Organization Active NPI

Pines Dental PA

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1992596811
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PINES DENTAL PA
Practice address
7744 Peters Rd
Plantation, FL 33324-4004
Phone
(954) 905-6633
Fax
(954) 302-6898
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Rodolfo Olmos
Title
Owner
Phone
(407) 951-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7744 Peters Rd
Plantation, FL 33324-4004

Mailing address

7744 Peters Rd
Plantation, FL 33324-4004
Phone (954) 905-6633

Other names 1

  • Pines Dental PA Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1992596811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 PETERS RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244004",
            "telephone_number": "954-905-6633",
            "fax_number": "954-302-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 PETERS RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244004",
            "telephone_number": "954-905-6633",
            "fax_number": "954-302-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-951-0335"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Dental PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 13, 2025; 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.