SOUTH DENTAL OF PEMBROKE (NPI# 1992968721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992968721 |
| Entity Type | Organization |
| Organization Name | SOUTH DENTAL OF PEMBROKE |
| Practice Address |
601 Nw 179th Ave Suite 101 Pembroke Pines FL 33029-2819 |
| Practice Telephone | 9544501303 |
| Practice Fax Number | 9544505568 |
| Mailing Telephone | 9544501303 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. JAHN OPPENHEIMER (OWNER) |
| Authorized Official Telephone | 3053887599 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 13563 | FL | Dental Providers |
| Street Address |
601 NW 179TH AVE SUITE 101 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376581801 | Pamela T Stearns | Internal Medicine | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029 | 2006-06-04 |
| 1629433842 | Selena Hodgers | Nurse Practitioner | 601 Nw 179th Ave, Suite 103, Pembroke Pines, FL 33029-2819 | 2015-12-15 |
| 1396055950 | Ileana Nunez | Nurse Practitioner | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2010-10-18 |
| 1457531865 | Michael Thomas Grondin | Physician Assistant | 601 Nw 179th Ave, Suite 104, Pembroke Pines, FL 33029-2819 | 2007-11-14 |
| 1902086408 | My Ob Gyn LLC | Obstetrics & Gynecology | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2007-11-13 |
| 1386835742 | Ana M Hernandez D O P A | Family Medicine | 601 Nw 179th Ave, Suite # 104, Pembroke Pines, FL 33029-2819 | 2007-08-09 |
| 1528262052 | Luis Hernando Ochoa | Dentist | 601 Nw 179th Ave, # 101, Pembroke Pines, FL 33029-2819 | 2007-06-11 |
| 1457473704 | Michele Joy Lapayowker | Obstetrics & Gynecology | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2007-04-06 |
| 1962563395 | Helen Margaret Salsbury | Obstetrics & Gynecology | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2006-12-12 |
| 1710925318 | Leon Talan | Internal Medicine | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702816 | Sonya Dee Lewis | Dentist | 10252 Sw 12th St, Pembroke Pines, FL 33025-4701 | 2019-10-19 |
| 1750853446 | Jaime J Casado | Dentist | 12601 Sw 13th St Apt 211, Pembroke Pines, FL 33027-6896 | 2018-12-19 |
| 1972093904 | Dentists of Pines, Pa | Dentist | 10430 Pines Blvd Ste C103, Pembroke Pines, FL 33026-6049 | 2018-05-15 |
| 1669995684 | Roula Yazaji | Dentist | 9840 Sheridan St Apt 307, Pembroke Pines, FL 33024-3062 | 2017-07-21 |
| 1255860706 | Ruben Villarreal | Dentist | 17631 Sw 4th Ct, Pembroke Pines, FL 33029-4016 | 2017-06-08 |
| 1184153587 | Javier Servigna | Dentist | 10620 Washington St, 104, Pembroke Pines, FL 33025 | 2017-06-08 |
| 1134654064 | West Pines Modern Dentistry, Pa | Dentist | 18312 Pines Blvd, Pembroke Pines, FL 33029-1412 | 2017-04-28 |
| 1841721610 | Dental Bliss P.a. | Dentist | 9990 Nw 6th Ct, Bay 16, Pembroke Pines, FL 33024-6157 | 2017-03-23 |
| 1134593296 | Amonem Inc. | Dentist | 9001a Pembroke Rd, Pembroke Pines, FL 33025-1637 | 2015-11-30 |
| 1316329626 | Dania Santana | Dentist | 6720 Pines Blvd, Pembroke Pines, FL 33024 | 2015-06-23 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
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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.