Prosperity Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROSPERITY DENTAL GROUP

Practice address

1535 Prosperity Farms Rd
Lake Park, FL 33403-2025

Phone

(561) 848-0087

Fax

(561) 848-0987

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Royzman, DMD

Title

Dentist

Phone

(561) 848-0087

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1225454465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PROSPERITY FARMS RD",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 PROSPERITY FARMS RD",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032025",
            "telephone_number": "561-848-0087",
            "fax_number": "561-848-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "ROYZMAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-848-0087",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

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• General Practice Dentistry in Lake Park, FL
• Providers in Lake Park, 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 Mar 12, 2014; 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.