Organization Active NPI

Hallandale Beach Dental Care

Doing business as The Center of Esthetic and Laser Dentistry

  • Dentist
  • Hallandale Beach, FL
National Provider Identifier
1720487960
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19141 Issued in FL
Legal business name
HALLANDALE BEACH DENTAL CARE
Doing business as
The Center of Esthetic and Laser Dentistry
Practice address
2100 E Hallandale Beach Blvd
Suite 303
Hallandale Beach, FL 33009-3765
Phone
(954) 456-5611
NPI assigned
Aug 13, 2014
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Tamisha M Denis, DDSNPI 1184889917
Title
Owner
Phone
(954) 752-4450

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN19141 FL Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd
Suite 303
Hallandale Beach, FL 33009-3765

Mailing address

2100 E Hallandale Beach Blvd
Suite 303
Hallandale Beach, FL 33009-3765
Phone (954) 456-5611

Other names 1

  • The Center of Esthetic and Laser Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2100 E Hallandale Beach Blvd
Ste 303
Hallandale Beach, FL 33009
Phone (850) 591-9991

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.

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1720487960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-456-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 303",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093765",
            "telephone_number": "954-456-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLANDALE BEACH DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "DENIS",
        "authorized_official_first_name": "TAMISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-752-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center of Esthetic and Laser Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.