Organization Active NPI

Estrada Dental Studio LLC

Doing business as Wiser Smiles

  • General Practice Dentistry
  • Oakland Park, FL
National Provider Identifier
1902641905
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESTRADA DENTAL STUDIO LLC
Doing business as
Wiser Smiles
Practice address
1507 E Commercial Blvd
Oakland Park, FL 33334-5717
Phone
(954) 771-7100
Fax
(954) 772-2272
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Elisandra Estrada, DDS
Title
Dentist
Phone
(786) 366-1821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1507 E Commercial Blvd
Oakland Park, FL 33334-5717

Mailing address

1507 E Commercial Blvd
Oakland Park, FL 33334-5717
Phone (954) 771-7100

Other names 1

  • Wiser Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1507 E Commercial Blvd
Oakland Park, FL 33334
Phone (954) 771-7100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1902641905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345717",
            "telephone_number": "954-771-7100",
            "fax_number": "954-772-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345717",
            "telephone_number": "954-771-7100",
            "fax_number": "954-772-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRADA DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "ELISANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-366-1821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiser Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.