South Dental of Davie, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH DENTAL OF DAVIE, INC

Practice address

4699 SW 64TH Ave
Davie, FL 33314-4423

Phone

(754) 285-1616

Fax

(754) 285-1615

NPI assigned

Nov 17, 2025

Organization subpart

No

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

Authorized official

Name

Elias Tobon-Angel, DMD

Title

Legal Representative

Phone

(754) 285-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elias Tobon, D.M.D

  • Dentist
  • Coral Gables, FL
  • NPI 1689794885
  NPD

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1477413896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 SW 64TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144423",
            "telephone_number": "754-285-1616",
            "fax_number": "754-285-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 SW 64TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144423",
            "telephone_number": "754-285-1616",
            "fax_number": "754-285-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENTAL OF DAVIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "TOBON-ANGEL",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "LEGAL REPRESENTATIVE",
        "authorized_official_telephone_number": "754-285-1616",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Davie, FL
• Providers in Davie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.