TDC Royal Palm LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TDC ROYAL PALM LLC

Practice address

10229 Okeechobee Blvd
Royal Palm Beach, FL 33411-1403

Phone

(561) 379-1311

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sean Tomalty

Title

President

Phone

(561) 789-6611

Specialties & licenses 1

Addresses

Other names 1

• Madison Green Family Dental Doing business as

Locations

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1821563149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10229 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111403",
            "telephone_number": "561-379-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10229 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111403",
            "telephone_number": "561-379-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC ROYAL PALM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-789-6611",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Green Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.