Active NPI
Thedenteast, PLLC
- Dental Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1750128831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suncica Martinasevic
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Ft Lauderdale, FL
- NPI 1720333636
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.