Pediatric Dental Services

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN3078 Issued in FL

Legal business name

PEDIATRIC DENTAL SERVICES

Practice address

6775 Sunset Strip
Sunrise, FL 33313-2849

Phone

(954) 572-1500

Fax

(954) 572-8501

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Olga Elaine Koerner

Title

Office Manager

Phone

(954) 572-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia Izquierdo, DDS

  • General Practice Dentistry
  • Sunrise, FL
  • NPI 1720123482
  NPD (past)
• Nancy Orphanos, DDS

  • General Practice Dentistry
  • Sunrise, FL
  • NPI 1497893028
  NPD (past)
• Abbe Silverberg-Aroshas, DDS

  • General Practice Dentistry
  • Sunrise, FL
  • NPI 1346389442
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043360621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-572-1500",
            "fax_number": "954-572-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132849",
            "telephone_number": "954-572-1500",
            "fax_number": "954-572-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-572-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN3078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PCP of Mobile, LLC
• Annielyn Laderas Pe, PT
• Janide L Pearman
• Carol D. Pease, CRNA
• Christopher J. Pecori, PA-C
• Pediatric Theraplay, LLC
• Pediatrix and Obstetrix Virtual, P.C.
• Pediatrix Cardiology of Springfield PC
• Pediatrix Management Services, Inc.
• Pediatrix Medical Group Ambulatory Services of TN, PLLC

• Pediatric Dentistry in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.