Dental Spa at Abacoa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SPA AT ABACOA

Practice address

1155 Main St Ste 105
Jupiter, FL 33458-5264

Phone

(561) 420-8888

NPI assigned

Jun 1, 2021

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Rodriguez

Title

Ceo

Phone

(954) 776-4720

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1215503289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585264",
            "telephone_number": "561-420-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPA AT ABACOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-776-4720"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia A Demeter, ARNP-BC
• Janice Ann Dennis, FNP, APRN
• Jordan Dennis, DNP, CRNA
• Dental Art Designs
• Dental Consultants of Florida, PLLC (Dentistry by Design)
• Department of Veterans Affairs Medical Center West Palm Beach
• Michal-Ann Derezil, MD
• Parool Desai, APRN, BC
• Marise Desir
• Courtney L Desrosiers, PA-C

• General Practice Dentistry in Jupiter, FL
• Providers in Jupiter, 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 Jun 1, 2021; 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.