Dental Lounge PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL LOUNGE PLLC

Practice address

2717 Southwest 2ND Street
Ft. Lauderdale, FL 33306

Phone

(954) 686-5729

Fax

(954) 246-0052

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Balsam

Title

Ceo

Phone

(954) 686-5729

Specialties & licenses 1

Addresses

Tax ID family

Dental Lounge PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Lounge PLLC

  • General Practice Dentistry
  • Pompano Beach, FL
  • NPI 1720740012
  NPD tax ID

Locations

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1780349100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 SW 2ND ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693114",
            "telephone_number": "856-459-2270",
            "fax_number": "856-459-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 SOUTHWEST 2ND STREET",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-686-5729",
            "fax_number": "954-246-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LOUNGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BALSAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-686-5729"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Denson I, RCSWI
• Dental Care Group Ft Lauderdale LLC
• Dental Implant & Facial Surgery
• Dental Kare Dentistry PLLC
• Dental Las Olas PA
• Dental Specialists of Broward Group
• Dental Team of Bayview
• Dental Team of Galleria
• Mary Ann Dente, LCSW
• Dentilife Four PA

• General Practice Dentistry in Ft. Lauderdale, FL
• Providers in Ft. Lauderdale, 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 Nov 1, 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.