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1992263255 NPI number — DELRAY SMILES FAMILY DENTISTRY AND ORTHODONTICS, PA

NPI Number: 1992263255
Health Care Provider/Practitioner: DELRAY SMILES FAMILY DENTISTRY AND ORTHODONTICS, PA

Information about “1992263255” NPI (DELRAY SMILES FAMILY DENTISTRY AND ORTHODONTICS, PA) exists in 1992263255 in HTML format HTML  |  1992263255 in plain Text format TXT  |  1992263255 in PDF (Portable Document Format) PDF  |  1992263255 in an XML format XML  formats.

NPI Number : 1992263255 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992263255",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ANDREA TRUJILLO DMD PA",
    "ParentOrgTIN": null,
    "OrgName": "DELRAY SMILES FAMILY DENTISTRY AND ORTHODONTICS, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15084 LYONS ROAD",
    "SecondLineMailingAddress": "SUITE #600",
    "MailingAddressCityName": "DELRAY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33446",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-992-8829",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15084 LYONS ROAD",
    "SecondLinePracticeLocationAddress": "SUITE #600",
    "PracticeLocationAddressCityName": "DELRAY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33446",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-992-8829",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2019",
    "LastUpdateDate": "03/06/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TRUJILLO",
    "AuthorizedOfficialFirstName": "ANDREA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "954-817-3703",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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