Organization Active NPI

Fort Lauderdale Galleria Dental Implant and Orthodontic Center

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1669964276
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FORT LAUDERDALE GALLERIA DENTAL IMPLANT AND ORTHODONTIC CENTER
Practice address
2300 NE 9TH St
Fort Lauderdale, FL 33304-3579
Phone
(954) 566-1281
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Dennis Sevel, DDS
Title
Owner
Phone
(954) 566-1281

Specialties & licenses 1

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

Addresses

Primary practice location

2300 NE 9TH St
Fort Lauderdale, FL 33304-3579

Mailing address

2300 NE 9TH St
Fort Lauderdale, FL 33304-3579
Phone (954) 566-1281

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1669964276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NE 9TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043579",
            "telephone_number": "954-566-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NE 9TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043579",
            "telephone_number": "954-566-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE GALLERIA DENTAL IMPLANT AND ORTHODONTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "SEVEL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-566-1281",
        "authorized_official_credential": "DDS"
    },
    "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 Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.