Healthy Family Dentistry PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18716 Issued in FL

Legal business name

HEALTHY FAMILY DENTISTRY PA

Practice address

5350 W Hillsboro Blvd
Suite 201
Coconut Creek, FL 33073-4396

Phone

(954) 478-0858

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Ignacio Cruces, D.D.S.

Title

Vice President - Dentist

Phone

(954) 478-0858

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1114255015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD",
            "address_2": "SUITE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-478-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD",
            "address_2": "SUITE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-478-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "CRUCES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "VICE PRESIDENT - DENTIST",
        "authorized_official_telephone_number": "954-478-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 3, 2009; 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.