West Sheridan Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WEST SHERIDAN DENTAL LLC

Practice address

15641 Sheridan St Ste 400
Davie, FL 33331-3485

Phone

(754) 215-4704

Fax

(786) 497-3409

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Carlos F Villanueva, DDS, PROSTHODONTISTNPI 1619257581

Title

Dentist/Manager

Phone

(754) 215-4704

Specialties & licenses 3

Addresses

Other names 1

• Renova Dental and Implant Center Doing business as

Locations

Practitioners 1

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

• Carlos F Villanueva, DDS, PROSTHODONTIST

  • Dentist
  • Davie, FL
  • NPI 1619257581
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1992456560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15641 SHERIDAN ST STE 400",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313485",
            "telephone_number": "754-215-4704",
            "fax_number": "786-497-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15641 SHERIDAN ST STE 400",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313485",
            "telephone_number": "754-215-4704",
            "fax_number": "786-497-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHERIDAN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST/MANAGER",
        "authorized_official_telephone_number": "754-215-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PROSTHODONTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renova Dental and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Johann Wendorff
• Wendy B Silver PSYD PA
• Nicole Yvonne Wenger
• West Broward Counseling Center
• West Diagnostic Medical Imaging, Inc.
• Jamie West, PHD, LMFT
• Benjamin Jon Westby, MSPT, ATC, CSCS
• Rasheda Lorice Westcarr, NA
• Ashley-Marie Weston
• Westside Hospitalist Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.