THE VILLAGE DENTIST
NPI 1205132503
Dentist - General Practice in St Augustine, FL

NPI Status: Active since February 03, 2011

Contact Information

425 W TOWN PL
SUITE 106
ST AUGUSTINE, FL
ZIP 32092
Phone: (904) 940-7990
Fax: (904) 940-7991

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  • Organization
  • Dentist
  • General Practice

About THE VILLAGE DENTIST

This page provides the complete NPI Profile along with additional information for The Village Dentist, a provider established in St Augustine, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1205132503 assigned on February 2011. The practitioner's primary taxonomy code is 1223G0001X with license number DN11714 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The Village Dentist operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Michele Gibson (Office Manager)

NPI
1205132503
Provider Name
THE VILLAGE DENTIST
Entity Type
Organization
Location Address
425 W TOWN PL SUITE 106 ST AUGUSTINE, FL 32092
Location Phone
(904) 940-7990
Location Fax
(904) 940-7991
Mailing Address
425 W TOWN PL SUITE 106 ST AUGUSTINE, FL 32092
Mailing Phone
(904) 940-7990
Mailing Fax
(904) 940-7991
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2011
Last Update Date
02-03-2011
Code Navigator

A dentist like The Village Dentist is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DN11714
License State
FL
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELE GIBSON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(904) 940-7990

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205132503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220523450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 2 + 3 + 4 + 5 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1205132503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. KENNETH LAYNE BERRY D.C.

Chiropractor

425 W TOWN PL
STE. 118
ST AUGUSTINE, FL
ZIP 32092

(904) 940-0361

VILLAGE CHIROPRACTIC CENTER OF

Chiropractor

425 W TOWN PL
STE. 118
SAINT AUGUSTINE, FL
ZIP 32092

(904) 940-0361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205132503, enumerated as an "organization" on February 03, 2011.

The provider is located at 425 W TOWN PL SUITE 106 ST AUGUSTINE, FL 32092 and the phone number is (904) 940-7990.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.