NPIMap

Organization Active NPI

Bespoke Smiles Dentistry, PA

Doing business as Creekside Dental Excellence

  • Dental Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1942036264
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BESPOKE SMILES DENTISTRY, PA
Doing business as
Creekside Dental Excellence
Practice address
5770 Wiles Rd
Coral Springs, FL 33067-2156
Phone
(954) 255-5166
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Gili Litwack, DDSNPI 1811517519
Title
President
Phone
(516) 342-0308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5770 Wiles Rd
Coral Springs, FL 33067-2156

Mailing address

5770 Wiles Rd
Coral Springs, FL 33067-2156
Phone (954) 255-5166

Other names 1

  • Creekside Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1942036264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672156",
            "telephone_number": "954-255-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672156",
            "telephone_number": "954-255-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE SMILES DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "LITWACK",
        "authorized_official_first_name": "GILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-342-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creekside Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.