Organization Active NPI

Hollywood Bright Smile Spa PLLC

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1376154161
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HOLLYWOOD BRIGHT SMILE SPA PLLC
Practice address
2699 Stirling Rd Ste C203
Fort Lauderdale, FL 33312-6580
Phone
(954) 374-9993
NPI assigned
Aug 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Dr. Shary Ask, DMD FAGDNPI 1871716290
Title
Dentist
Phone
(954) 374-9993

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 Primary

Addresses

Primary practice location

2699 Stirling Rd Ste C203
Fort Lauderdale, FL 33312-6580

Mailing address

2699 Stirling Rd Ste C203
Fort Lauderdale, FL 33312-6580
Phone (954) 374-9993

National Provider Directory

National Provider Directory

Locations

2699 Stirling Rd
Ste C203
Fort Lauderdale, FL 33312
Phone (954) 374-9993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1376154161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126580",
            "telephone_number": "954-374-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126580",
            "telephone_number": "954-374-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD BRIGHT SMILE SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ASK",
        "authorized_official_first_name": "SHARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-374-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD FAGD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.