Pembroke Pines Dental Health Center, Pa in Pembroke Pines - Periodontics
Pembroke Pines Dental Health Center, Pa - NPI 1679620942
Pembroke Pines Dental Health Center, Pa is a Periodontics in Pembroke Pines, Florida. Pembroke Pines Dental Health Center, Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Pembroke Pines Dental Health Center, Pa is 1679620942. The last update date is 2020-08-22.
Pembroke Pines Dental Health Center, Pa's current location address is 1851 Nw 125 Ave, Pembroke Pines, Florida. You can contact this provider via phone number 9544372040 and fax number 9544374573. The mailing address for Pembroke Pines Dental Health Center, Pa is 1851 Nw 125 Ave, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pembroke Pines Dental Health Center, Pa |
|---|---|
| Address | 1851 Nw 125 Ave, Pembroke Pines, Florida |
| Phone Number | 9544372040 |
| Fax Number | 9544374573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sootin Victor John |
| Credentials | D.D.S. |
| Telephone Number | 9544372040 |
NPI Number Detail
| NPI Number | 1679620942 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1851 Nw 125 Ave |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 33028 |
| Phone Number | 9544372040 |
| Fax Number | 9544374573 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN 16213 |
|
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 |
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What is the Pembroke Pines Dental Health Center, Pa's unique identification number?
The Pembroke Pines Dental Health Center, Pa has been assigned the NPI (National Provider Identifier) Number 1679620942 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Pembroke Pines Dental Health Center, Pa's facilities are situated?
The facilities of Pembroke Pines Dental Health Center, Pa are physically located at the following address: 1851 Nw 125 Ave, Pembroke Pines, FL, 33028.
What is the Pembroke Pines Dental Health Center, Pa's specialty and taxonomy code?
The Pembroke Pines Dental Health Center, Pa's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679620942 to Pembroke Pines Dental Health Center, Pa?
The Centers for Medicare & Medicaid Services assigned the 1679620942 to Pembroke Pines Dental Health Center, Pa on 2007-01-05.
As of what date were the details pertaining to Pembroke Pines Dental Health Center, Pa last refreshed?
The information related to the Pembroke Pines Dental Health Center, Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.