Cynthia Renee Bouchard-Lavenka, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19051 Issued in FL

Practice address

12150 W Sunrise Blvd
Plantation, FL 33323-2227

Phone

(954) 669-1469

Fax

(954) 669-1468

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Studio Dental Center for Advanced Dentistry

  • Dental Clinic/Center
  • Plantation, FL
  • NPI 1396582565
  NPD

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1235442997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232227",
            "telephone_number": "954-669-1469",
            "fax_number": "954-669-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232227",
            "telephone_number": "954-669-1469",
            "fax_number": "954-669-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD-LAVENKA",
        "first_name": "CYNTHIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "889",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nico Botelho
• Ana C Botero, M.D.
• Melissa Botero, APRN, FNP-BC
• Daniel Botros
• Leah Botton, OTR/L
• Pascale Bourne, MA, CCC-SLP
• Annette Bovee-Akyurek, P.T., LMHC
• Kim Bowdren
• Gennell Bowen
• Lindsey Ling Bowser, M.D.

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, 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 Apr 22, 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.