Organization Active NPI

Tongue Tie Center of Florida

  • Pediatric Dentistry
  • Palm Beach Gardens, FL
National Provider Identifier
1205104809
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN16968 Issued in FL
Legal business name
TONGUE TIE CENTER OF FLORIDA
Practice address
3365 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4303
Phone
(561) 944-9009
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Yuri Goldvasser, DDSNPI 1316991490
Title
President
Phone
(561) 775-1011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN16968 FL Primary

Addresses

Primary practice location

3365 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4303

Mailing address

3365 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4303
Phone (561) 944-9009

National Provider Directory

National Provider Directory

Locations

3365 Burns Rd
Ste 209
Palm Beach Gardens, FL 33410
Phone (561) 775-1011

3365 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410
Phone (561) 944-9009

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1205104809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104303",
            "telephone_number": "561-944-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104303",
            "telephone_number": "561-944-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGUE TIE CENTER OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "GOLDVASSER",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-775-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.