Active NPI
Agean Dental of Coral Springs
- Dentist
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15874
- Legal business name
- AGEAN DENTAL OF CORAL SPRINGS
- Practice address
- 10220 W Sample Rd
Coral Springs, FL 33065-3940 - Phone
- (954) 755-1009
- NPI assigned
- Oct 17, 2014
- Last updated
- Oct 17, 2014
- Organization subpart
- Yes
- Parent organization
- DENTAL STORE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Soropoulos, DDS, BSME
- Title
- President
- Phone
- (561) 395-1486
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15874 | FL | Primary |
Addresses
Primary practice location
10220 W Sample Rd
Coral Springs, FL 33065-3940
Mailing address
2151 NW 2ND Ave
Ste 101
Boca Raton, FL 33431-6771
Phone (561) 395-1486
National Provider Directory
National Provider Directory- Part of
- Dental Store Inc
Locations
2151 NW 2nd Ave
Ste 101
Boca Raton, FL 33431
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Boca Raton, FL
- NPI 1255472783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413504000000",
"number": "1679977821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 NW 2ND AVE",
"address_2": "STE 101",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316771",
"telephone_number": "561-395-1486",
"fax_number": "561-948-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653940",
"telephone_number": "954-755-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGEAN DENTAL OF CORAL SPRINGS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL STORE INC.",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A",
"authorized_official_last_name": "SOROPOULOS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-395-1486",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, BSME"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.