Sailfish Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20299 Issued in FL

Legal business name

SAILFISH DENTAL, PA

Doing business as

Aspen Dental

Practice address

2648 NW Federal Hwy
Stuart, FL 34994-9318

Phone

(800) 965-6470

Fax

(866) 803-4943

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Andrew De la Rosa

Title

Owner

Phone

(800) 965-6470

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1376951830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 SE INLET HARBOR TRL",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349965154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949318",
            "telephone_number": "800-965-6470",
            "fax_number": "866-803-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAILFISH DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-965-6470"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sage Dental of Stuart, PLLC
• Carlos Sage
• Jenna Sage
• Ruth Saget
• Kristen Nicole Sagner-Clark, APRN
• Sailfish ER SVCS Partnership LLC
• Sailfish Physician Associates, Inc
• Sailfish Smiles, PLLC
• Myriam Saint Fleur
• Jeannineda Saint Hubert, BCBA

• General Practice Dentistry in Stuart, FL
• Providers in Stuart, 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 Jul 29, 2014; 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.