Active NPI
Dental Care Group Ft Lauderdale LLC
- Dentist
- Ft Lauderdale, FL
National Provider Identifier
1124791819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL CARE GROUP FT LAUDERDALE LLC
- Practice address
- 3107 Stirling Rd Ste 108
Ft Lauderdale, FL 33312-8502 - Phone
- (305) 216-0875
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricky Mars, DDS
- Title
- Owner
- Phone
- (305) 216-0875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
3107 Stirling Rd Ste 108
Ft Lauderdale, FL 33312-8502
Mailing address
3107 Stirling Rd Ste 108
Ft Lauderdale, FL 33312-8502
Phone (305) 216-0875
Other names 1
- Brad W. Graff DMD
National Provider Directory
National Provider DirectoryLocations
3107 Stirling Rd
Ste 108
Ft Lauderdale, FL 33312
Phone (954) 963-3706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Aventura, FL
- NPI 1316002637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1124791819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 STIRLING RD STE 108",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333128502",
"telephone_number": "305-216-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 STIRLING RD STE 108",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333128502",
"telephone_number": "305-216-0875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL CARE GROUP FT LAUDERDALE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "MARS",
"authorized_official_first_name": "RICKY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-216-0875",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brad W. Graff DMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.