PEDIATRIC AND ORTHODONTIC DENTAL CENTERS OF BROWARD NPI 1902027683

NPI Information

NPI: 1902027683
Provider Name: PEDIATRIC AND ORTHODONTIC DENTAL CENTERS OF BROWARD

Doing Business As: PEDIATRIC DENTAL CENTERS OF BROWARD

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
8351 W ATLANTIC BLVD
CORAL SPRINGS, FL
ZIP 33071
Phone: (954) 341-0002
Get Directions

PEDIATRIC AND ORTHODONTIC DENTAL CENTERS OF BROWARD is a pediatric dentistry dentist in Coral Springs, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC AND ORTHODONTIC DENTAL CENTERS OF BROWARD NPI is 1902027683. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Dental Centers Of Broward.

The provider's business location address is:

8351 W ATLANTIC BLVD
CORAL SPRINGS, FL
ZIP 33071-454
Phone: (954) 341-0002

The provider's authorized official is Enrique Acosta .
The authorized official title is Pediatric Dentist and has the following contact phone number (954) 341-0002.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 3/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN17284	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	076110900	MEDICAID	FLORIDA
2	076721200	MEDICAID	FLORIDA
3	076240700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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