KIDS DENTAL PLUS P.A. NPI 1528722436

NPI Information

  • NPI: 1528722436
  • Provider Name: KIDS DENTAL PLUS, P.A.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2910 N STATE ROAD 7
    LAUDERDALE LAKES, FL
    ZIP 33313
  • Phone: (954) 533-9639

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NPI Details

KIDS DENTAL PLUS, P.A. is a dental clinic center in Lauderdale Lakes, FL. KIDS DENTAL PLUS, P.A. NPI is 1528722436. The provider is registered as an organization entity type.

The provider's business location address is:

2910 N STATE ROAD 7
LAUDERDALE LAKES, FL
ZIP 33313-912
Phone: (954) 533-9639
Fax: (954) 368-4316

The provider's authorized official is Ruben Villarreal .
The authorized official title is Dentist and has the following contact phone number (954) 533-9639.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 11/1/2021.

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
1261QD0000XClinic/CenterDentalYes

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
1021266000MEDICAIDFLORIDA

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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