentist 7101 Normandy Blvd, Jacksonville, FL 32205-6211 2007-01-09
1578622908 Jason Lee Dentist 13820 Old St Augustine Rd, Suite 105, Jacksonville, FL 32258 2006-12-08
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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