Idental of Coral Springs PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDENTAL OF CORAL SPRINGS PLLC

Practice address

1265 N University Dr
Coral Springs, FL 33071-8313

Phone

(954) 345-7592

Fax

(954) 345-2585

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Michael Floyd Battle, DDS

Title

Dentist/ Owner

Phone

(727) 327-5561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1366919656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718313",
            "telephone_number": "954-345-7592",
            "fax_number": "954-345-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTAL OF CORAL SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "727-327-5561",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.