DENTAL STORE INC (NPI# 1063552727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063552727 |
| Entity Type | Organization |
| Organization Name | DENTAL STORE INC |
| Other Organization Name | EAST BOCA DENTAL |
| Practice Address |
2151 Nw 2nd Ave Suite 102 Boca Raton FL 33431 |
| Practice Telephone | 5613951486 |
| Practice Fax Number | 5613951525 |
| Mailing Telephone | 5613951486 |
| Mailing Fax Number | 5613951525 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | DR. GEORGE SOROPOULOS (PRESIDENT/GENERAL DENTIST) |
| Authorized Official Telephone | 5613951486 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN6099 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN8030 | FL | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DN17801 | FL | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DN16973 | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15874 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| East Boca Dental | Doing Business As Name - Organization |
| Street Address |
2151 NW 2ND AVE SUITE 102 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891957601 | Jason Michael Zylbering | Dentist | 2151 Nw 2nd Ave, Suite 102, Boca Raton, FL 33431-7456 | 2008-07-02 |
| 1255472783 | George Soropoulos | Dentist | 2151 Nw 2nd Ave, Suite 102, Boca Raton, FL 33431 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| 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 |
|---|---|---|---|---|
| 1467063032 | Kristina Springer | Dentist | 1865 Nw 2nd Ave, Boca Raton, FL 33432-1651 | 2020-08-16 |
| 1548879299 | Maximilian Zhang | Dentist | 7820 Glades Rd Ste 250, Boca Raton, FL 33434-4170 | 2020-07-29 |
| 1295343697 | Somi Dental Group of Boca Raton, LLC | Dentist | 1590 Nw 10th Ave Ste 301, Boca Raton, FL 33486-1323 | 2020-07-21 |
| 1316584568 | Lane Sleep Solutions Pa | Dentist | 1590 Nw 10th Ave Ste 402, Boca Raton, FL 33486-1339 | 2019-12-06 |
| 1568016087 | Griffee Dental IIi Pa | Dentist | 9192 Glades Rd Ste B, Boca Raton, FL 33434-3912 | 2019-08-01 |
| 1548829112 | Christine Adams | Dentist | 900 Nw 13th St Ste 101, Boca Raton, FL 33486-2350 | 2019-06-07 |
| 1881187300 | Lesly Viera | Dentist | 9878 Clint Moore Rd Ste 200, Boca Raton, FL 33496-1037 | 2018-06-09 |
| 1497267025 | Stephen Paul Novak | Dentist | 1200 Yamato Rd Ste A4, Boca Raton, FL 33431-4428 | 2017-11-06 |
| 1104340322 | Alexandra Marie Ortiz Javier | Dentist | 854 Broken Sound Pkwy Nw Apt 106, Boca Raton, FL 33487-3688 | 2017-07-30 |
| 1568996007 | Aurelie Huyghues-despointes | Dentist | 3003 W Yamato Rd Ste C5, Boca Raton, FL 33434 | 2017-04-11 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
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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.