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PALM BEACH MALL DENTAL GROUP NPI 1174644686


NPI Information

NPI: 1174644686
Provider Name: PALM BEACH MALL DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1801 PALM BEACH LAKES BLVD STE 852
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 683-6247
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PALM BEACH MALL DENTAL GROUP is a general practice dentist in West Palm Beach, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PALM BEACH MALL DENTAL GROUP NPI is 1174644686. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1801 PALM BEACH LAKES BLVD STE 852
WEST PALM BEACH, FL
ZIP 33401-003
Phone: (561) 683-6247
Fax: (561) 683-6248

The provider's authorized official is Pamela Nielsen .
The authorized official title is Dentist and has the following contact phone number (561) 683-6247.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice13591FLORIDAYes

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: 4/28/2024

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