GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS NPI 1043681836

NPI Information

NPI: 1043681836
Provider Name: GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4401 S FLAMINGO RD
STE 109
DAVIE, FL
ZIP 33330
Phone: (954) 236-3434
Get Directions

GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS is a pediatric dentistry dentist in Davie, 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. GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS NPI is 1043681836. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4401 S FLAMINGO RD
STE 109
DAVIE, FL
ZIP 33330-914
Phone: (954) 236-3434
Fax: (954) 236-3405

The provider's authorized official is Maria Marranzini-grosman .
The authorized official title is Owner and has the following contact phone number (954) 236-3434.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.

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	DN20826	FLORIDA	No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	D15664	FLORIDA	No
3	1223P0221X	Dentist	Pediatric Dentistry	DN 15203	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	Other Provider Identifier Issuer
1	1427345057	OTHER	FLORIDA	INDIVIDUAL NPI
2	1548392889	OTHER	FLORIDA	INDIVIDUAL NPI
3	1740354174	OTHER	FLORIDA	INDIVIDUAL NPI

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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