JONATHAN J. BROMBOZ DDS PA NPI 1518176999

NPI Information

NPI: 1518176999
Provider Name: JONATHAN J. BROMBOZ, DDS, PA

Doing Business As: CLINIQUE FOR AESTHETIC & NATURAL DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2701 PARK DR
SUITE 4
CLEARWATER, FL
ZIP 33763
Phone: (727) 712-3837
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JONATHAN J. BROMBOZ, DDS, PA is a dental clinic center in Clearwater, FL. JONATHAN J. BROMBOZ, DDS, PA NPI is 1518176999. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinique For Aesthetic & Natural Dentistry.

The provider's business location address is:

2701 PARK DR
SUITE 4
CLEARWATER, FL
ZIP 33763-021
Phone: (727) 712-3837
Fax: (727) 712-0105

The provider's authorized official is Jonathan J Bromboz .
The authorized official title is Doctor and has the following contact phone number (727) 712-3837.

The enumeration date for this NPI number is 5/22/2007 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
1	261QD0000X	Clinic/Center	Dental	14423	FLORIDA	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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