East Coast Family Dental Lauderdale PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11150 Issued in FL

Legal business name

EAST COAST FAMILY DENTAL LAUDERDALE PA

Practice address

4358 N Federal Hwy
Ft Lauderdale, FL 33308-5208

Phone

(954) 776-3320

Fax

(954) 776-4536

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Miguel Reyes, DDS

Title

Ceo

Phone

(305) 264-0747

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Javier Cutino, DMD

  • Dentist
  • Miami, FL
  • NPI 1588111207
  NPD (past)
• Rosalba R Henninger, D.D.S.

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1598842668
  NPD (past)
• Patricia Jorge Fornes, DMD

  • Dentist
  • South Miami, FL
  • NPI 1619407566
  NPD (past)
• Analidys Lemus, DMD

  • Dentist
  • Miami, FL
  • NPI 1710431234
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1053762898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SW 24TH ST",
            "address_2": "SUITE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551762",
            "telephone_number": "305-264-0747",
            "fax_number": "305-264-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085208",
            "telephone_number": "954-776-3320",
            "fax_number": "954-776-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST FAMILY DENTAL LAUDERDALE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-264-0747",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E.G. Psychological Services, PLLC
• Eaglescove Villa Alf, Inc.
• Ease DME LLC
• Jonathan Eason
• East Broward Dental
• East Coast Pathology Associates, PA
• East Commercial Childrens Dental
• East Fort Lauderdale ASC LLC
• East Ft Lauderdale LLC
• East Las Olas Psychological Group

• General Practice Dentistry in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Jun 23, 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.