Vital Dental Center of Pompano PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VITAL DENTAL CENTER OF POMPANO PLLC

Practice address

2700 NE 14TH Street Cswy
Pompano Beach, FL 33062-3561

Phone

(954) 781-6170

Fax

(954) 781-6725

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Martin A Maya

Title

Owner

Phone

(954) 781-6170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1619636867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NE 14TH STREET CSWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623561",
            "telephone_number": "954-781-6170",
            "fax_number": "954-781-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NE 14TH STREET CSWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623561",
            "telephone_number": "954-781-6170",
            "fax_number": "954-781-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL DENTAL CENTER OF POMPANO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "MAYA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-781-6170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Kidz Deerfield LLC
• Vip Physical Therapy Inc
• Michelle Lyn Viscarra, MULTIPLE SUBJECT
• Visionworks, Inc
• Visiting Helpers Inc
• Vital Shred
• Alexis Vitale
• Samantha Crystal Vitale, DMD
• Vitality Enterprises LLC
• Vivienne V. Tai, MD, PA

• General Practice Dentistry in Pompano Beach, FL
• Providers in Pompano Beach, 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 Dec 15, 2021; 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.