VILLAGE SQUARE DENTAL PLLC NPI 1285257048

NPI Information

VILLAGE SQUARE DENTAL PLLC is a periodontics dentist in Pembroke Pines, 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. VILLAGE SQUARE DENTAL PLLC NPI is 1285257048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 N HIATUS RD
PEMBROKE PINES, FL
ZIP 33026-129
Phone: (954) 432-8100

The provider's authorized official is Andrew Forrest .
The authorized official title is Dds/owner and has the following contact phone number (954) 432-8100.

The enumeration date for this NPI number is 5/27/2020 and was last updated on 5/27/2020.

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:

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