GD FL CSDC PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD FL CSDC PLLC

Doing business as

Coral Springs Dental Center

Practice address

1700 N University Dr Ste 110
Coral Springs, FL 33071-8970

Phone

(954) 344-8800

NPI assigned

Apr 4, 2024

Last updated

May 15, 2024By 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

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 2

Addresses

Other names 1

• Coral Springs Dental Center Doing business as

Locations

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1366294936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N UNIVERSITY DR STE 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718970",
            "telephone_number": "954-344-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N UNIVERSITY DR STE 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718970",
            "telephone_number": "954-344-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD FL CSDC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Springs Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coral Springs Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gastrocare LLP (Digestive CARE)
• Serene Allison Gato, BCD, HBCE
• Leah Gavin
• Eryka Ann Felecia Gayle, MD
• Monique Gayle
• GD FL TLC Coral Springs PLLC (TLC Dental Coral Springs)
• Michael J Geiger, DMD
• Steven David Gelbard, M.D.
• Mark Andrew Gendal, O.D.
• Generations Therapy, Inc.

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.