NOVA SOUTHEASTERN UNIVERSITY INC NPI 1548410947

NPI Information

  • NPI: 1548410947
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 830 E OAKLAND PARK BLVD
    OAKLAND PARK, FL
    ZIP 33334
  • Phone: (954) 262-7530

Map and Directions

Get Directions

NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is a general practice dentist in Oakland Park, 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. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1548410947. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 E OAKLAND PARK BLVD
OAKLAND PARK, FL
ZIP 33334-761
Phone: (954) 262-7530
Fax: (954) 568-7749

The provider's authorized official is Robert S Oller .
The authorized official title is Ceo Clinical Operations and has the following contact phone number (954) 262-4343.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 6/24/2011.

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
11223D0001XDentistDental Public HealthNo
21223E0200XDentistEndodonticsNo
31223P0221XDentistPediatric DentistryNo
41223P0300XDentistPeriodonticsNo
51223G0001XDentistGeneral 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
1000521601MEDICAIDFLORIDA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI