Organization Active NPI

Premier Dental Center, P.a

  • Dentist
  • Miramar, FL
National Provider Identifier
1285104455
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PREMIER DENTAL CENTER, P.A
Practice address
7160 Pembroke Rd
Miramar, FL 33023-2627
Phone
(954) 987-6977
Fax
(954) 987-1638
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Amber Perez
Title
Office Manager
Phone
(954) 987-6977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7160 Pembroke Rd
Miramar, FL 33023-2627

Mailing address

7160 Pembroke Rd
Miramar, FL 33023-2627
Phone (954) 987-6977

National Provider Directory

National Provider Directory

Locations

7160 Pembroke Rd
Miramar, FL 33023
Phone (954) 987-6977

Practitioners & affiliated clinicians

Practitioners 2

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": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1285104455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232627",
            "telephone_number": "954-987-6977",
            "fax_number": "954-987-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232627",
            "telephone_number": "954-987-6977",
            "fax_number": "954-987-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL CENTER, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-987-6977"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.