NPIMap

Organization Active NPI

Glicksman, Mars Dental , LLC

  • Dentist
  • Aventura, FL
National Provider Identifier
1538167754
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN11641 Issued in FL
Legal business name
GLICKSMAN, MARS DENTAL , LLC
Doing business as
The Dental Care Group of Aventura
Practice address
2797 NE 207TH St
Ste 100
Aventura, FL 33180-1471
Phone
(305) 935-2797
Fax
(305) 937-4834
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Rick A Mars, D.D.SNPI 1316002637
Title
President
Phone
(305) 935-2797

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN11641 FL Primary

Addresses

Primary practice location

2797 NE 207TH St
Ste 100
Aventura, FL 33180-1471

Mailing address

2797 NE 207TH St
Ste 100
Aventura, FL 33180-1471
Phone (305) 935-2797

Other names 1

  • The Dental Care Group of Aventura Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1538167754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 NE 207TH ST",
            "address_2": "STE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801471",
            "telephone_number": "305-935-2797",
            "fax_number": "305-937-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 NE 207TH ST",
            "address_2": "STE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801471",
            "telephone_number": "305-935-2797",
            "fax_number": "305-937-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLICKSMAN, MARS DENTAL , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-935-2797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Care Group of Aventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.