DAVIE ADVANCED DENTISTRY NPI 1366233280

NPI Information

  • NPI: 1366233280
  • Provider Name: DAVIE ADVANCED DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4757 S UNIVERSITY DR
    DAVIE, FL
    ZIP 33328
  • Phone: (954) 434-3331

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NPI Details

DAVIE ADVANCED DENTISTRY is a general practice dentist in Davie, 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. DAVIE ADVANCED DENTISTRY NPI is 1366233280. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4757 S UNIVERSITY DR
DAVIE, FL
ZIP 33328-819
Phone: (954) 434-3331
Fax: (954) 434-4933

The provider's authorized official is Bill Abbo .
The authorized official title is Owner and has the following contact phone number (305) 710-3129.

The enumeration date for this NPI number is 5/13/2025 and was last updated on 5/13/2025.

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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11720147853MEDICAIDFLORIDA

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: 11/21/2025

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