East Boynton Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EAST BOYNTON DENTISTRY LLC

Practice address

207 SE 23Rd Ave
Boynton Beach, FL 33435-7653

Phone

(561) 734-8600

NPI assigned

Mar 27, 2025

Organization subpart

No

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

Authorized official

Name

Naved Fatmi, DMD

Title

Owner

Phone

(786) 457-3690

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mitchell Indictor, D.D.S.

  • General Practice Dentistry
  • Boynton Beach, FL
  • NPI 1245385525
  NPD (past)

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1215739255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W YAMATO RD STE C5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345337",
            "telephone_number": "561-998-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357653",
            "telephone_number": "561-734-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOYNTON DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "FATMI",
        "authorized_official_first_name": "NAVED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-457-3690",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.