Dental Specialists of Broward Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 2046 Issued in FL

Legal business name

DENTAL SPECIALISTS OF BROWARD GROUP

Practice address

9 SW 17TH St
Ft Lauderdale, FL 33315-1741

Phone

(954) 588-4671

Fax

(305) 593-6855

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Golden, D.D.S

Title

Clinical Director / Owner

Phone

(954) 588-4671

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1346674967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SW 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151741",
            "telephone_number": "954-588-4671",
            "fax_number": "305-593-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SW 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151741",
            "telephone_number": "954-588-4671",
            "fax_number": "305-593-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF BROWARD GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "954-588-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.