Pediatric and Adult Dentistry of the Palm Beaches PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16980 Issued in FL

Legal business name

PEDIATRIC AND ADULT DENTISTRY OF THE PALM BEACHES PLLC

Practice address

3365 Burns Road
Suite 209
Palm Beach Gardens, FL 33410-4308

Phone

(561) 775-1011

Fax

(561) 775-8283

NPI assigned

Apr 17, 2012

Organization subpart

No

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

Authorized official

Name

Yuri Goldvasser, D.D.S.NPI 1316991490

Title

Partner

Phone

(561) 775-1011

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yuri Goldvasser, D.D.S.

  • Pediatric Dentistry
  • Palm Beach Gardens, FL
  • NPI 1316991490
  NPD (past) Authorized official
• Lauren Kramer, D.D.S.

  • General Practice Dentistry
  • Palm Beach Gardens, FL
  • NPI 1275748030
  NPD (past)

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1962769810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS ROAD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104308",
            "telephone_number": "561-775-1011",
            "fax_number": "561-775-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS ROAD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104308",
            "telephone_number": "561-775-1011",
            "fax_number": "561-775-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADULT DENTISTRY OF THE PALM BEACHES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "GOLDVASSER",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-775-1011",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16980",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carisa Karin Pearce, M.D.
• Duane Pearson, APRN
• Keith Peart
• Peartree Eyecare PA
• Virginia Ellaine Peck
• Pediatric Dermatology of the Palm Beaches
• Pediatric Endocrine & Diabetes Specailists, PA
• Pediatric Partners of Palm Beach County
• Pediatric Partners of Palm Beach County, PA
• Pediatrix Medical Group of Florida Inc

• General Practice Dentistry in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 May 12, 2021; 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.