Organization Active NPI

Silver Lakes Dental Associates, P.a.

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1801013339
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11976 Issued in FL
Legal business name
SILVER LAKES DENTAL ASSOCIATES, P.A.
Practice address
17792 SW 2ND St
Pembroke Pines, FL 33029-3923
Phone
(954) 435-2999
Fax
(954) 435-0011
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Keith Marlowe Friefeld, D.D.S.NPI 1407970387
Title
President
Phone
(954) 435-2999

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN11976 FL Primary

Addresses

Primary practice location

17792 SW 2ND St
Pembroke Pines, FL 33029-3923

Mailing address

17792 SW 2ND St
Pembroke Pines, FL 33029-3923
Phone (954) 435-2999

National Provider Directory

National Provider Directory

Locations

17792 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 435-2999

Practitioners & affiliated clinicians

Practitioners 3

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1801013339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17792 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293923",
            "telephone_number": "954-435-2999",
            "fax_number": "954-435-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17792 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293923",
            "telephone_number": "954-435-2999",
            "fax_number": "954-435-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKES DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "FRIEFELD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MARLOWE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-435-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.