Organization Active NPI

Plantation Dental Arts Associates, PA

  • Dental Clinic/Center
  • Plantation, FL
National Provider Identifier
1467670919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN14838 Issued in FL
Legal business name
PLANTATION DENTAL ARTS ASSOCIATES, PA
Practice address
300 NW 70TH Ave
Suite #104
Plantation, FL 33317-2384
Phone
(954) 327-8075
NPI assigned
Apr 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter Michael Coletti, DDSNPI 1205054756
Title
Owner
Phone
(954) 327-8075

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN14838 FL Primary

Addresses

Primary practice location

300 NW 70TH Ave
Suite #104
Plantation, FL 33317-2384

Mailing address

300 NW 70TH Ave
Suite #104
Plantation, FL 33317-2384
Phone (954) 327-8075

National Provider Directory

National Provider Directory

Locations

300 NW 70th Ave
Ste 104
Plantation, FL 33317
Phone (954) 327-8075

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467670919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE #104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-327-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE #104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-327-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION DENTAL ARTS ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLETTI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-327-8075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN14838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • 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.