RIVERSIDE DENTAL
NPI 1407984958
Dentist - General Practice in Jacksonville, FL

NPI Status: Active since February 28, 2007

Contact Information

1061 RIVERSIDE AVE
SUITE 101
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 355-5531
Fax: (904) 791-9239

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  • Organization
  • Dentist
  • General Practice

About RIVERSIDE DENTAL

This page provides the complete NPI Profile along with additional information for Riverside Dental, a provider established in Jacksonville, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1407984958 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 8985 (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Riverside Dental. The authorized official of this NPI record is Michael D. Spencer Dds (President)

NPI
1407984958
Provider Legal Name
MICHAEL D. SPENCER, DDS, LLC
Other Organization Name
RIVERSIDE DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1061 RIVERSIDE AVE SUITE 101 JACKSONVILLE, FL 32204
Location Phone
(904) 355-5531
Location Fax
(904) 791-9239
Mailing Address
1061 RIVERSIDE AVE SUITE 101 JACKSONVILLE, FL 32204
Mailing Phone
(904) 355-5531
Mailing Fax
(904) 791-9239
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2007
Last Update Date
06-23-2008
Code Navigator

A dentist like Riverside Dental 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.

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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.
8985
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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MICHAEL D. SPENCER DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 355-5531

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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.
1407984958
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24071888910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 8 + 8 + 8 + 9 + 1 + 0 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1407984958 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245340249DR. MICHAEL DARWIN SPENCER D.D.S.
Individual
Dentist (General Practice)1061 RIVERSIDE AVE SUITE 101
JACKSONVILLE, FL 32204
(904) 355-5531
1790820447DR. STEVEN C. FERBER DDS
Individual
Dentist (General Practice)1061 RIVERSIDE AVE SUITE 101
JACKSONVILLE, FL 32204
(904) 355-5543
1245472802DR. ANDREW WILLIAM MAPLES D.M.D.
Individual
Dentist (General Practice)1061 RIVERSIDE AVE
JACKSONVILLE, FL 32204
(904) 355-5531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407984958, enumerated in the NPI registry as an "organization" on February 28, 2007

The provider is located at 1061 Riverside Ave Suite 101 Jacksonville, Fl 32204 and the phone number is (904) 355-5531

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on February 28, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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