Organization Active NPI

Dentacare Dental Associates, PA

Doing business as DentaCare Associates

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1164467361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16056 Issued in FL
Legal business name
DENTACARE DENTAL ASSOCIATES, PA
Doing business as
DentaCare Associates
Practice address
101 N Pine Island Rd
Suite 101
Plantation, FL 33324-1843
Phone
(954) 475-9455
Fax
(954) 475-9931
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lana C Riettie, D.D.S.
Title
Owner/Dentist
Phone
(954) 475-9455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16056 FL Primary

Addresses

Primary practice location

101 N Pine Island Rd
Suite 101
Plantation, FL 33324-1843

Mailing address

101 N Pine Island Rd
Suite 101
Plantation, FL 33324-1843
Phone (954) 475-9455

Other names 1

  • DentaCare Associates Doing business as

National Provider Directory

National Provider Directory

Locations

101 N Pine Island Rd
Ste 101
Plantation, FL 33324
Phone (954) 382-0110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164467361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PINE ISLAND RD",
            "address_2": "SUITE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241843",
            "telephone_number": "954-475-9455",
            "fax_number": "954-475-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PINE ISLAND RD",
            "address_2": "SUITE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241843",
            "telephone_number": "954-475-9455",
            "fax_number": "954-475-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTACARE DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIETTIE",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-475-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentaCare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.