TLC DENTAL - HOLLYWOOD, LLC (NPI# 1629525001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629525001 |
| Entity Type | Organization |
| Organization Name | TLC DENTAL - HOLLYWOOD, LLC |
| Practice Address |
1718 Sheridan St Hollywood FL 33020-2275 |
| Mailing Address |
15 Saranac Rd Sea Ranch Lakes FL 33308-2910 |
| Practice Telephone | 9546501122 |
| Mailing Telephone | 9546501122 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | DR. STEVEN D MUCKEY (MANAGER) |
| Authorized Official Telephone | 9546501122 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PRACTICE MANAGEMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1718 SHERIDAN ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| 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 |
|---|---|---|---|---|
| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1700235363 | Yailen Alvarado | Dentist | 6831 Park St, Hollywood, FL 33024-3813 | 2016-06-05 |
| 1588011399 | Jose Luis Amador Jr. | Dentist | 468 Hollywood Mall, Hollywood, FL 33021-6932 | 2016-05-22 |
| 1487000998 | Yesell Candelario Benitez | Dentist | 6779 Taft St, Hollywood, FL 33024-3902 | 2016-05-13 |
| 1336572007 | Paola F Soto | Dentist | 3911 Hollywood Blvd Ste 102, Hollywood, FL 33021-6795 | 2013-08-16 |
| 1174880363 | Elisa Ramirez Dmd Pa | Dentist | 4651 Sheridan St Ste 300a, Hollywood, FL 33021-3427 | 2012-04-12 |
| 1598033540 | Agueda Perez-diaz | Dentist | 11241 Rockinghorse Rd, Hollywood, FL 33026-1355 | 2011-12-06 |
| 1568745610 | Ali Farrokhi | Dentist | 3000 S. Ocean Dr, Apt. # 1204, Hollywood, FL 33019 | 2011-09-26 |
| 1831487339 | Elibeth Alvarez | Dentist | 4001 S Ocean Dr, Apt 9 G, Hollywood, FL 33019-3019 | 2011-07-18 |
| 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.