Gentle Teeth of Pembroke Pines

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN17317 Issued in FL

Legal business name

GENTLE TEETH OF PEMBROKE PINES

Doing business as

Gentle Teeth Of Pembroke Pines

Practice address

12251 Taft St Ste 301
Pembroke Pines, FL 33026-1956

Phone

(954) 437-7077

Fax

(844) 260-5713

NPI assigned

Jul 13, 2018

Organization subpart

No

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

Authorized official

Name

Sydnee Samuel

Title

Office Manager

Phone

(954) 437-7077

Specialties & licenses 1

Addresses

Other names 1

• Gentle Teeth Of Pembroke Pines Doing business as

Locations

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1902382815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-437-7077",
            "fax_number": "844-260-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 TAFT ST STE 301",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261956",
            "telephone_number": "954-437-7077",
            "fax_number": "844-260-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TEETH OF PEMBROKE PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SYDNEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-437-7077"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Teeth Of Pembroke Pines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentle Teeth Of Pembroke Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Jul 13, 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.