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THE MAIN STREET DENTISTS INC NPI 1265500565


NPI Information

NPI: 1265500565
Provider Name: THE MAIN STREET DENTISTS INC

Other Name: JON DAVID MEHR DDS & MARTHA BRIDGES MEHR DDS

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
606 W MAGNOLIA STREET
LEESBURG, FL
ZIP 34748
Phone: (352) 787-4800
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THE MAIN STREET DENTISTS INC is a dentist in Leesburg, FL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. THE MAIN STREET DENTISTS INC NPI is 1265500565. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Jon David Mehr Dds & Martha Bridges Mehr Dds.

The provider's business location address is:

606 W MAGNOLIA STREET
LEESBURG, FL
ZIP 34748
Phone: (352) 787-4800
Fax: (352) 787-9091

The provider's authorized official is Jon David Mehr .
The authorized official title is Dr & President Of Corporation and has the following contact phone number (352) 787-4800.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 9/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistDN0014896FLORIDANo
2122300000XDentistDN0014763FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11364448OTHERUNITED CONCORDIA
2749700OTHERUNITED CONCORDIA
336839OTHERBLUE CROSS BLUE SHIELD
436838OTHERBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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