Organization Active NPI

Comfy Smile Dental

  • Dentist
  • Davie, FL
National Provider Identifier
1609349877
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMFY SMILE DENTAL
Practice address
11356 W State Road 84
Davie, FL 33325-4007
Phone
(954) 251-0804
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Guillermo Cortes Morales, DMDNPI 1912359266
Title
Manager
Phone
(954) 243-5286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11356 W State Road 84
Davie, FL 33325-4007

Mailing address

1508 Whitehall Dr Apt 303
Davie, FL 33324-6617
Phone (954) 243-5286

National Provider Directory

National Provider Directory

Locations

11356 W State Road 84
Davie, FL 33325
Phone (954) 251-0804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1609349877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WHITEHALL DR APT 303",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246617",
            "telephone_number": "954-243-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11356 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254007",
            "telephone_number": "954-251-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFY SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "CORTES MORALES",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-243-5286",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.