Organization Active NPI

Oakland Dental, LLC

  • General Practice Dentistry
  • Lauderdale Lakes, FL
National Provider Identifier
1104034503
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OAKLAND DENTAL, LLC
Practice address
4416 W. Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone
(954) 486-0101
Fax
(954) 486-0588
NPI assigned
May 18, 2007
Organization subpart
Yes
Parent organization
OAKLAND DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Robert Aron, DDS
Title
Dentist
Phone
(954) 486-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4416 W. Oakland Park Blvd
Lauderdale Lakes, FL 33313

Mailing address

4416 W. Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 486-0101

Other names 1

  • Family Dentistry of Florida, Lauderdale Lakes Doing business as

National Provider Directory

National Provider Directory
Part of
Oakland Dental LLC

Locations

4416 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 486-0101

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1104034503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 W. OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-486-0101",
            "fax_number": "954-486-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 W. OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-486-0101",
            "fax_number": "954-486-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKLAND DENTAL LLC",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "ARON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-486-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Florida, Lauderdale Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.