Organization Active NPI

Thedenteast, PLLC

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1750128831
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THEDENTEAST, PLLC
Practice address
540 N Andrews Ave Ste 101
Fort Lauderdale, FL 33301-4500
Phone
(954) 669-1577
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Suncica MartinasevicNPI 1720333636
Title
Owner
Phone
(954) 294-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

540 N Andrews Ave Ste 101
Fort Lauderdale, FL 33301-4500

Mailing address

110 N Federal Hwy Apt 1109
Fort Lauderdale, FL 33301-4452
Phone (954) 294-2111

Other names 1

  • Denteast Doing business as

National Provider Directory

National Provider Directory

Locations

540 N Andrews Ave
Ste 101
Fort Lauderdale, FL 33301
Phone (954) 669-1577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1750128831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N FEDERAL HWY APT 1109",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014452",
            "telephone_number": "954-294-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N ANDREWS AVE STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014500",
            "telephone_number": "954-669-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDENTEAST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MARTINASEVIC",
        "authorized_official_first_name": "SUNCICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-294-2111"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denteast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.