HOLLYWOOD PERFECT SMILE PA (NPI# 1083018584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083018584 |
| Entity Type | Organization |
| Organization Name | HOLLYWOOD PERFECT SMILE PA |
| Practice Address |
6730 Taft St Hollywood FL 33024-3903 |
| Practice Telephone | 9549987330 |
| Mailing Telephone | 9549987330 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | FILIBERTO HERDOCIA (DMD) |
| Authorized Official Telephone | 9549866838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
6730 TAFT ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| 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 |
|---|---|---|---|---|
| 1962016642 | Mordechai Shur | Dentist | 3421 N Hills Dr, Hollywood, FL 33021-2535 | 2020-09-01 |
| 1821579459 | Yudancy P Gangi | Dentist | 2303 Hollywood Blvd Ste 14, Hollywood, FL 33020-6768 | 2018-08-22 |
| 1376908111 | Vick Kargodorian Dds Inc. | Dentist | 7080 Hollywood Blvd Ste 806, Hollywood, CA 90028-6935 | 2015-12-21 |
| 1457730442 | Scott David Drucker | Dentist | 4821 N 31st Ct, Hollywood, FL 33021-2304 | 2015-05-22 |
| 1801296256 | Emily Millingen | Dentist | 9720 Stirling Rd Ste 211, Hollywood, FL 33024-8015 | 2014-09-03 |
| 1497169601 | Chad Libraty | Dentist | 4750 Sarazen Dr, Hollywood, FL 33021-2346 | 2014-06-16 |
| 1023437233 | Daniel Berenstein | Dentist | 3741 N Park Rd, Hollywood, FL 33021-2531 | 2014-04-15 |
| 1730516931 | Ricardo Nicolas Hernandez Rivera | Dentist | 6517 Taft St Ste 201, Primary Dental Care, Hollywood, FL 33024-4063 | 2013-10-02 |
| 1811334584 | Marshall B Berger | Dentist | 2611 N 40th Ave, Hollywood, FL 33021-3006 | 2013-06-04 |
| 1801230768 | Rosario Del Pilar Streett | Dentist | 4924 Tyler St, Hollywood, FL 33021-6514 | 2013-04-23 |
| Find all providers in HOLLYWOOD | ||||
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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.