Studio Dental Center for Advanced Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STUDIO DENTAL CENTER FOR ADVANCED DENTISTRY

Practice address

12150 W Sunrise Blvd
Plantation, FL 33323-2227

Phone

(954) 669-1469

Fax

(954) 669-1468

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Lavenka, DMD

Title

Owner Dentist

Phone

(786) 255-2176

Specialties & licenses 1

Addresses

Other names 1

• Studio Dental Former legal business name

Locations

Practitioners 1

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

• Cynthia Renee Bouchard-Lavenka, D.M.D

  • General Practice Dentistry
  • Plantation, FL
  • NPI 1235442997
  NPD

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1396582565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 NW 21ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333231955",
            "telephone_number": "786-255-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232227",
            "telephone_number": "954-669-1469",
            "fax_number": "954-669-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO DENTAL CENTER FOR ADVANCED DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "LAVENKA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "786-255-2176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stuart B. Krost M.D. P.a.
• Stuart B. Krost M.D.P.a.
• Stuart Health and Wellness LLC
• Bridgitte V Stuart, MS, RBT, LMHC
• Saleema Stubbins, HAS
• Eric Stumpff, D.C.
• David N Sturm
• Antonio J. Suarez, M.D.
• Elisa Suarez, DDS
• Mechelle Bridget Suarez

• Dental Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.