Victoria Gandarillas, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN23571 Issued in FL

Practice address

5431 N University Dr Ste 102
Coral Springs, FL 33067-4639

Phone

(954) 255-2787

NPI assigned

May 1, 2018

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CL DDS 2 PA

  • Pediatric Dentistry
  • Coral Springs, FL
  • NPI 1134859010
  NPD (past)
• CL DDS 2 PA

  • Pediatric Dentistry
  • Coral Springs, FL
  • NPI 1962010652
  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1558859959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 N UNIVERSITY DR STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674639",
            "telephone_number": "954-255-2787",
            "fax_number": "954-255-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 N UNIVERSITY DR STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674639",
            "telephone_number": "954-255-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9156 Wiles Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330671999",
            "country_code": "US",
            "telephone_number": "954-255-2787",
            "fax_number": "954-255-8307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. Christopher's Hospital for Children Peds Residency",
            "address_2": "160 E Erie Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341095",
            "country_code": "US",
            "telephone_number": "215-427-6862",
            "fax_number": "215-427-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDARILLAS",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN23571",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuliana Virginia Gallo, DC
• Judith Gallo, NP
• Galloway Anesthesia Associates LLC
• Galore Medical LLC
• Ma Veronica Cru Gamboa, ARNP
• Sativa Ganesh, PHARMD, CGP, CPH
• Bradley William Gang, DO
• Bhaskar Ganguly, M.D.
• Lindsay Gans, PHARM.D.
• Stephanie Michelle Gans, M.S., CCC-SLP

• Pediatric Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.