DLC Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DLC DENTAL INC

Doing business as

Broward Family Dental Care

Practice address

6260 W Oakland Park Blvd
Sunrise, FL 33313-1214

Phone

(954) 742-7995

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By 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

Dr. Dorotie Lacroze, DMDNPI 1104329978

Title

President

Phone

(954) 594-6454

Specialties & licenses 1

Addresses

Other names 1

• Broward Family Dental Care Doing business as

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.

• Dorotie Lacroze

  • Dentist
  • West Palm Beach, FL
  • NPI 1104329978
  NPD (past) Authorized official
• Kayla Tommie, DMD

  • General Practice Dentistry
  • Sunrise, FL
  • NPI 1659963791
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1285280024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NW 30TH ST APT 127",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662135",
            "telephone_number": "954-594-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131214",
            "telephone_number": "954-742-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLC DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "LACROZE",
        "authorized_official_first_name": "DOROTIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-594-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.