Skylight Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19212 Issued in FL

Legal business name

SKYLIGHT DENTAL CARE PLLC

Practice address

117 N. Oakwood Avenue
Brandon, FL 33510

Phone

(813) 530-0991

Fax

(813) 530-0986

NPI assigned

Jul 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Licette F Espinal, DDSNPI 1629378203

Title

General Dentist

Phone

(813) 530-0991

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Licette Fiordaliza Espinal, DDS

  • Dentist
  • Pembroke Pines, FL
  • NPI 1629378203
  NPD (past) Authorized official
• Edward R Abreu, DMD

  • General Practice Dentistry
  • Brandon, FL
  • NPI 1679860407
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1083099600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N. OAKWOOD AVENUE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "813-530-0991",
            "fax_number": "813-530-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N. OAKWOOD AVENUE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "813-530-0991",
            "fax_number": "813-530-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIGHT DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "ESPINAL",
        "authorized_official_first_name": "LICETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "813-530-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003256800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard R Six, MD
• SJ United LLC
• SJS Comprehensive Services LLC
• Julie Sky, LCSW
• Skye Psychiatric Health Center
• Kevin Darrel Slack
• Eden Jailene Slacum
• Sonya Contre' Sleem, M.A.CCC-SLP
• Sleepwellsolutionsofflorida LLC
• Laura Slevin, M.S., CCC-SLP

• Dental Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.