Gentle Teeth and Braces of Cooper City PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GENTLE TEETH AND BRACES OF COOPER CITY PA

Practice address

5900 Hiatus Rd Ste 100
Fort Lauderdale, FL 33330-4527

Phone

(954) 228-7886

Fax

(954) 271-2509

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By 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

Mrs. Sydnee Samuel

Title

Cfo

Phone

(954) 997-9779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1225839996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HIATUS RD STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333304527",
            "telephone_number": "954-228-7886",
            "fax_number": "954-271-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HIATUS RD STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333304527",
            "telephone_number": "954-228-7886",
            "fax_number": "954-271-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TEETH AND BRACES OF COOPER CITY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SYDNEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-997-9779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.