GENTLE TEETH OF PEMBROKE PINES (NPI# 1902382815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902382815 |
| Entity Type | Organization |
| Organization Name | GENTLE TEETH OF PEMBROKE PINES |
| Other Organization Name | GENTLE TEETH OF PEMBROKE PINES |
| Practice Address |
12251 Taft St Ste 301 Pembroke Pines FL 33026-1956 |
| Practice Telephone | 9544377077 |
| Practice Fax Number | 8442605713 |
| Mailing Telephone | 9544377077 |
| Mailing Fax Number | 8442605713 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | SYDNEE SAMUEL (OFFICE MANAGER) |
| Authorized Official Telephone | 9544377077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN17317 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gentle Teeth Of Pembroke Pines | Doing Business As Name - Organization |
| Street Address |
12251 TAFT ST STE 301 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1659936656 | Pembroke Dental & Spa Pl | Clinic/Center | 15671 Pines Blvd, Pembroke Pines, FL 33027-1204 | 2019-05-06 |
| 1619441516 | Doral Modern Dentistry | Clinic/Center | 1601 N Flamingo Rd Ste 3, Pembroke Pines, FL 33028-1024 | 2019-01-14 |
| 1154814143 | Boulevard Dental Associates, LLC | Clinic/Center | 10794 Pines Blvd Ste 204, Pembroke Pines, FL 33026-3920 | 2018-06-13 |
| 1063879641 | Liliam Hernandez Dmd Pa | Clinic/Center | 18253 Sw 5th St, Pembroke Pines, FL 33029-4310 | 2016-01-27 |
| 1376937185 | Dental Boost Pines, LLC | Clinic/Center | 240 S Flamingo Rd, Pembroke Pines, FL 33027-1721 | 2015-03-19 |
| 1841816923 | Vanessa Freitas, Dds P.a. | Clinic/Center | 17901 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2810 | 2020-06-24 |
| 1912559949 | Precise Smiles Dentistry Inc | Clinic/Center | 1724 N University Dr, Pembroke Pines, FL 33024-3602 | 2019-07-10 |
| 1164668547 | My Dentist for Life, P.a. | Clinic/Center | 294 Nw 172nd Ave, Pembroke Pines, FL 33029-3196 | 2009-01-06 |
| 1922252386 | Endodontics Unlimited Pa | Clinic/Center | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2008-11-12 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on GENTLE TEETH OF PEMBROKE PINES.
| 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.