DENTAL BRACES GURU PLLC (NPI# 1790148294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790148294 |
| Entity Type | Organization |
| Organization Name | DENTAL BRACES GURU PLLC |
| Other Organization Name | CORAL ORTHODONTICS |
| Practice Address |
11330 Wiles Rd Coral Springs FL 33076-2113 |
| Mailing Address |
11332 Wiles Rd Coral Springs FL 33076-2114 |
| Practice Telephone | 9544182354 |
| Practice Fax Number | 9543691440 |
| Mailing Telephone | 9544182354 |
| Mailing Fax Number | 9543691440 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | DR. PRATHIMA KRISHNA ADUSUMILLI (OWNER) |
| Authorized Official Telephone | 5612123119 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN 18968 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Coral Orthodontics | Doing Business As Name - Organization |
| Street Address |
11330 WILES RD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33076-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589134 | Zachary Scott Johnson | Dietitian, Registered | 10150 Nw 58th Ct, Parkland, FL 33076 | 2020-05-18 |
| 1730709692 | Zach Carl Rice | Counselor | 12155 Nw, 71st, Parkland, FL 33076 | 2020-04-21 |
| 1184268062 | Saul Grabosky | Pharmacist | 6001 Coral Ridge Drive, Coral Springs, FL 33076 | 2019-11-04 |
| 1295205359 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4621 Coral Ridge Dr., Coral Springs, FL 33076 | 2018-12-03 |
| 1497263636 | Nathalie Toro | Behavioral Analyst | 7796 Nw 110th Dr., Parkland, FL 33076 | 2018-01-22 |
| 1124532668 | Melissa Danielle Winter | Developmental Therapist | 8191 Canopy Ter, Parkland, FL 33076 | 2017-11-20 |
| 1821510546 | Sheryl Santiago Delgado | Physical Therapist | 4789 Nw 116th Ter, Coral Springs, FL 33076 | 2017-07-14 |
| 1730600453 | Ieda Schumacher Faircloth | Surgery | 4811 Nw 103 Drive, Coral Springs, FL 33076 | 2017-07-03 |
| 1679015069 | Riley Nguyen | Physical Therapy Assistant | 5830 Coral Ridge Drive S-300, Coral Springs, FL 33076 | 2016-11-16 |
| 1508313578 | Paola Alejandra Kesman | Dentist | 11980 Nw 81 Court, Parkland, FL 33076 | 2016-09-07 |
| Find all providers in zip 33076 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184114464 | Jorge Donoso | Dentist | 8880 Royal Palm Blvd Ste 106, Coral Springs, FL 33065-5727 | 2018-05-13 |
| 1174045934 | Meier Orthodontics Coral Springs Pllc | Dentist | 8150 Royal Palm Blvd Suite 104, Coral Springs, FL 33065 | 2017-07-13 |
| 1255601183 | Danielle E Battisti-katz | Dentist | 5669 Coral Ridge Dr, Coral Springs, FL 33076-3124 | 2012-01-10 |
| 1891096533 | Prathima Krishna Adusumilli | Dentist | 11332 Wiles Rd, Coral Springs, FL 33076-2114 | 2010-11-11 |
| 1447494315 | Marrecau Orthodontics LLC | Dentist | 5850 Coral Ridge Dr Ste 101, Coral Springs, FL 33076 | 2009-04-22 |
| 1255508529 | Jorge Donoso,dds,ms | Dentist | 2127 N University Dr, Coral Springs, FL 33071-6134 | 2008-05-14 |
| 1417148495 | Jay Singer | Dentist | 5481 N University Dr, #101, Coral Springs, FL 33067-4643 | 2007-08-06 |
| 1225154172 | Henry Rozen | Dentist | 9154 Wiles Rd, Coral Springs, FL 33067-1999 | 2007-03-22 |
| 1295872190 | Leanne Mazzei | Dentist | 9387 W Sample Rd, Coral Springs, FL 33065-4101 | 2007-01-31 |
| 1437119096 | Edward M Sheinis | Dentist | 1712 N University Dr, Coral Springs, FL 33071-6090 | 2006-03-27 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33076 |
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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.