Big Tooth Boca, LLC.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16165 Issued in FL

Legal business name

BIG TOOTH BOCA, LLC.

Practice address

21301 Powerline Rd
Suite 208
Boca Raton, FL 33433-2388

Phone

(561) 482-8000

Fax

(561) 488-2936

NPI assigned

Nov 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Jacqueline Galvez, D.D.S.

Title

Managing Member

Phone

(561) 482-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1154574309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332388",
            "telephone_number": "561-482-8000",
            "fax_number": "561-488-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332388",
            "telephone_number": "561-482-8000",
            "fax_number": "561-488-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TOOTH BOCA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "GALVEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-482-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "16165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bicol MD PA
• Amy L Biederman, PTA
• Magnum Bien Aime, LDO
• Amanda Bienenfeld, MD
• Big Boca Smiles LLC
• Rita Bigel-Casher, PHD
• Bilga Attar MD PA
• Bilingual Counseling and Education LLC
• Billion & Associates Inc
• Lawrence H Billion, PHD

• Pediatric Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.