Dentists of Boca Village, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF BOCA VILLAGE, PA

Doing business as

Dentists of Boca Village

Practice address

21200 Saint Andrews Blvd
Boca Raton, FL 33433-2403

Phone

(561) 571-7108

Fax

(561) 584-8162

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Minh B Pham, DDS

Title

Owner

Phone

(561) 571-7108

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Boca Village Doing business as

Locations

Practitioners 1

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.

• Roxana Rodriguez, DDS

  • Periodontics
  • Boca Raton, FL
  • NPI 1659049880
  NPD

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1073261699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 SAINT ANDREWS BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332403",
            "telephone_number": "561-571-7108",
            "fax_number": "561-584-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF BOCA VILLAGE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-571-7108",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Boca Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Urgent Care, PLLC
• Dentalmed Associates LLC
• Douglas F Deorchis, M.D.
• Rachel Morgan Depasquale, BCBA
• Bernadette Depillo
• Gabriela Tellez Deprima, PSY.D.
• Derek Wiston, 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 14, 2022; 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.