Deborah E Luis DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN19798 Issued in FL

Legal business name

DEBORAH E LUIS DMD PA

Doing business as

Fresh Dental Smiles

Practice address

7100 W. Commercial Blvd.
Suite 108
Lauderhill, FL 33319-2147

Phone

(954) 741-6556

Fax

(954) 741-1715

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Deborah E Luis, DMD, PA

Title

Dentist

Phone

(954) 741-6556

Specialties & licenses 1

Addresses

Other names 1

• Fresh Dental Smiles Doing business as

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1568869360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W. COMMERCIAL BLVD.",
            "address_2": "SUITE 108",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192147",
            "telephone_number": "954-741-6556",
            "fax_number": "954-741-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W. COMMERCIAL BLVD.",
            "address_2": "SUITE 108",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192147",
            "telephone_number": "954-741-6556",
            "fax_number": "954-741-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH E LUIS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "LUIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-741-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.