Active NPI
Implantation Dentistry of Broward Inc
- General Practice Dentistry
- Plantation, FL
National Provider Identifier
1235830910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- IMPLANTATION DENTISTRY OF BROWARD INC
- Practice address
- 4230 W Broward Blvd
Plantation, FL 33317-3704 - Phone
- (754) 216-4052
- NPI assigned
- Mar 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ehab Sameer Musharbash
- Title
- Owner
- Phone
- (754) 216-4052
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4230 W Broward Blvd
Plantation, FL 33317-3704
Mailing address
4230 W Broward Blvd
Plantation, FL 33317-3704
Phone (754) 216-4052
National Provider Directory
National Provider DirectoryLocations
4230 W Broward Blvd
Plantation, FL 33317
Phone (754) 216-4052
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678406400000",
"number": "1235830910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173704",
"telephone_number": "754-216-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173704",
"telephone_number": "754-216-4052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPLANTATION DENTISTRY OF BROWARD INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A",
"authorized_official_last_name": "MUSHARBASH",
"authorized_official_first_name": "EHAB",
"authorized_official_middle_name": "SAMEER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "754-216-4052"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.