NPIMap

Organization Active NPI

Deerfield Family Dental Inc

  • Dentist
  • Deerfield Beach, FL
National Provider Identifier
1679907752
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEERFIELD FAMILY DENTAL INC
Practice address
100 S Military TRL
Ste 4
Deerfield Beach, FL 33442-3015
Phone
(954) 725-3717
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Alain Pouleriguen, DMDNPI 1710106307
Title
President
Phone
(954) 725-3717

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: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

100 S Military TRL
Ste 4
Deerfield Beach, FL 33442-3015

Mailing address

100 S Military TRL
Ste 4
Deerfield Beach, FL 33442-3015
Phone (954) 725-3717

National Provider Directory

National Provider Directory

Locations

100 S Military Trl
Ste 4
Deerfield Beach, FL 33442
Phone (954) 724-3717

Practitioners & affiliated clinicians

Practitioners 5

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": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1679907752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "STE 4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-725-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "STE 4",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-725-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "POULERIGUEN",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-725-3717",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.