My Dentist of Fort Lauderdale PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MY DENTIST OF FORT LAUDERDALE PLLC

Doing business as

My Dentist of Fort Lauderdale

Practice address

2500 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1601

Phone

(954) 408-9282

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Zeljka Licina, DDSNPI 1013263292

Title

Owner Dentist

Phone

(954) 408-9282

Specialties & licenses 1

Addresses

Other names 1

• My Dentist of Fort Lauderdale Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zeljka Licina, DDS

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1013263292
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1154168193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061601",
            "telephone_number": "954-408-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061601",
            "telephone_number": "954-408-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST OF FORT LAUDERDALE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "LICINA",
        "authorized_official_first_name": "ZELJKA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-408-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist of Fort Lauderdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muhammad R Mustafa, MD
• Carroll Claudette Muszkiewicz, LCSW
• Valeria Lopez Muzzetti, LMFT
• MWL-PB-BR-LLC (Medi Weightloss)
• My Caregiver & Personal Assistant LLC
• My Live Health Inc
• My Town Medical Supplies LLC
• Mycelium Pharmacy LLC
• Clayton Lee Myers
• Tracy G Myers, PH.D.

• Dental Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Jul 9, 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.