South Pearl Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH PEARL DENTAL, INC

Practice address

8903 Glades Rd Ste A7
Boca Raton, FL 33434-4023

Phone

(352) 727-8547

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mariangel Fernandez-Martinez, DMDNPI 1376857441

Title

President/Owner

Phone

(352) 727-8547

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mariangel Fernandez-Martinez, D.M.D

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1376857441
  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1396377172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 VIA ANCHO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD STE A7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344023",
            "telephone_number": "352-727-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PEARL DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-MARTINEZ",
        "authorized_official_first_name": "MARIANGEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-727-8547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 Boca Raton, FL
• Providers in Boca Raton, 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 Feb 10, 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.