Jennifer Garcia DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21347 Issued in FL

Legal business name

JENNIFER GARCIA DDS PA

Practice address

3501 NW 84TH Ave
Sunrise, FL 33351-6607

Phone

(954) 741-2323

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Garcia

Title

President

Phone

(954) 741-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JD Dental Doing business as

Locations

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609398684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-741-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-741-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER GARCIA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-741-2323"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015260900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JD Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Y Jeffreys, MS OT
• Mercedes Jenes Copeland, CRNA
• Jeniffer Gonzalez, Ms, Otr/L, P.a.
• Jennifer Jenkins, COTA
• Wendy Jenkins, LMSW
• Rose Jennings, CRNA
• Jessica Bloomgarden MD PA
• Jetmapp Healthcare Solutions LLC
• Daphney Jeune
• Jewish Adoption and Foster Care Options,Inc

• Dental Clinic/Center in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.