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DR. HEIDI MEDEROS DMD NPI 1669994372


NPI Information

NPI: 1669994372
Provider Name: DR. HEIDI MEDEROS, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: ORAL FACIAL RECONSTRUCTION AND IMPLANT CENTER OF S. FLORIDA INC.

PECOS Registration: Yes

Address:
100 NW 82ND AVE STE 101
PLANTATION, FL
ZIP 33324
Phone: (954) 358-4260
Get Directions

DR. Heidi Mederos, DMD is an oral and maxillofacial surgery dentist in Plantation, FL with 7 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Heidi Mederos, DMD NPI is 1669994372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduation Year:2017

The provider's business location address is:

100 NW 82ND AVE STE 101
PLANTATION, FL
ZIP 33324-834
Phone: (954) 358-4260
Fax: (954) 323-2600

The NPI 1669994372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 8/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDN22759FLORIDAYes

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

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.