Organization Active NPI

Solidental Management Group, LLC

Doing business as Newdental Clinic

  • Dental Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1467762096
Registry record updated Oct 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DH16998 Issued in FL
Legal business name
SOLIDENTAL MANAGEMENT GROUP, LLC
Doing business as
Newdental Clinic
Practice address
5521 N University Dr
Suite 102
Coral Springs, FL 33067-4648
Phone
(407) 490-3368
NPI assigned
Oct 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2010

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

Authorized official

Name
Gloria A Blanco, RDH
Title
President
Phone
(407) 490-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DH16998 FL Primary

Addresses

Primary practice location

5521 N University Dr
Suite 102
Coral Springs, FL 33067-4648

Mailing address

16210 SW 26TH St
Miramar, FL 33027-4408
Phone (407) 490-3368

Other names 1

  • Newdental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

5521 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (407) 490-3368

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287273600000",
    "number": "1467762096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16210 SW 26TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274408",
            "telephone_number": "407-490-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674648",
            "telephone_number": "407-490-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDENTAL MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-17",
        "last_updated": "2010-10-17",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-490-3368",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DH16998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newdental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2010; 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.