TLC Dental - Hollywood, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TLC DENTAL - HOLLYWOOD, LLC

Practice address

1718 Sheridan St
Hollywood, FL 33020-2275

Phone

(954) 650-1122

NPI assigned

Sep 2, 2016

Organization subpart

Yes

Parent organization

DENTAL PRACTICE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Steven D Muckey

Title

Manager

Phone

(954) 650-1122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1629525001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SARANAC RD",
            "city": "SEA RANCH LAKES",
            "state": "FL",
            "postal_code": "333082910",
            "telephone_number": "954-650-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202275",
            "telephone_number": "954-650-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL - HOLLYWOOD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PRACTICE MANAGEMENT, LLC",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "MUCKEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-650-1122",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hollywood, FL
• Providers in Hollywood, 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 Sep 2, 2016; 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.