OrganizationActive
Ideal Dental - Pembroke Pines PLLC
NPI 1992479133 · Dentist · Pembroke Pines, FL
Provider details
- NPI number
- 1992479133
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Doan, Owner(972) 331-8079
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
15830 Pines Blvd
Pembroke Pines, FL 33027-1208
Phone: (954) 226-5150
Street-level locationGet directions
Mailing address
Po Box 840925
Dallas, TX 75284-0925
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2023-05-19
- Certified
- 2023-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.