4350 DENTAL P A (NPI# 1700127412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700127412 |
| Entity Type | Organization |
| Organization Name | 4350 DENTAL P A |
| Other Organization Name | SHERIDAN DENTAL CARE |
| Practice Address |
4350 Sheridan St 201 E Hollywood FL 33021-3556 |
| Practice Telephone | 9549644229 |
| Practice Fax Number | 9546530886 |
| Mailing Telephone | 9549644229 |
| Mailing Fax Number | 9546530886 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | PATRICIA M BOBADILLA (OWNER) |
| Authorized Official Telephone | 9549644229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN14173 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sheridan Dental Care | Doing Business As Name - Organization |
| Street Address |
4350 SHERIDAN ST 201 E |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190180 | Myles Keith Krieger | Oral & Maxillofacial Surgery | 4350 Sheridan St, Suite 101, Hollywood, FL 33021-3556 | 2005-08-09 |
| 1386913002 | Ortho Florida, LLC | Pain Medicine | 4350 Sheridan St, Ste 102, Hollywood, FL 33021-3556 | 2011-12-27 |
| 1083827026 | Lee Scott Hauer | Dentist | 4350 Sheridan St, Suite 201d, Hollywood, FL 33021-3556 | 2007-05-07 |
| 1174682694 | Leah Karen Light | Audiologist | 4350 Sheridan St, Ste 101, Hollywood, FL 33021-3556 | 2006-12-08 |
| 1265468870 | Sheridan Mri & Diagnostics, LLC | Clinic/Center | 4350 Sheridan St, Suite 102, Hollywood, FL 33021-3556 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942344 | Care Source One Transportation Service LLC | Clinic/Center | 2522 Lincoln St, Hollywood, FL 33020-3973 | 2019-10-07 |
| 1245737014 | Ilya P Freyberg Dds Pa | Clinic/Center | 1876 Polk St, Hollywood, FL 33020-3335 | 2018-04-09 |
| 1477753739 | Drs Pass & Frydman Pa | Clinic/Center | 4030 Sheridan Street, Suite B, Hollywood, FL 33021 | 2007-07-24 |
| 1427324789 | Hanna Hoesli Dds Dental Practice Trust | Clinic/Center | 7080 Hollywood Blvd Ste 808, Hollywood, CA 90028-6935 | 2012-03-30 |
| 1588935365 | Sunshine Pediatric Dentistry Pa | Clinic/Center | 5000 Hollywood Blvd, Hollywood, FL 33021-6530 | 2012-01-25 |
| 1457484214 | Abraham K Asseff, Dds, Pa | Clinic/Center | 3800 S Ocean Dr, Ste 241, Hollywood, FL 33019-2927 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376525 | Hoffmann Holdings Inc | Clinic/Center | 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 | 2020-11-06 |
| 1811598238 | Dental Plus Management, LLC | Clinic/Center | 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 | 2020-11-03 |
| 1750981452 | Smillie Dental Pllc | Clinic/Center | 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 | 2020-10-30 |
| 1609476027 | R & R Dentistry Pa | Clinic/Center | 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 | 2020-10-26 |
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
| 1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
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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.