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JUAN JOSE FAJARDO DMD NPI 1275150799


NPI Information

NPI: 1275150799
Provider Name: JUAN JOSE FAJARDO, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
4789 SW 148TH AVE STE 205
DAVIE, FL
ZIP 33330
Phone: (954) 252-5911
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Juan Jose Fajardo, DMD is a general practice dentist in Davie, FL with 4 years of experience. 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. Juan Jose Fajardo, DMD NPI is 1275150799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
Graduation Year:2020

The provider's business location address is:

4789 SW 148TH AVE STE 205
DAVIE, FL
ZIP 33330-121
Phone: (954) 252-5911

The NPI 1275150799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/30/2020 and was last updated on 4/18/2024.


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
1122300000XDentistDRP2164FLORIDANo
21223G0001XDentistGeneral PracticeDN25194FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.