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GERARD WASSELLE DMD LLC NPI 1619507779


NPI Information

NPI: 1619507779
Provider Name: GERARD WASSELLE DMD LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2480 E COMMERCIAL BLVD, SUITE 2
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 928-1666
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GERARD WASSELLE DMD LLC is a general practice dentist in Ft Lauderdale, 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. GERARD WASSELLE DMD LLC NPI is 1619507779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2480 E COMMERCIAL BLVD, SUITE 2
FT LAUDERDALE, FL
ZIP 33308-330
Phone: (954) 928-1666
Fax: (954) 928-1895

The provider's authorized official is Susan Wasselle .
The authorized official title is Office Manager and has the following contact phone number (907) 223-1013.

The enumeration date for this NPI number is 1/17/2020 and was last updated on 11/17/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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

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