Dentilife Four PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTILIFE FOUR PA

Practice address

5473 N State Road 7
Fort Lauderdale, FL 33319-2954

Phone

(954) 486-7025

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Cinthya Ferradaz

Title

Credentialing

Phone

(786) 899-1436

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Durgesh D. Thaker, B.D.S.

  • Dentist
  • Tamarac, FL
  • NPI 1659541555
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1891309514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 N STATE ROAD 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192954",
            "telephone_number": "954-486-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 N STATE ROAD 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192954",
            "telephone_number": "954-486-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTILIFE FOUR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "FERRADAZ",
        "authorized_official_first_name": "CINTHYA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "786-899-1436"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003823700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Lounge PLLC
• Dental Specialists of Broward Group
• Dental Team of Bayview
• Dental Team of Galleria
• Mary Ann Dente, LCSW
• Dentists of Fort Lauderdale, PA
• Dependable Incontinence & Supply, Inc
• Angel David Depestre, RBT
• William Derby, BA, MPS, CAP
• George T Derefaka, CRNA

• Dentist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.