EAST COAST FAMILY DENTAL LAUDERDALE PA (NPI# 1053762898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053762898 |
| Entity Type | Organization |
| Organization Name | EAST COAST FAMILY DENTAL LAUDERDALE PA |
| Practice Address |
4358 N Federal Hwy Ft Lauderdale FL 33308-5208 |
| Mailing Address |
6741 Sw 24th St Suite 14 Miami FL 33155-1762 |
| Practice Telephone | 9547763320 |
| Practice Fax Number | 9547764536 |
| Mailing Telephone | 3052640747 |
| Mailing Fax Number | 3052640595 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | MIGUEL REYES (CEO) |
| Authorized Official Telephone | 3052640747 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN11150 | FL | Dental Providers |
| Street Address |
4358 N FEDERAL HWY |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879925 | Belen Natalia Vimo | Dentist | 4358 N Federal Hwy, Ft Lauderdale, FL 33308-5208 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164728200 | Aesthetic Dental Group | Dentist | 2330 Ne 9th St, Ft Lauderdale, FL 33304-3579 | 2011-02-08 |
| 1750579686 | Abir Ali Massri | Dentist | 916 Ne62nd St, Ft Lauderdale, FL 33334-4110 | 2007-10-04 |
| 1023203445 | Charles H Moses IIi | Dentist | 1221 E Broward Blvd, Ft Lauderdale, FL 33301-2133 | 2007-09-10 |
| 1356540736 | Robert Stanton I | Dentist | 3038 N Federal Hwy, Suite H, Ft Lauderdale, FL 33306-1493 | 2007-07-16 |
| 1629297056 | George Richard Galluzzo | Dentist | 320 Se 18 Street, Ft Lauderdale, FL 33316 | 2007-04-24 |
| 1225256761 | Stuart G. Moraitis Dds Pa | Dentist | 1101 E Broward Blvd, Ft Lauderdale, FL 33301-2011 | 2007-04-22 |
| 1689794505 | Coral Ridge Smile | Dentist | 2324 Ne 53rd St, Ft Lauderdale, FL 33308-3212 | 2007-04-02 |
| 1568588580 | Jeremy Gerber | Dentist | 1332 Se 17th St, Ft Lauderdale, FL 33316-1708 | 2007-03-21 |
| 1053444869 | Tlc Dental - Ft. Lauderdale, LLC | Dentist | 3001 E Commercial Blvd, Ft Lauderdale, FL 33308-4311 | 2007-03-13 |
| 1427190024 | First Dental P.a. | Dentist | 2500 E Commercial Blvd, Suite G, Ft Lauderdale, FL 33308-4124 | 2007-02-12 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.