Organization Active NPI

E & G Pediatric Dentistry PA

  • Pediatric Dentistry
  • Hallandale Beach, FL
National Provider Identifier
1477217313
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
E & G PEDIATRIC DENTISTRY PA
Practice address
411 N Federal Hwy Ste 101
Hallandale Beach, FL 33009-3478
Phone
(954) 233-1494
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Ana Lina Gonzalez Caceres, DDSNPI 1699133132
Title
Pediatric Dentist
Phone
(305) 303-3285

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

411 N Federal Hwy Ste 101
Hallandale Beach, FL 33009-3478

Mailing address

224 Three Islands Blvd Apt 205
Hallandale Beach, FL 33009-7326

Other names 1

  • Sea & Smiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

411 N Federal Hwy
Unit 101
Hallandale Beach, FL 33009
Phone (786) 762-9327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1477217313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 THREE ISLANDS BLVD APT 205",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N FEDERAL HWY STE 101",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093478",
            "telephone_number": "954-233-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & G PEDIATRIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ CACERES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "LINA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "305-303-3285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea & Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.