Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supreme Dental Care LLC

Organization Dental Clinic/Center · NPI 1104522812

Supreme Dental Care LLC is a Dental Clinic/Center in Tamarac, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 W Commercial Blvd Ste 2
Tamarac, FL 33319-3307
Phone: (954) 742-3550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104522812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sergio Jacas — Owner · (954) 742-3550
NPI enumeratedFebruary 3, 2023
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing address7000 W Oakland Park Blvd Ste 301, Lauderhill, FL 33313-1016

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