Village Square Dental PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

VILLAGE SQUARE DENTAL PLLC

Practice address

1601 N Hiatus Rd
Pembroke Pines, FL 33026-2129

Phone

(954) 432-8100

NPI assigned

May 27, 2020

Last updated

May 27, 2020By 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

Andrew Forrest

Title

DDS/Owner

Phone

(954) 432-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alberto Fischzang, D.M.D.

  • Dentist
  • Pembroke Pines, FL
  • NPI 1982739520
  NPD (past)
• Jenny C Moreno, D.M.D.

  • Pediatric Dentistry
  • Pembroke Pines, FL
  • NPI 1689709909
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1285257048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262129",
            "telephone_number": "954-432-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262129",
            "telephone_number": "954-432-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SQUARE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "954-432-8100"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Corazon Vilaraza
• Beatriz Liliana Villafane, M.D.
• Village Chiropractic Health Center, Inc
• Village Group Management Corp. (Century Village Medical Center)
• Village Medical Center, LLC.
• Melissa Maria Villalona
• Yvelice Antonia Villaman, MD
• Ann-Margaret C Villar, DO
• Margarette Vilvar, LPN
• Anna J Virani, MD

• Periodontics in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.