Organization Active NPI

Perfection Dental Spa

  • Dentist
  • Plantation, FL
National Provider Identifier
1679020408
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20754 Issued in FL
Legal business name
PERFECTION DENTAL SPA
Practice address
7744 Peters Rd
Plantation, FL 33324-4004
Phone
(954) 951-0181
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Andrea Lewis-McKenzie, D.M.D
Title
President
Phone
(954) 951-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN20754 FL Primary

Addresses

Primary practice location

7744 Peters Rd
Plantation, FL 33324-4004

Mailing address

7744 Peters Rd
Plantation, FL 33324-4004
Phone (954) 951-0181

Other practice location 1

5604 S Travelers Palm Ln
Tamarac, FL 33319-6134
Phone (954) 951-0181

National Provider Directory

National Provider Directory

Locations

7744 Peters Rd
Plantation, FL 33324
Phone (954) 905-6633

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679020408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 PETERS RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244004",
            "telephone_number": "954-951-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 PETERS RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244004",
            "telephone_number": "954-951-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 S Travelers Palm Ln",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333196134",
            "country_code": "US",
            "telephone_number": "954-951-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFECTION DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS-MCKENZIE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-951-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.