LAGUNA ISLES DENTAL, LLC (NPI# 1568608875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568608875 |
| Entity Type | Organization |
| Organization Name | LAGUNA ISLES DENTAL, LLC |
| Other Organization Name | LAGUNA ISLES DENTAL ASSOCIATES, P.A. |
| Practice Address |
19551 Sheridan Street Pembroke Pines FL 33332 |
| Practice Telephone | 9546805552 |
| Practice Fax Number | 9546801808 |
| Mailing Telephone | 9546805552 |
| Mailing Fax Number | 9546801808 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2009-09-16 |
| Authorized Official Name | DR. MONEEZE MUJTABA (DENTIST) |
| Authorized Official Telephone | 9546805552 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN17384 | FL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN10651 | FL | Dental Providers |
| Y | 122300000X | Dentist | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Laguna Isles Dental Associates, P.A. | Former Legal Business Name - Organization |
| Street Address |
19551 SHERIDAN STREET |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1619212602 | Bella Family Dental Inc | Dentist | 19551 Sheridan St., Pembroke Pines, FL 33332 | 2012-12-03 |
| 1891067237 | Maria C Perez | Pharmacist | 3112 West 76th Street, Hialeah, FL 33332 | 2012-02-01 |
| 1982984704 | Physical Medicine and Rehabilitation Consultant, LLC | Physical Medicine & Rehabilitation | 6175 Sw 192nd Ave, Pembroke Pines, FL 33332 | 2011-08-24 |
| 1528290053 | Pro Image Diagnostics, Inc. | Radiologic Technologist | 20421 Southwest 50th Place, Southwest Ranches, FL 33332 | 2009-08-17 |
| 1265673461 | Preferred Care Management | Internal Medicine | 19451 Sheridan Street, Suite 176, Pembroke Pines, FL 33332 | 2009-03-18 |
| 1487099925 | Al Ventures, LLC | Home Health | 10400 Griffin Rd, 102, Cooper City, FL 33332 | 2013-05-09 |
| 1972939551 | Nicole Kross | Developmental Therapist | 5011 Sw 201st Ter, Southwest Ranches, FL 33332-1011 | 2013-09-16 |
| 1689016560 | Alternate Group Care, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20250 Sw 50th Pl, Southwest Ranches, FL 33332-1021 | 2013-07-22 |
| 1538576186 | Judith Antoinette Clayton Gomez | Nurse Practitioner | 5201 Sw 196th Ln, Southwest Ranches, FL 33332-1111 | 2014-07-16 |
| Find all providers in zip 33332 | ||||
| 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 | 33332 |
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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.