GD FL TLC Coral Springs PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD FL TLC CORAL SPRINGS PLLC

Doing business as

TLC Dental Coral Springs

Practice address

8214 Wiles Rd
Coral Springs, FL 33067-1937

Phone

(954) 344-1999

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• TLC Dental Coral Springs Doing business as

Locations

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1407670185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671937",
            "telephone_number": "954-344-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330671937",
            "telephone_number": "954-344-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD FL TLC CORAL SPRINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dental Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serene Allison Gato, BCD, HBCE
• Leah Gavin
• Eryka Ann Felecia Gayle, MD
• Monique Gayle
• GD FL CSDC PLLC (Coral Springs Dental Center)
• Michael J Geiger, DMD
• Steven David Gelbard, M.D.
• Mark Andrew Gendal, O.D.
• Generations Therapy, Inc.
• Generations Therapy, Inc.

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, 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 Nov 11, 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.