GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI# 1043681836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043681836 |
| Entity Type | Organization |
| Organization Name | GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Practice Address |
4401 S Flamingo Rd Ste 109 Davie FL 33330-1914 |
| Practice Telephone | 9542363434 |
| Practice Fax Number | 9542363405 |
| Mailing Telephone | 9542363434 |
| Mailing Fax Number | 9542363405 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | MARIA MARRANZINI-GROSMAN (OWNER) |
| Authorized Official Telephone | 9542363434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN20826 | FL | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D15664 | FL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN 15203 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL NPI | 1740354174 | 01 |
| FL | INDIVIDUAL NPI | 1548392889 | 01 |
| FL | INDIVIDUAL NPI | 1427345057 | 01 |
| Street Address |
4401 S FLAMINGO RD STE 109 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740354174 | Maria Grazia Marranzini | Dentist | 4401 S Flamingo Rd, Ste 109, Davie, FL 33330-1914 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750754818 | Khalid Hassan Mutawalli | Dentist | 3625 College Ave, Bx1822, Davie, FL 33314-7724 | 2015-11-10 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1740354174 | Maria Grazia Marranzini | Dentist | 4401 S Flamingo Rd, Ste 109, Davie, FL 33330-1914 | 2006-11-18 |
| 1396356275 | Fahra Y Dawood | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1487265476 | Ashley Culver | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-12 |
| 1710535349 | David Nicholas Luther | Dentist | 8701 Sw 30th St Apt 206, Davie, FL 33328-1828 | 2019-08-27 |
| 1750636049 | Selin Avman | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2012-07-23 |
| 1811288012 | Nova Southeastern University, Inc | Dentist | 7600 Sw 36th Street, Bldg. # 100 Room 1263, Davie, FL 33328-1902 | 2011-04-22 |
| 1972605038 | Jose Carlos Larumbe | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-09-01 |
| 1649386657 | William Roy Trevarthen | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-08-22 |
| Find all providers in DAVIE | ||||
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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.