Periodontics And Implantology Of Pembroke Pines in Pembroke Pines - Periodontics

Periodontics And Implantology Of Pembroke Pines - NPI 1841374279

Periodontics And Implantology Of Pembroke Pines is a Periodontics in Pembroke Pines, Florida. Periodontics And Implantology Of Pembroke Pines practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontics And Implantology Of Pembroke Pines is 1841374279. The last update date is 2020-08-22.

Periodontics And Implantology Of Pembroke Pines's current location address is 700 N Hiatus Rd, Pembroke Pines, Florida. You can contact this provider via phone number 9545171721 and fax number 9544363628. The mailing address for Periodontics And Implantology Of Pembroke Pines is 700 N Hiatus Rd, Pembroke Pines, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Periodontics And Implantology Of Pembroke Pines
Address 700 N Hiatus Rd, Pembroke Pines, Florida
Phone Number 9545171721
Fax Number 9544363628
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Brady Anne Denise
Credentials DDS
Telephone Number 9545171721

NPI Number Detail

NPI Number 1841374279
Provider Enumeration Date 2006-10-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 700 N Hiatus Rd
City Pembroke Pines
State Florida (FL)
Post Code 330265206
Phone Number 9545171721
Fax Number 9544363628

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DN 14692
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN14692 FL FLORIDA DENTAL LICENCE

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FAQs about Periodontics And Implantology Of Pembroke Pines

What is the unique provider identifier assigned to Periodontics And Implantology Of Pembroke Pines?

The Periodontics And Implantology Of Pembroke Pines has been issued the NPI (National Provider Identifier) 1841374279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Periodontics And Implantology Of Pembroke Pines is geographically located?

The Periodontics And Implantology Of Pembroke Pines is physically situated at the following location: 700 N Hiatus Rd, Pembroke Pines, FL, 330265206.

What is Periodontics And Implantology Of Pembroke Pines's specialized field of practice, and what is the corresponding taxonomy classification code?

The Periodontics And Implantology Of Pembroke Pines's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

On what date did Periodontics And Implantology Of Pembroke Pines receive its 1841374279 assignment from the Centers for Medicare & Medicaid Services?

The Periodontics And Implantology Of Pembroke Pines was assigned its 1841374279 on 2006-10-24, 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 Periodontics And Implantology Of Pembroke Pines's details last updated?

The information pertaining to the Periodontics And Implantology Of Pembroke Pines, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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