Coral Springs Family Dentistry at Univesity

Primary specialty

DentistTaxonomy code 122300000X

License

DN14972 Issued in FL

Legal business name

CORAL SPRINGS FAMILY DENTISTRY AT UNIVESITY

Practice address

2123 N University Dr
Coral Springs, FL 33071-6134

Phone

(954) 341-4766

NPI assigned

Sep 4, 2008

Last updated

Sep 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Stein, D.M.D.

Title

President

Phone

(954) 341-4755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1558519488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 AVENIDA DEL RIO",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716134",
            "telephone_number": "954-341-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS FAMILY DENTISTRY AT UNIVESITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-341-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Springs Dental Associates (Coral Springs Premier Dentists)
• Coral Springs Dental Group, LLC
• Coral Springs Ekg Readers Inc
• Coral Springs Family Dental Associates
• Coral Springs Family Dentistry at Americare PA
• Coral Springs Family Orthodontics
• Coral Springs Holistic Pediatrics, LLC
• Coral Springs Medical Center
• Coral Springs Medical Group Inc.
• Coral Springs Modern Dentistry, PA

• Dentist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.