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PAWEL D FOTEK DMD PLLC NPI 1063953875


NPI Information

NPI: 1063953875
Provider Name: PAWEL D FOTEK DMD PLLC

Doing Business As: PRESTIGE PERIODONTAL AND IMPLANT CENTER

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
11641 KEW GARDENS AVE
SUITE 209
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 693-3236
Get Directions

PAWEL D FOTEK DMD PLLC is a periodontics dentist in Palm Beach Gardens, FL. The provider is 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 structures and tissues. PAWEL D FOTEK DMD PLLC NPI is 1063953875. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prestige Periodontal And Implant Center.

The provider's business location address is:

11641 KEW GARDENS AVE
SUITE 209
PALM BEACH GARDENS, FL
ZIP 33410-763
Phone: (561) 693-3236

The provider's authorized official is Pawel D Fotek .
The authorized official title is Owner and has the following contact phone number (561) 693-3236.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsDN18002FLORIDAYes

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

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