Organization Active NPI

Serene Dental Center

  • Dental Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1275706566
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN16898 Issued in FL
Legal business name
SERENE DENTAL CENTER
Practice address
2411 10TH Ave N
Lake Worth, FL 33461-3128
Phone
(561) 304-1414
Fax
(561) 304-1416
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Marc L Anderson, DDS
Title
Owner
Phone
(561) 304-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN16898 FL Primary

Addresses

Primary practice location

2411 10TH Ave N
Lake Worth, FL 33461-3128

Mailing address

2411 10TH Ave N
Lake Worth, FL 33461-3128
Phone (561) 304-1414

National Provider Directory

National Provider Directory

Locations

2411 10th Ave N
Lake Worth, FL 33461
Phone (561) 966-9557

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1275706566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613128",
            "telephone_number": "561-304-1414",
            "fax_number": "561-304-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613128",
            "telephone_number": "561-304-1414",
            "fax_number": "561-304-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-304-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.