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JUPITER PROSTHODONTICS
NPI 1114006434
Dentist - Prosthodontics in Jupiter, FL

Active since November 06, 2006
200 CENTRAL BLVD, STE A, JUPITER, FL 33458(561) 745-5550(561) 745-8442 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jupiter Prosthodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUPITER PROSTHODONTICS (NPI 1114006434), doing business as Jupiter Institute For Prosthodontics & Implant Dentistry, is a healthcare organization registered as a prosthodontics in Jupiter, Florida and active in the NPI registry since November 2006. The organization lists Roy C Blake, Owner Manager, as its authorized official.

NPPES Registry Identity

NPI1114006434
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameJUPITER PROSTHODONTICS
Location Address200 CENTRAL BLVD, STE AJupiter, FL 33458
Mailing Address200 Central Blvd, Ste AJupiter, FL 33458 · (561) 745-5550 · Fax (561) 745-8442
Phone(561) 745-5550
Fax(561) 745-8442
Organization SubpartNo
Authorized OfficialRoy C BlakeOwner Manager · (561) 745-5550
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114006434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in FL · DN9551✔ Licensed in FL · DN16512
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
200 CENTRAL BLVD, Jupiter, FL 33458
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Other Names 1

Former Legal Business NameJupiter Institute For Prosthodontics & Implant Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jupiter Prosthodontics's NPI number?

The NPI number for Jupiter Prosthodontics is 1114006434. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider was formerly known as Jupiter Institute For Prosthodontics & Implant Dentistry.

Where is Jupiter Prosthodontics located?

Jupiter Prosthodontics is located at 200 Central Blvd Ste A, Jupiter, FL 33458. The listed phone number is (561) 745-5550.

What is Jupiter Prosthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jupiter Prosthodontics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.