Cma Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CMA DENTAL PLLC

Doing business as

Dr Sean Dental

Practice address

9497 Old Pine Rd
Boca Raton, FL 33428-3055

Phone

(305) 336-4515

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Sean Shkolnik, DDS

Title

Dentist

Phone

(305) 336-4515

Specialties & licenses 1

Addresses

Other names 1

• Dr Sean Dental Doing business as

Practitioners 1

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

• Niurka Canelo Shkolnik, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1104220060
  NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1508439050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9497 OLD PINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283055",
            "telephone_number": "305-336-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9497 OLD PINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283055",
            "telephone_number": "305-336-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "SHKOLNIK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-336-4515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Sean Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Sean Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.