Pompano Dental Clinic, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

POMPANO DENTAL CLINIC, INC

Practice address

2716 W Atlantic Blvd
Pompano Beach, FL 33069-2551

Phone

(954) 979-3515

Fax

(954) 979-6609

NPI assigned

Aug 27, 2006

Last updated

Oct 7, 2008By 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

Miss Karen Hibbert

Title

Office Manager

Phone

(954) 979-3515

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1265540579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692551",
            "telephone_number": "954-979-3515",
            "fax_number": "954-979-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692551",
            "telephone_number": "954-979-3515",
            "fax_number": "954-979-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO DENTAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-979-3515",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071288400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pompano Beach Periodontics PLLC
• Pompano Beach SLC Tenant LLC (Five Star Premier Residences of Pompano Beach)
• Pompano Beach Therapeutics Inc
• Pompano Chirocare PA
• Pompano Clinic LLC
• Pompano ER Pediatrics LLC
• Pompano Family Chiropractic Inc
• Pompano Family Smiles LLC
• Pompano Gardens at M&M Assisted Living LLC
• Pompano Medical Center,Inc

• General Practice Dentistry in Pompano Beach, FL
• Providers in Pompano Beach, 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 Oct 7, 2008; 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.