Lauderdale Ismile

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAUDERDALE ISMILE

Practice address

2412 N State Road 7
Lauderdale Lakes, FL 33313-3724

Phone

(954) 281-7405

Fax

(954) 281-7572

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Sheila Ronquillo

Title

Office Manager

Phone

(786) 390-5716

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1487411435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133724",
            "telephone_number": "954-281-7405",
            "fax_number": "954-281-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133724",
            "telephone_number": "954-281-7405",
            "fax_number": "954-281-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERDALE ISMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "RONQUILLO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-390-5716"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanshel, Inc.
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• Latino Medicasl Center 111 Inc
• Lauderdale Dentistry for Kids LLC
• Lauderdale Lakes Alzheimer Care Center
• Lauderdale Lakes Medical Center Inc
• Lauderdale Lakes Medical Center, Inc.
• Lauderdale Orthopaedic Surgeons LLP
• Laura J. Zalcberg M.D. PA

• General Practice Dentistry in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Feb 18, 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.