JACARANDA SMILES PLANTATION NPI 1114433646

NPI Information

NPI: 1114433646
Provider Name: JACARANDA SMILES PLANTATION
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
104 NW 100TH AVE
PLANTATION, FL
ZIP 33324
Phone: (954) 452-9988
Get Directions

JACARANDA SMILES PLANTATION is a dental clinic center in Plantation, FL. JACARANDA SMILES PLANTATION NPI is 1114433646. The provider is registered as an organization entity type.

The provider's business location address is:

104 NW 100TH AVE
PLANTATION, FL
ZIP 33324-008
Phone: (954) 452-9988
Fax: (954) 452-9966

The provider's authorized official is Milan Khakhria .
The authorized official title is Owner and has the following contact phone number (954) 452-9988.

The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/20/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			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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