Ideal Smiles Plantation, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDEAL SMILES PLANTATION, INC.

Doing business as

Ideal Smiles Dental Care

Practice address

12235 W Sunrise Blvd
Plantation, FL 33323-2234

Phone

(954) 687-0031

Fax

(954) 372-0031

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

April Goodman

Title

Office Manager

Phone

(954) 687-0031

Specialties & licenses 1

Addresses

Other names 1

• Ideal Smiles Dental Care Doing business as

Locations

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1760064521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232234",
            "telephone_number": "954-687-0031",
            "fax_number": "954-372-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232234",
            "telephone_number": "954-687-0031",
            "fax_number": "954-372-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SMILES PLANTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-687-0031"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Icare Center LLC
• Ics Radiology
• Ics Radiology, Inc.
• Ideal Dental Plantation PLLC
• Ideal Health and Rehab, PL
• Muktiar Idrees
• Julia Digiano Ieslin, MOTR/L
• Ignacio Lopez-Merino, M.D., PA
• Olumide Ijishakin, MD
• Ilq Wlleness

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.