Prosperity Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

DN17148 Issued in FL

Legal business name

PROSPERITY DENTAL GROUP

Doing business as

Florida Dental Institute

Practice address

1535 Prosperity Farms Rd
Lake Park, FL 33403-2025

Phone

(561) 848-0087

Fax

(561) 848-0987

NPI assigned

Feb 17, 2014

Last updated

Feb 17, 2014By 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. Anna Royzman, DMD

Title

Owner/Dentist

Phone

(561) 848-0097

Specialties & licenses 1

Addresses

Other names 1

• Florida Dental Institute Doing business as

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1699199315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PROSPERITY FARMS RD",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032025",
            "telephone_number": "561-848-0087",
            "fax_number": "561-848-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 PROSPERITY FARMS RD",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032025",
            "telephone_number": "561-848-0087",
            "fax_number": "561-848-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "ROYZMAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "561-848-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Dental Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Dentist in Florida

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

Verify at the official NPI Registry.