ECCELLA SMILES PA
NPI 1568852010
Dentist - General Practice in Jacksonville Beach, FL

NPI Status: Active since February 04, 2015

Contact Information

1400 MARSH LANDING PKWY
SUITE 104
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 834-3737

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  • Organization
  • Dentist
  • General Practice

About ECCELLA SMILES PA

This page provides the complete NPI Profile along with additional information for Eccella Smiles Pa, a provider established in Jacksonville Beach, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1568852010 assigned on February 2015. The practitioner's primary taxonomy code is 1223G0001X with license number DN14961 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. Eccella Smiles Pa 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 Dr. William Scott Wagner Dmd, Pa (Owner)

NPI
1568852010
Provider Name
ECCELLA SMILES PA
Entity Type
Organization
Location Address
1400 MARSH LANDING PKWY SUITE 104 JACKSONVILLE BEACH, FL 32250
Location Phone
(904) 834-3737
Mailing Address
1400 MARSH LANDING PKWY SUITE 104 JACKSONVILLE BEACH, FL 32250
Mailing Phone
(904) 834-3737
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2015
Last Update Date
02-04-2015
Code Navigator

A dentist like Eccella Smiles Pa 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.
DN14961
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

DR. WILLIAM SCOTT WAGNER DMD, PA

Authorized Official Title
OWNER
Authorized Official Phone
(904) 834-3737

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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.
1568852010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128165402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 5 + 4 + 0 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568852010 is valid because the calculated check digit 0 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.

NPI Name / Type Taxonomy Address
1760535587DR. WILLIAM SCOTT WAGNER D.M.D., P.A.
Individual
Dentist (General Practice)1400 MARSH LANDING PKWY SUITE 104
JACKSONVILLE BEACH, FL 32250
(904) 834-3737
1891128435 KATHRYN MARIE WOOD PT, DPT
Individual
Physical Therapist1400 MARSH LANDING PKWY SUITE 112
JACKSONVILLE BEACH, FL 32250
(904) 249-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568852010, enumerated in the NPI registry as an "organization" on February 04, 2015

The provider is located at 1400 Marsh Landing Pkwy Suite 104 Jacksonville Beach, Fl 32250 and the phone number is (904) 834-3737

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

This NPI record was last updated on February 04, 2015. 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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