Deerfield Center for Dental Specialties

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14521 Issued in FL

Legal business name

DEERFIELD CENTER FOR DENTAL SPECIALTIES

Practice address

1800 W Hillsboro Blvd
#211
Deerfield Beach, FL 33442-1484

Phone

(954) 427-4287

Fax

(954) 427-5540

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Jodi Ponce

Title

Office Manager

Phone

(954) 427-4287

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508084609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HILLSBORO BLVD",
            "address_2": "#211",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421484",
            "telephone_number": "954-427-4287",
            "fax_number": "954-427-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HILLSBORO BLVD",
            "address_2": "#211",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421484",
            "telephone_number": "954-427-4287",
            "fax_number": "954-427-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD CENTER FOR DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-427-4287"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "08490",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "15174",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "13518",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "14521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deerfield Beach Outpatient Surgical Center LLC
• Deerfield Beach Pain Treatment Center, Inc.
• Deerfield Beach Partners in Dentistry, PA
• Deerfield Beach Pediatrics LLC
• Deerfield Beach Physical Therapy Inc
• Deerfield Dental, LLP
• Deerfield Family Dental Inc
• Deerfield Family Dentistry
• Deerfield Florida House, Inc
• Deerfield Health Clinic, LLC

• Oral and Maxillofacial Surgery (Dentist) in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.