Active NPI
Preferred Dental Care PA
- Dentist
- Davie, FL
National Provider Identifier
1801300066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17761
- Legal business name
- PREFERRED DENTAL CARE PA
- Practice address
- 2263 S University Dr
Davie, FL 33324-5825 - Phone
- (954) 475-0700
- NPI assigned
- Nov 27, 2017
- 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
- Vadim Valdman
- Title
- DDS/Owner
- Phone
- (212) 810-6226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN17761 | FL | Primary |
Addresses
Primary practice location
2263 S University Dr
Davie, FL 33324-5825
Mailing address
2263 S University Dr
Davie, FL 33324-5825
Phone (954) 475-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076461200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2263 S University Dr
Davie, FL 33324
Phone (954) 475-0700
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Davie, FL
- NPI 1740404912
-
- Dentist
- Davie, FL
- NPI 1306463344
-
- Dentist
- Sunrise, FL
- NPI 1558841890
-
- Dentist
- West Palm Beach, FL
- NPI 1043411796
-
- General Practice Dentistry
- Davie, FL
- NPI 1588790430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511740800000",
"number": "1801300066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2263 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245825",
"telephone_number": "954-475-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2263 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333245825",
"telephone_number": "954-475-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED DENTAL CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A",
"authorized_official_last_name": "VALDMAN",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "DDS/OWNER",
"authorized_official_telephone_number": "212-810-6226"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN17761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076461200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.