Pines Family Dental in Pembroke Pines - General Practice
Pines Family Dental - NPI 1962556514
Pines Family Dental is a General Practice in Pembroke Pines, Florida. Pines Family Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pines Family Dental is 1962556514. The last update date is 2020-08-22.
Pines Family Dental's current location address is 20170 Pines Blvd Ste 108, Pembroke Pines, Florida. You can contact this provider via phone number 9544301717 and fax number 9544303049. The mailing address for Pines Family Dental is 20170 Pines Blvd Ste 108, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pines Family Dental |
|---|---|
| Address | 20170 Pines Blvd Ste 108, Pembroke Pines, Florida |
| Phone Number | 9544301717 |
| Fax Number | 9544303049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lizaso Raul |
| Credentials | DMD |
| Telephone Number | 9544301717 |
NPI Number Detail
| NPI Number | 1962556514 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 20170 Pines Blvd Ste 108 |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330291202 |
| Phone Number | 9544301717 |
| Fax Number | 9544303049 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN001496 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Pines Family Dental by the Centers for Medicare & Medicaid Services?
The Pines Family Dental has been issued the NPI (National Provider Identifier) 1962556514, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pines Family Dental?
The Pines Family Dental is physically situated at 20170 Pines Blvd Ste 108, in the city of Pembroke Pines, state of FL, with the postal code 330291202.
What is Pines Family Dental's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pines Family Dental is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Pines Family Dental receive its 1962556514 assignment from the Centers for Medicare & Medicaid Services?
The Pines Family Dental was assigned its 1962556514 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Pines Family Dental most recently updated or revised?
The information pertaining to Pines Family Dental, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.