Organization Active NPI

University Dental Health Center

  • General Practice Dentistry
  • Davie, FL
National Provider Identifier
1659521698
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNIVERSITY DENTAL HEALTH CENTER
Practice address
2879 S University Dr
Davie, FL 33328-1440
Phone
(954) 474-2422
Fax
(954) 474-1966
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Mrs. Linda Bellomio Commons
Title
Owner
Phone
(813) 679-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2879 S University Dr
Davie, FL 33328-1440

Mailing address

2879 S University Dr
Davie, FL 33328-1440
Phone (954) 474-2422

National Provider Directory

National Provider Directory

Locations

2879 S University Dr
Davie, FL 33328
Phone (954) 474-2422

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1659521698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281440",
            "telephone_number": "954-474-2422",
            "fax_number": "954-474-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281440",
            "telephone_number": "954-474-2422",
            "fax_number": "954-474-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "COMMONS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BELLOMIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-679-3181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.