Active NPI
G&G Prestige Family Dental PLLC
- Dental Clinic/Center
- Coral Springs, FL
National Provider Identifier
1306727060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- G&G PRESTIGE FAMILY DENTAL PLLC
- Practice address
- 10689 Wiles Rd
Coral Springs, FL 33076-2014 - Phone
- (954) 345-3439
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge Julio Gonzalez Tejada, DMD
- Title
- Manager
- Phone
- (305) 956-8363
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
10689 Wiles Rd
Coral Springs, FL 33076-2014
Mailing address
6936 Long Pine Cir
Coconut Creek, FL 33073-3079
Phone (305) 956-8363
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Coral Springs, FL
- NPI 1508343930
-
- General Practice Dentistry
- Coral Springs, FL
- NPI 1942758024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1306727060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6936 LONG PINE CIR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733079",
"telephone_number": "305-956-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10689 WILES RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762014",
"telephone_number": "954-345-3439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G&G PRESTIGE FAMILY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "GONZALEZ TEJADA",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "JULIO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-956-8363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.