Laguna Isles Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAGUNA ISLES DENTAL, LLC

Practice address

19551 Sheridan Street
Pembroke Pines, FL 33332

Phone

(954) 680-5552

Fax

(954) 680-1808

NPI assigned

Dec 17, 2008

Last updated

Sep 16, 2009By 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. Moneeze Mujtaba, D.D.S.

Title

Dentist

Phone

(954) 680-5552

Specialties & licenses 3

Addresses

Other names 1

• Laguna Isles Dental Associates, P.A. Former legal business name

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1568608875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19551 SHERIDAN STREET",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33332",
            "telephone_number": "954-680-5552",
            "fax_number": "954-680-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19551 SHERIDAN STREET",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33332",
            "telephone_number": "954-680-5552",
            "fax_number": "954-680-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA ISLES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "MUJTABA",
        "authorized_official_first_name": "MONEEZE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-680-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17384",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Isles Dental Associates, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Patricia A. Lacey, PTA
• Andrew Lackwood
• Margareth Ladouceur
• Scott Lafrance
• Gennifer Lafuente
• Tania Lahera Sanchez, APRN
• Charmaine P Laing, MD
• Navid Lajevardi, DMD
• Lidie Lajoie, M.D.
• Lakes Mall Dental

• Dentist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.