Organization Active NPI

TLC Dental - Ft. Lauderdale, LLC

  • General Practice Dentistry
  • Ft Lauderdale, FL
National Provider Identifier
1053444869
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TLC DENTAL - FT. LAUDERDALE, LLC
Practice address
3001 E Commercial Blvd
Ft Lauderdale, FL 33308-4311
Phone
(954) 491-7100
Fax
(954) 771-6434
NPI assigned
Mar 13, 2007
Organization subpart
Yes
Parent organization
DENTAL PRACTICE MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Steven D Muckey, DDS
Title
Owner
Phone
(954) 650-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3001 E Commercial Blvd
Ft Lauderdale, FL 33308-4311

Mailing address

15 Saranac Rd
Sea Ranch Lakes, FL 33308-2910
Phone (954) 650-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1053444869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SARANAC RD",
            "city": "SEA RANCH LAKES",
            "state": "FL",
            "postal_code": "333082910",
            "telephone_number": "954-650-1122",
            "fax_number": "954-786-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084311",
            "telephone_number": "954-491-7100",
            "fax_number": "954-771-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL - FT. LAUDERDALE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PRACTICE MANAGEMENT, LLC",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MUCKEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-650-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.