NPIMap

Organization Active NPI

Boynton Lakes Dental, PA

  • Dentist
  • Greenacres, FL
National Provider Identifier
1770754111
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0011357 Issued in FL
Legal business name
BOYNTON LAKES DENTAL, PA
Practice address
6609 Forest Hill Blvd
Greenacres, FL 33413-3303
Phone
(561) 964-2002
Fax
(561) 964-9606
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Thomas Saitta, DDS
Title
Dentist/Owner
Phone
(561) 964-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN0011357 FL Primary

Addresses

Primary practice location

6609 Forest Hill Blvd
Greenacres, FL 33413-3303

Mailing address

6099 Forest Hill Blvd
Greenacres, FL 33413
Phone (561) 964-2002

Other identifiers 1

IdentifierTypeStateIssuer
DN0011357OtherFLDENTAL OFFICE

Other names 1

  • Crown Dentistry of the Palm Beaches Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1770754111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33413",
            "telephone_number": "561-964-2002",
            "fax_number": "561-964-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133303",
            "telephone_number": "561-964-2002",
            "fax_number": "561-964-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON LAKES DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SAITTA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "561-964-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0011357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "DN0011357",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Dentistry of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.