Andrews Dental Care Center, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN17611 Issued in FL

Legal business name

ANDREWS DENTAL CARE CENTER, P.A.

Practice address

3909 N Andrews Ave
Oakland Park, FL 33309-5239

Phone

(954) 561-6675

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn P Riley, DMD

Title

President/Director

Phone

(954) 561-6675

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Pablo Porras, DMD

  • General Practice Dentistry
  • Oakland Park, FL
  • NPI 1396421988
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1619277167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 N ANDREWS AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095239",
            "telephone_number": "954-561-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 N ANDREWS AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095239",
            "telephone_number": "954-561-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS DENTAL CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "954-561-6675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076272502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andre Alfredo Ampudia, PA
• Melissa Susan Anderson, PHARM.D.
• Nicole Andrews, RD, LD/N
• Tim Earle Andrews, LICENSED INTERN MSW
• Apex Medical Supply LLC
• Apex South Florida LLC
• Luz Mary Aquino, MD, MBA

• Dentist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.