South Dental Of Pembroke in Pembroke Pines - Dentist
South Dental Of Pembroke - NPI 1992968721
South Dental Of Pembroke is a Dentist in Pembroke Pines, Florida. South Dental Of Pembroke practices all healthcare services and medical treatments related to Dentist. The NPI Number for South Dental Of Pembroke is 1992968721. The last update date is 2008-07-02.
South Dental Of Pembroke's current location address is 601 Nw 179th Ave, Pembroke Pines, Florida. You can contact this provider via phone number 9544501303. The mailing address for South Dental Of Pembroke is 601 Nw 179th Ave, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Dental Of Pembroke |
|---|---|
| Address | 601 Nw 179th Ave, Pembroke Pines, Florida |
| Phone Number | 9544501303 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Oppenheimer Jahn |
| Credentials | DDS |
| Telephone Number | 3053887599 |
NPI Number Detail
| NPI Number | 1992968721 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 601 Nw 179th Ave |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330292819 |
| Phone Number | 9544501303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13563 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to South Dental Of Pembroke by the Centers for Medicare & Medicaid Services?
The South Dental Of Pembroke has been issued the NPI (National Provider Identifier) 1992968721 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of South Dental Of Pembroke?
The South Dental Of Pembroke is physically situated at 601 Nw 179Th Ave, in the city of Pembroke Pines, state of FL, with the postal code 330292819.
What is South Dental Of Pembroke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Dental Of Pembroke is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992968721 to South Dental Of Pembroke?
The Centers for Medicare & Medicaid Services originally issued the 1992968721 to South Dental Of Pembroke on 2008-07-02.
As of what date was the information pertaining to South Dental Of Pembroke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Dental Of Pembroke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-02.