TDC Delray LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TDC DELRAY LLC

Practice address

7901 Atlantic Ave
Suite 102
Delray Beach, FL 33446

Phone

(561) 403-0703

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Jordan S Tomalty, D.M.D

Title

Owner/Dentist

Phone

(561) 777-8980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1104372432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 ATLANTIC AVE",
            "address_2": "SUITE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-403-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 ATLANTIC AVE",
            "address_2": "SUITE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33446",
            "telephone_number": "561-403-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC DELRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "561-777-8980",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.