SHASAN WILLIAM LIOU, DMD, LLC (NPI# 1730697723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730697723 |
| Entity Type | Organization |
| Organization Name | SHASAN WILLIAM LIOU, DMD, LLC |
| Other Organization Name | AMERICAN PEDIATRIC DENTAL GROUP |
| Practice Address |
12331 Sw 3rd St Ste 5 Plantation FL 33325-2813 |
| Mailing Address |
10021 Pines Blvd Ste 100 Pembroke Pines FL 33024-6191 |
| Practice Telephone | 8443045437 |
| Mailing Telephone | 8443045437 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | DR. SHASAN WILLIAM LIOU (MANAGER) |
| Authorized Official Telephone | 6784271412 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN19743 | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| American Pediatric Dental Group | Doing Business As Name - Organization |
| Street Address |
12331 SW 3RD ST STE 5 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33325-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273437 | Gabriela Avila- Garcia | Behavior Technician | 440 Sawgrass Corporate Parkway Suite 106, Sunrise, FL 33325 | 2020-07-27 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1871015701 | Veredy S.a.s LLC | Specialist/Technologist, Other | 705 Sw 148 Av Apt 202, Davie, FL 33325 | 2017-07-12 |
| 1861922205 | Veronica Ivonne Franco-saavedra | Physician Assistant | 701 Sw 148th Ave Apt 101, Davie, FL 33325 | 2017-06-18 |
| 1174052229 | Edinson Antonio Matos-moreno | Physician Assistant | 705 Sw 148th Ave Apt 202, Davie, FL 33325 | 2017-06-11 |
| 1457887523 | Caribbean Pediatrics Inc | Exclusive Provider Organization | 11750 Nw 6th Place, Plantation, FL 33325 | 2017-05-10 |
| 1639605058 | Scott Rosiere | Psychologist | 480 West Mount Vernon Drive, Plantation, FL 33325 | 2017-05-04 |
| 1457896458 | New Life Counseling Inc. | Counselor | 1775 S. Flamingo Rd, Suite 1, Davie, FL 33325 | 2016-12-29 |
| 1821541541 | Heather Contreras | Physician Assistant | 11352 W State Road 84 Unit 1, Davie, FL 33325 | 2016-07-28 |
| 1568822070 | Martha Falconi | Acupuncturist | 13224 W. Broward Blvd., Plantation, FL 33325 | 2016-02-25 |
| Find all providers in zip 33325 | ||||
| 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 |
|---|---|---|---|---|
| 1295347839 | Carolina Cortez Pa | Dentist | 7420 Nw 5th St Ste 104, Plantation, FL 33317-1611 | 2020-08-17 |
| 1558972562 | Viviana Andrea Rojas | Dentist | 621 Pebble Creek Ter, Plantation, FL 33324-2250 | 2020-08-13 |
| 1831758416 | Rodion Pinkhasov | Dentist | 101 Sw 96th Ter Apt 204, Plantation, FL 33324-2339 | 2019-06-07 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1477913093 | Tahira Williams | Dentist | 1240b N University Dr, Plantation, FL 33322-4721 | 2016-02-24 |
| 1245601541 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 817 S University Dr Ste 103, Plantation, FL 33324-3345 | 2015-10-13 |
| 1417269838 | Heidi R Finkelstein | Dentist | 333 Nw 70th Ave Ste 204, Plantation, FL 33317-2300 | 2010-07-14 |
| 1023320066 | Yehuda Joseph Benjamin | Dentist | 250 Jacaranda Dr Apt 803, Plantation, FL 33324-2536 | 2010-07-07 |
| 1952632192 | Pembroke Dental Pllc | Dentist | 6905 W Broward Blvd Ste 101, Plantation, FL 33317-2903 | 2010-01-28 |
| 1639313471 | Amy Ann Kinlaw | Dentist | 1247 Lakepointe Ln, Plantation, FL 33322-5734 | 2009-04-23 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33325 |
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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.