Life Dental Care

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DN17931 Issued in FL

Legal business name

LIFE DENTAL CARE

Practice address

123 N Powerline Rd
Deerfield Beach, FL 33442-8037

Phone

(954) 429-8840

NPI assigned

Apr 6, 2011

Last updated

Apr 6, 2011By 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. Maria Toirac

Title

Dentist

Phone

(954) 429-8840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1659660066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N POWERLINE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N POWERLINE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428037",
            "telephone_number": "954-429-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "TOIRAC",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-429-8840",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "DN17931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xijun Liang
• Liberty National Medical Supplies Inc.
• Samantha Marie-Luise Licon
• Marah Anne Lieberman
• Life and Science Laboratory LLC
• Life Tracks Treatment Center LLC.
• Lifeline Medical Supply LLC
• Lifestyle Health Inc
• Laurie Light
• Lighthouse Foot & Ankle Center

• Exclusive Provider Organization in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.