Organization Active NPI

TDC Plantation, PLLC

  • Dental Clinic/Center
  • Plantation, FL
National Provider Identifier
1932890571
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TDC PLANTATION, PLLC
Practice address
8962 Cleary Blvd
Plantation, FL 33324-1307
Phone
(954) 915-8080
Fax
(954) 915-0171
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Jordan Tomalty, DMD
Title
Owner
Phone
(561) 633-9676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8962 Cleary Blvd
Plantation, FL 33324-1307

Mailing address

8962 Cleary Blvd
Plantation, FL 33324-1307
Phone (954) 915-8080

Other names 1

  • Usmile Dental Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1932890571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8962 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241307",
            "telephone_number": "954-915-8080",
            "fax_number": "954-915-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8962 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241307",
            "telephone_number": "954-915-8080",
            "fax_number": "954-915-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC PLANTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-633-9676",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Usmile Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.