East Broward Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EAST BROWARD DENTAL

Doing business as

Florida Smile Studio

Practice address

1212 E Broward Blvd # 200
Fort Lauderdale, FL 33301-2123

Phone

(954) 905-2000

Fax

(954) 905-1399

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST BROWARD DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Burak Taskonak, DDS

Title

President

Phone

(954) 905-2000

Specialties & licenses 1

Addresses

Other names 1

• Florida Smile Studio Doing business as

Part of

East Broward Dental

Locations

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1417613092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E BROWARD BLVD # 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012123",
            "telephone_number": "954-905-2000",
            "fax_number": "954-905-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E BROWARD BLVD # 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012123",
            "telephone_number": "954-905-2000",
            "fax_number": "954-905-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BROWARD DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BROWARD DENTAL",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "TASKONAK",
        "authorized_official_first_name": "BURAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-905-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 9, 2021; 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.