TDC FOUNTAINS LLC NPI 1407220726

NPI Information

NPI: 1407220726
Provider Name: TDC FOUNTAINS LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6617 W BOYNTON BEACH BLVD
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 735-9898
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TDC FOUNTAINS LLC is a dental clinic center in Boynton Beach, FL. TDC FOUNTAINS LLC NPI is 1407220726. The provider is registered as an organization entity type.

The provider's business location address is:

6617 W BOYNTON BEACH BLVD
BOYNTON BEACH, FL
ZIP 33437-526
Phone: (561) 735-9898
Fax: (561) 735-9877

The provider's authorized official is Sean Tomalty .
The authorized official title is Dentist/owner and has the following contact phone number (561) 735-9898.

The enumeration date for this NPI number is 11/24/2015 and was last updated on 12/2/2015.

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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