Archetype Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ARCHETYPE DENTAL, LLC

Practice address

7663 W Sample Rd
Coral Springs, FL 33065-4718

Phone

(954) 906-3095

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Maricel Perez, DMDNPI 1245524123

Title

President

Phone

(954) 906-3095

Specialties & licenses 1

Addresses

Practitioners 2

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

• Maricel Jadeth Perez, D.M.D.

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1245524123
  NPD Authorized official
• Arnaldo Enrique Perez, M.D.

  • Allergy & Immunology Physician
  • Parkland, FL
  • NPI 1306042908

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1205668605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266756",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333266756",
            "telephone_number": "954-906-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7663 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654718",
            "telephone_number": "954-906-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHETYPE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARICEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-906-3095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Arbeitman, MD
• Jessica Corinne Arboleya, OTR/L
• Karen M Arceci, PTA
• Rachel Archambault, CF SLP
• Corris E Archer, M.D.
• Archetype Health LLC
• Ardor Health Solutions
• Lindsay Arena, MA-CCC-SLP
• Reynaldo L Arguelles, ARNP
• Magaly Del Socorro Arias

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.