Brito Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN20957 Issued in FL

Legal business name

BRITO DENTAL, LLC

Practice address

2070 S Military TRL Ste 102
West Palm BCH, FL 33415-6409

Phone

(561) 296-2032

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Ali Correa, DDS

Title

Dentist

Phone

(787) 435-3064

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1841737079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 S MILITARY TRL STE 102",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334156409",
            "telephone_number": "561-296-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 S MILITARY TRL STE 102",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334156409",
            "telephone_number": "561-296-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITO DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "17874353064",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN20957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Altidor
• Rose A Berkoff-Basilio, LMHC
• Whitney Blaise
• Latrice Boykin
• Melissa Brooks
• Jasmine Buteau
• Maria I Capote, RRT
• Paola Carlos
• Cece Mobile Clinic LLC

• Dental Clinic/Center in West Palm BCH, FL
• Providers in West Palm BCH, 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 Jan 25, 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.

Verify at the official NPI Registry.