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HERON BAY DENTAL ASSOCIATES P.A. NPI 1487872230


NPI Information

NPI: 1487872230
Provider Name: HERON BAY DENTAL ASSOCIATES, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5960 CORAL RIDGE DR
CORAL SPRINGS, FL
ZIP 33076
Phone: (954) 255-5550
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HERON BAY DENTAL ASSOCIATES, P.A. is a general practice dentist in Coral Springs, 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. HERON BAY DENTAL ASSOCIATES, P.A. NPI is 1487872230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5960 CORAL RIDGE DR
CORAL SPRINGS, FL
ZIP 33076-302
Phone: (954) 255-5550
Fax: (954) 755-8276

The provider's authorized official is Keith Marlowe Friefeld .
The authorized official title is President and has the following contact phone number (954) 255-5550.

The enumeration date for this NPI number is 4/24/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN11976FLORIDAYes

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: 5/5/2024

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