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PEMBROKE DENTAL & SPA PL NPI 1659936656


NPI Information

NPI: 1659936656
Provider Name: PEMBROKE DENTAL & SPA PL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 10D2236414

Address:
15671 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 419-4455
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PEMBROKE DENTAL & SPA PL is a dental clinic center in Pembroke Pines, FL. PEMBROKE DENTAL & SPA PL NPI is 1659936656. The provider is registered as an organization entity type.

The provider's business location address is:

15671 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027-204
Phone: (954) 419-4455

The provider's authorized official is Jeanette Novara .
The authorized official title is Authorized Official and has the following contact phone number (786) 488-3507.

The CLIA number assigned to this NPI record is 10D2236414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 5/6/2019.


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

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: 5/5/2024

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.