Dental Team of Atlantis

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL TEAM OF ATLANTIS

Doing business as

Dental Team of JFK

Practice address

109 John F Kennedy Dr Ste E
Atlantis, FL 33462-6617

Phone

(561) 612-7931

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Robert Rodriguez, MBA

Title

Ceo

Phone

(772) 204-3529

Specialties & licenses 1

Addresses

Other names 1

• Dental Team of JFK Doing business as

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1013526748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE 6TH AVE STE 201",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835185",
            "telephone_number": "772-204-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JOHN F KENNEDY DR STE E",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626617",
            "telephone_number": "561-612-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TEAM OF ATLANTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-204-3529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Team of JFK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kira Davila Dobson, ARNP
• Kleper Newton Falcao De Almeida, MD
• Tiana De Carolis
• Alyzza De la Uz Forte, ARNP
• Vincent Thomas Degregory, DO
• Magalita Deronvil Sauveur
• Edzer Desarmes, APRN
• Martha Deutsch, SA
• Amanda Jane Dewitt, DPM
• Dipen Dhakal, MD

• Dental Clinic/Center in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.