Tamarac Family Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAMARAC FAMILY DENTAL PA

Practice address

7351 W Oakland Park Blvd
Suite 102
Tamarac, FL 33319-7107

Phone

(954) 742-5055

Fax

(954) 742-5341

NPI assigned

Aug 12, 2016

Last updated

Aug 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro San Jorge, DDS

Title

Dentist/Owner

Phone

(786) 853-5510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1912451493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 W OAKLAND PARK BLVD",
            "address_2": "SUITE 102",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333197107",
            "telephone_number": "954-742-5055",
            "fax_number": "954-742-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 W OAKLAND PARK BLVD",
            "address_2": "SUITE 102",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333197107",
            "telephone_number": "954-742-5055",
            "fax_number": "954-742-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARAC FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "SAN JORGE",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "786-853-5510",
        "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": []
}

• Tamarac Dental Associates PA
• Tamarac Detox, LLC (We Level Up FL)
• Tamarac Endoscopy ASC LLC (Digestive Disease Endoscopy Center)
• Tamarac Family Dental & Oral Surgery
• Tamarac Family Dental Center LLC
• Tamarac Pharmacy LLC
• Tamarac Physicians Group Inc
• Tamarac Rehabilitation & Health Center Inc (Tamarac Rehabilitation & Health Center)
• Tamarac Rehabilitation & Health Center, Inc. (Tamarac Rehabilitation & Health Center)
• Tamarac Senior Center Inc

• General Practice Dentistry in Tamarac, FL
• Providers in Tamarac, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.