Gregory Gertsen, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GREGORY GERTSEN, DDS, PA

Practice address

3640 N Federal Hwy Ste 7
Lighthouse Point, FL 33064-6648

Phone

(954) 941-7778

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Gertsen, DMDNPI 1134535644

Title

Owner

Phone

(954) 941-7778

Specialties & licenses 1

Addresses

Other names 1

• FL Dental Spa Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Gertsen, D.M.D.

  • Dentist
  • Lighthouse Point, FL
  • NPI 1134535644
  NPD Authorized official
• Gregory M Gertsen, D.D.S.

  • General Practice Dentistry
  • Lighthouse Point, FL
  • NPI 1467576397
  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1740970789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 N FEDERAL HWY STE 7",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646648",
            "telephone_number": "954-941-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 N FEDERAL HWY STE 7",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646648",
            "telephone_number": "954-941-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY GERTSEN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "GERTSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-941-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FL Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalia O Girgis, M.D.
• Thomas John Goberville, MD
• Latonya Graves-Beasley
• Travis Gray
• Rebecca Lauren Green, PA-C
• Janet Grote, M.A. CCC/SLP
• Mayuri P Gupta, MD
• Vipin Gupta, MD
• Michelle Lillian Hamby, CRT
• Kevin Patrick Hanaway, DNP, MBA, APRN

• Dental Clinic/Center in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.