Family Smiles of Coconut Creek, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY SMILES OF COCONUT CREEK, PLLC

Practice address

6746 N State Road 7
Coconut Creek, FL 33073-4332

Phone

(954) 951-5755

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Jordan Tomalty, DDS

Title

Owner

Phone

(561) 735-9898

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1083344709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734332",
            "telephone_number": "954-951-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6746 N STATE ROAD 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734332",
            "telephone_number": "954-951-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES OF COCONUT CREEK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-735-9898",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "website",
            "affiliation": "N",
            "endpointDescription": "Dental",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6746 N State Road 7",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330734332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natacha Etienne, FNP
• Everything Optical Inc
• Evoke Coconut Creek LLC
• Melissa Fabrikant, LCSW
• Family Dentistry Cosmetic Dentistry
• Marie Betty Fanfan, RN
• Jeanan Fares
• Tammye Farmer, R.D.
• Farr Dental
• Mario Noel Favilli, M.D.

• Dental Clinic/Center in Coconut Creek, FL
• Providers in Coconut Creek, 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 Aug 10, 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.