Elite Dental & Aesthetics

Primary specialty

DentistTaxonomy code 122300000X

License

DN21325 Issued in FL

Legal business name

ELITE DENTAL & AESTHETICS

Practice address

131 NW 100TH Ave
Plantation, FL 33324-7034

Phone

(954) 476-4537

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Kossak, DDS

Title

Dentist

Phone

(313) 580-3258

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1922547728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-476-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-476-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KOSSAK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-580-3258",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851739262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate Physio & Wellness LLC
• Elevation Health Plantation LLC
• Uri Elias, D.D.S.
• Elisabeth Ann Soifer PSYD LLC
• Elite Care MD LLC
• Elite Home Health, Inc.
• Elite Imaging LLC
• Elite Spine and Wellness, LLC
• Elite Therapeutic Care, LLC
• Kenneth Judd Ellington, RPH

• Dentist in Plantation, FL
• Providers in Plantation, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.