Mizner Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15874 Issued in FL

Legal business name

MIZNER PARK DENTAL

Practice address

327 Plaza Real
Suite 305
Boca Raton, FL 33432-3944

Phone

(561) 391-3337

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Geroge Soropoulos, DDS, BSME

Title

Dentist

Phone

(561) 395-1486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1033432281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 PLAZA REAL",
            "address_2": "SUITE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323944",
            "telephone_number": "561-391-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 PLAZA REAL",
            "address_2": "SUITE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323944",
            "telephone_number": "561-391-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZNER PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "SOROPOULOS",
        "authorized_official_first_name": "GEROGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-395-1486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS, BSME"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren H Mitchell, DDS
• Michael Mitchell, LMT
• Arlen Mitrani, PHARMD
• Robert Mittelmark
• Mizner Homecare LLC
• Michael Mizrachy, M.D.
• Dina Mizrahi, OTR
• MJM Global Enterprises Inc
• MK Surgical Service Inc
• MNS Optix LLC

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, 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 Mar 2, 2010; 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.