Jacaranda Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012868 Issued in FL

Legal business name

JACARANDA DENTAL

Practice address

600 S Pine Island Rd
Suite 201
Plantation, FL 33324-3166

Phone

(954) 577-3223

NPI assigned

Jan 17, 2008

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Armando Blardonis, DDS

Title

President

Phone

(954) 577-3223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1619153830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "SUITE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "SUITE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166",
            "telephone_number": "954-577-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACARANDA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BLARDONIS",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-577-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & J Wellness of Plantation, Inc
• J Harold Stanley MD PA
• J. Michael Forrest MD PA
• Jabal Uffelman, MD PA
• Jeffrey Glenn Jabick, LMHC
• Allison Jackowitz
• Aja Jackson, RRT
• Clarence Jackson
• Janet Jackson
• Beena Jacob, PA-C

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, 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 Jan 17, 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.