TLC Dental - Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TLC DENTAL - ORAL SURGERY, PLLC

Practice address

3001 E Commercial Blvd
Ft Lauderdale, FL 33308-4311

Phone

(954) 491-7100

NPI assigned

Dec 11, 2017

Organization subpart

Yes

Parent organization

DENTAL PRACTICE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Lauri Stein

Title

Credentialing Dept.

Phone

(954) 994-0892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1578078630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091950",
            "telephone_number": "954-720-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084311",
            "telephone_number": "954-491-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL - ORAL SURGERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PRACTICE MANAGEMENT, LLC",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "CREDENTIALING DEPT.",
        "authorized_official_telephone_number": "954-994-0892"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami L Tiska Caton, LCSW
• Caroline Teresa Tisot, PH.D.
• Carolina Tizon, AP
• Alexa Tkachuck, PA-C
• TLC Dental - Ft. Lauderdale, LLC
• TLC Dental - Orthodontics, LLC
• TLC Dental 4 Kids, LLC
• TLC Oxygen & Medical Supplies, Inc.
• TLC Recovery Center of S Florida, LLC
• TLC Recovery Center of South Florida

• Oral and Maxillofacial Surgery (Dentist) in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.