First Dental P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17494 Issued in FL

Legal business name

FIRST DENTAL P.A.

Practice address

2500 E Commercial Blvd
Suite G
Ft Lauderdale, FL 33308-4124

Phone

(954) 776-4440

Fax

(954) 776-4740

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Christopher Pusateri, D.D.S.

Title

Owner President

Phone

(954) 776-4440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427190024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E COMMERCIAL BLVD",
            "address_2": "SUITE G",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084124",
            "telephone_number": "954-776-4440",
            "fax_number": "954-776-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E COMMERCIAL BLVD",
            "address_2": "SUITE G",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084124",
            "telephone_number": "954-776-4440",
            "fax_number": "954-776-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUSATERI",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-776-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.