Junior Smiles LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JUNIOR SMILES LLC

Practice address

8223 W Atlantic Blvd
Coral Springs, FL 33071

Phone

(954) 507-0015

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Tiffany A Brady, DMD

Title

President/Pediatric Dentist

Phone

(860) 839-5228

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1295398881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 NW 56TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "860-515-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-507-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIOR SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "860-839-5228",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01544500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Duga MD PA
• Judith Gulko PHD PA
• Julie P Nordman DMD PA (Smile Designs of South Florida)
• Maguy Julmice, RN
• Theresa Ann Junaid, LMT, CNA, PBT
• Carlos Jurado, M.D.
• Melissa Mercedes Jurado, DDS
• Shannon Juresich
• Rawan Kablawi, MD
• Kadel Family Chiropractic, LLC

• Pediatric Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.