NPIMap

Organization Active NPI

Dental & Sedation Group, LLC

  • Dentist
  • Lighthouse Point, FL
National Provider Identifier
1659796399
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8509 Issued in FL
Legal business name
DENTAL & SEDATION GROUP, LLC
Practice address
2028 E Sample Rd
Lighthouse Point, FL 33064-7596
Phone
(954) 946-8484
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Laurence E FendrichNPI 1457554818
Title
Managing Member
Phone
(954) 946-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN8509 FL Primary

Addresses

Primary practice location

2028 E Sample Rd
Lighthouse Point, FL 33064-7596

Mailing address

2028 E Sample Rd
Lighthouse Point, FL 33064-7596
Phone (954) 946-8484

National Provider Directory

National Provider Directory

Locations

2028 NE 36th St
Lighthouse Point, FL 33064
Phone (954) 946-8484

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1659796399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E SAMPLE RD",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647596",
            "telephone_number": "954-946-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E SAMPLE RD",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647596",
            "telephone_number": "954-946-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL & SEDATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "FENDRICH",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-946-8484"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.