Exclusive Dental Care Group of Margate, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN13937 Issued in FL

Legal business name

EXCLUSIVE DENTAL CARE GROUP OF MARGATE, LLC

Practice address

5404 W Atlantic Blvd
Margate, FL 33063-5209

Phone

(954) 974-4400

Fax

(954) 974-4402

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Celia Figueroa, DDS

Title

President

Phone

(954) 974-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1164977823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635209",
            "telephone_number": "954-974-4400",
            "fax_number": "954-974-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635209",
            "telephone_number": "954-974-4400",
            "fax_number": "954-974-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE DENTAL CARE GROUP OF MARGATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-974-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076867700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Margate, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.