Sheridan Dental Center, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012238 Issued in FL

Legal business name

SHERIDAN DENTAL CENTER, LLC

Practice address

5351 Sheridan St
Hollywood, FL 33021-3342

Phone

(954) 981-4107

Fax

(954) 981-2163

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pablo Enrique Leon, D.D.S.NPI 1417071192

Title

Co-Owner

Phone

(954) 981-4107

Specialties & licenses 1

Addresses

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.

• Pablo Enrique Leon, D.D.S.

  • Dentist
  • Hollywood, FL
  • NPI 1417071192
  Authorized official Same address or phone

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1689053845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213342",
            "telephone_number": "954-981-4107",
            "fax_number": "954-981-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213342",
            "telephone_number": "954-981-4107",
            "fax_number": "954-981-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "954-981-4107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Shelton
• Sara Shemella, M.M.S., P.A.-C
• Tamar Shemesh
• Abbey Shepard-Smith, PHD
• Sherby Development Inc. (Lincoln Manor)
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Sheridan Healthcorp, Inc
• Sheridan Home Health Care, Inc.

• General Practice Dentistry in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.