NPIMap

Organization Active NPI

FG Dental Solutions LLC

Doing business as FG Family and Implant Dentistry

  • Dental Clinic/Center
  • Davie, FL
National Provider Identifier
1346702917
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FG DENTAL SOLUTIONS LLC
Doing business as
FG Family and Implant Dentistry
Practice address
5981 Stirling Rd
Davie, FL 33314-7225
Phone
(786) 370-0147
NPI assigned
Apr 3, 2019
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Dr. Yariela Fleitas PerdomoNPI 1669857462
Title
DMD
Phone
(786) 370-0147

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5981 Stirling Rd
Davie, FL 33314-7225

Mailing address

5981 Stirling Rd
Davie, FL 33314-7225
Phone (786) 370-0147

Other names 1

  • FG FAMILY AND IMPLANT DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

5981 Stirling Rd
Davie, FL 33314
Phone (786) 370-0147

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1346702917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147225",
            "telephone_number": "786-370-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 STIRLING RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147225",
            "telephone_number": "786-370-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FG DENTAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "FLEITAS PERDOMO",
        "authorized_official_first_name": "YARIELA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "786-370-0147",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FG FAMILY AND IMPLANT DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.