Coral Springs Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CORAL SPRINGS DENTAL GROUP, LLC

Practice address

2029 N University Dr
Coral Springs, FL 33071-6132

Phone

(954) 787-1000

Fax

(561) 413-2468

NPI assigned

Oct 2, 2020

Organization subpart

No

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

Authorized official

Name

Ingrid J Romero, DMD

Title

Manager

Phone

(561) 485-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1073110177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453838",
            "telephone_number": "954-718-3384",
            "fax_number": "561-431-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716132",
            "telephone_number": "954-787-1000",
            "fax_number": "561-413-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-485-1000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Springs Behavioral Services LLC
• Coral Springs Center for Medicine & Surgery of the Foot & Leg Inc
• Coral Springs Country Club for Seniors, Inc.
• Coral Springs Dental
• Coral Springs Dental Associates (Coral Springs Premier Dentists)
• Coral Springs Ekg Readers Inc
• Coral Springs Family Dental Associates
• Coral Springs Family Dentistry at Americare PA
• Coral Springs Family Dentistry at Univesity
• Coral Springs Family Orthodontics

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, 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 Oct 2, 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.