GD FL DDP PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD FL DDP PLLC

Practice address

10019 Cleary Blvd
Plantation, FL 33324-1000

Phone

(954) 473-6400

NPI assigned

Aug 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Dental Designs of Plantation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1003536459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241000",
            "telephone_number": "954-473-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10019 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241000",
            "telephone_number": "954-473-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD FL DDP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Designs of Plantation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ana Maria Gaviria, ARNP
• Marcelina Gawryluk, NP
• Caliani Gaytan
• Sharri Geelalsingh
• Arlan Gehman, PHARMD.
• Dillobar Gelfond, M.D.
• Carol Eger Geller, M.A., BCBA
• Gena M Bofshever, DC, LLC

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.