TLC Dental - Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

TLC DENTAL - ORTHODONTICS, LLC

Practice address

3001 E Commercial Blvd
Ft Lauderdale, FL 33308-4311

Phone

(954) 491-7100

Fax

(954) 771-6434

NPI assigned

Aug 21, 2017

Organization subpart

Yes

Parent organization

DENTAL PRACTICE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Steven Muckey, DDS

Title

Managing Director

Phone

(954) 494-8502

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1932625035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD STE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091950",
            "telephone_number": "954-494-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084311",
            "telephone_number": "954-491-7100",
            "fax_number": "954-771-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL - ORTHODONTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PRACTICE MANAGEMENT, LLC",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "MUCKEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "954-494-8502",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Teresa Tisot, PH.D.
• Carolina Tizon, AP
• Alexa Tkachuck, PA-C
• TLC Dental - Ft. Lauderdale, LLC
• TLC Dental - Oral Surgery, PLLC
• TLC Dental 4 Kids, LLC
• TLC Oxygen & Medical Supplies, Inc.
• TLC Recovery Center of S Florida, LLC
• TLC Recovery Center of South Florida
• Stephanie Tobon, CRNA

• Orthodontics and Dentofacial Orthopedics Dentistry in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.