Kravitz Dental I Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KRAVITZ DENTAL I CORP

Practice address

17767 SW 2ND St
Pembroke Pines, FL 33029-3924

Phone

(954) 430-4334

Fax

(954) 430-3901

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Linda Garcia

Title

Office Manager

Phone

(954) 430-4334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1568620391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17767 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-430-4334",
            "fax_number": "954-430-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17767 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-430-4334",
            "fax_number": "954-430-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAVITZ DENTAL I CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-430-4334"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Perry Kotch, D.M.D.
• Lori Beth Kotlicky, SLP
• Jennifer Kouromihelakis, APRN,FNP-C
• Amy Krall
• Kramer and Associates Physical Therapy
• Svetlana V Krechko, APRN
• Perry Krichmar, M.D
• Peter Kroetsch, M.D.
• Ewelina Katarzyna Kronman
• Judson Krosney, MD

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.