Happy Family Dental Group, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DH17860 Issued in FL

Legal business name

HAPPY FAMILY DENTAL GROUP, INC.

Practice address

510 Westbrook Ave
Brandon, FL 33511

Phone

(813) 651-0165

Fax

(813) 651-0174

NPI assigned

Oct 3, 2017

Last updated

Oct 3, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

HAPPY FAMILY DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Cruz M. Ceino, D.M.D.

Title

President

Phone

(813) 449-1110

Specialties & licenses 1

Addresses

Part of

Happy Family Dental Group Inc

Locations

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1396255501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WESTBROOK AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-651-0165",
            "fax_number": "813-651-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WESTBROOK AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-651-0165",
            "fax_number": "813-651-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY FAMILY DENTAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAPPY FAMILY DENTAL GROUP",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "CEINO",
        "authorized_official_first_name": "CRUZ",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-449-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DH17860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Brandon, FL
• Providers in Brandon, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.