SUPREME DENTAL CARE LLC
NPI 1104522812
Clinic/Center - Dental in Tamarac, FL

Q: What is Supreme Dental Care LLC's NPI number?

The NPI number for Supreme Dental Care LLC is 1104522812. It was assigned to this organization in the NPPES registry on February 3, 2023.

Q: What is Supreme Dental Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since February 03, 2023

4600 W COMMERCIAL BLVD STE 2, TAMARAC, FL 33319(954) 742-3550 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Supreme Dental Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME DENTAL CARE LLC (NPI 1104522812) is a healthcare organization registered as a dental in Tamarac, Florida and active in the NPI registry since February 2023. The organization lists Sergio Jacas, Owner, as its authorized official.

NPPES Registry Identity

NPI1104522812

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSUPREME DENTAL CARE LLC

Location Address4600 W COMMERCIAL BLVD STE 2Tamarac, FL 33319-3307

Mailing Address7000 W Oakland Park Blvd Ste 301Lauderhill, FL 33313-1016 · (954) 742-3550 · Fax (954) 741-8965

Phone(954) 742-3550

Organization SubpartNo

Authorized OfficialSergio JacasOwner · (954) 742-3550

Enumeration DateFebruary 3, 2023

NPPES CertifiedFebruary 3, 2023

✔ NPI 1104522812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4600 W COMMERCIAL BLVD STE 2, Tamarac, FL 33319

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Dental Care LLC's NPI number?

The NPI number for Supreme Dental Care LLC is 1104522812. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Supreme Dental Care LLC located?

Supreme Dental Care LLC is located at 4600 W Commercial Blvd Ste 2, Tamarac, FL 33319. The listed phone number is (954) 742-3550.

What is Supreme Dental Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Supreme Dental Care LLC accept?

Health plans from UnitedHealthcare list Supreme Dental Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Supreme Dental Care LLC was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.