# TLC DENTAL - ORAL SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PRACTICE MANAGEMENT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578078630
- **Legal business name:** DENTAL PRACTICE MANAGEMENT, LLC
- **Authorized official:** LAURI STEIN (CREDENTIALING DEPT.)
- **Authorized official phone:** (954) 994-0892

## Contact information

- **Practice address:** 3001 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4311
- **Practice address phone:** (954) 491-7100
- **Mailing address:** 1001 W CYPRESS CREEK RD STE 300, FORT LAUDERDALE, FL 33309-1950
- **Mailing address phone:** (954) 720-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2017
- **Last updated:** 12/11/2017