Dasani Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21376 Issued in FL

Legal business name

DASANI DENTAL PA

Practice address

6651 Woolbright Rd
Unit 116
Boynton Beach, FL 33437-0916

Phone

(352) 328-5842

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Yalda Davoodi, DMD

Title

President

Phone

(352) 328-5842

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1447796859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 WOOLBRIGHT RD",
            "address_2": "UNIT 116",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370916",
            "telephone_number": "352-328-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 WOOLBRIGHT RD",
            "address_2": "UNIT 116",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370916",
            "telephone_number": "352-328-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASANI DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "DAVOODI",
        "authorized_official_first_name": "YALDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-328-5842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21376",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George K Daniel, MD
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• Julie Daugherty, ARNP
• Dave Pharmacy LLC
• Brian Patrick Davey, M.D., PH.D.
• David Boltson, Psy,D., P.a.

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, 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 Jan 9, 2017; 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.