Active NPI
Sergei Yuryk DDS PA
- Dental Clinic/Center
- Hallandale Beach, FL
National Provider Identifier
1407590276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SERGEI YURYK DDS PA
- Doing business as
- Oasis Dental Studio
- Practice address
- 1000 E Hallandale Beach Blvd # 1-104
Hallandale Beach, FL 33009-4433 - Phone
- (847) 977-0699
- NPI assigned
- Apr 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sergei Yuryk, DDS
- Title
- Doctor/Owner
- Phone
- (847) 977-0699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1000 E Hallandale Beach Blvd # 1-104
Hallandale Beach, FL 33009-4433
Mailing address
1000 E Hallandale Beach Blvd # 1-104
Hallandale Beach, FL 33009-4433
Phone (847) 977-0699
Other names 1
- Oasis Dental Studio
National Provider Directory
National Provider DirectoryLocations
1000 E Hallandale Beach Blvd
#1104
Hallandale Beach, FL 33009
Phone (847) 977-0699
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Hallandale Beach, FL
- NPI 1114090362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1407590276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E HALLANDALE BEACH BLVD # 1-104",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094433",
"telephone_number": "847-977-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E HALLANDALE BEACH BLVD # 1-104",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094433",
"telephone_number": "847-977-0699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERGEI YURYK DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2023-12-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "YURYK",
"authorized_official_first_name": "SERGEI",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "847-977-0699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oasis Dental Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.