NOVA SOUTHEASTERN UNIVERSITY INC NPI 1598614364

NPI Information

  • NPI: 1598614364
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 2307 W BROWARD BLVD STE 200
    FORT LAUDERDALE, FL
    ZIP 33312
  • Phone: (954) 262-4300

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is a pediatric dentistry dentist in Fort Lauderdale, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1598614364. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2307 W BROWARD BLVD STE 200
FORT LAUDERDALE, FL
ZIP 33312-420
Phone: (954) 262-4300

The provider's authorized official is John Xanthos .
The authorized official title is Executive Director and has the following contact phone number (954) 262-4100.

The enumeration date for this NPI number is 1/26/2026 and was last updated on 1/26/2026.

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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223P0300XDentistPeriodonticsNo
3124Q00000XDental HygienistNo
41223P0700XDentistProsthodonticsNo
51223G0001XDentistGeneral PracticeNo
61223E0200XDentistEndodonticsNo
71223P0221XDentistPediatric DentistryYes

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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