Gentle Dental Group Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GENTLE DENTAL GROUP CORP

Practice address

2701 W Oakland Park Blvd Ste 101
Oakland Park, FL 33311-1348

Phone

(800) 634-3479

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Yorie Gouboth

Title

Office Manager/P

Phone

(754) 286-1554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1144053562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111348",
            "telephone_number": "800-634-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111348",
            "telephone_number": "800-634-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "GOUBOTH",
        "authorized_official_first_name": "YORIE",
        "authorized_official_title_or_position": "OFFICE MANAGER/P",
        "authorized_official_telephone_number": "754-286-1554"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, 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 21, 2024; 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.