OrganizationActive
Supreme Dental Care LLC
NPI 1104522812 · Dental Clinic/Center · Tamarac, FL
Provider details
- NPI number
- 1104522812
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sergio Jacas, Owner(954) 742-3550
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4600 W Commercial Blvd Ste 2
Tamarac, FL 33319-3307
Phone: (954) 742-3550
Street-level locationGet directions
Mailing address
7000 W Oakland Park Blvd Ste 301
Lauderhill, FL 33313-1016
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.