Boynton Mall Modern Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BOYNTON MALL MODERN DENTISTRY, PA

Practice address

701 N Congress Ave Ste 2B
Boynton Beach, FL 33426-3418

Phone

(561) 210-1883

Fax

(561) 228-4066

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Christopher K Tolmie, DDS

Title

Owner

Phone

(561) 210-1883

Specialties & licenses 1

Addresses

Other names 1

• BOYNTON MALL MODERN DENTISTRY Doing business as

Locations

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1386401495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "561-210-1883",
            "fax_number": "561-228-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CONGRESS AVE STE 2B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263418",
            "telephone_number": "561-210-1883",
            "fax_number": "561-228-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON MALL MODERN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "TOLMIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-210-1883",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYNTON MALL MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Boynton Beach, FL
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• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.