TDC CANYON LLC NPI 1053786038

NPI Information

NPI: 1053786038
Provider Name: TDC CANYON LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8794 W BOYNTON BEACH BLVD
SUITE 110
BOYNTON BEACH, FL
ZIP 33472
Phone: (561) 777-8980
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TDC CANYON LLC is a dental clinic center in Boynton Beach, FL. TDC CANYON LLC NPI is 1053786038. The provider is registered as an organization entity type.

The provider's business location address is:

8794 W BOYNTON BEACH BLVD
SUITE 110
BOYNTON BEACH, FL
ZIP 33472-468
Phone: (561) 777-8980
Fax: (561) 777-8608

The provider's authorized official is Sean Tomalty .
The authorized official title is Dentist/owner and has the following contact phone number (561) 777-8980.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 12/2/2015.

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	261QD0000X	Clinic/Center	Dental		FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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