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PEMBROKE PINES DENTAL HEALTH CENTER PA NPI 1679620942


NPI Information

NPI: 1679620942
Provider Name: PEMBROKE PINES DENTAL HEALTH CENTER, PA
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1851 NW 125TH AVE
#170
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 437-2040
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PEMBROKE PINES DENTAL HEALTH CENTER, PA is a periodontics dentist in Pembroke Pines, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PEMBROKE PINES DENTAL HEALTH CENTER, PA NPI is 1679620942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1851 NW 125TH AVE
#170
PEMBROKE PINES, FL
ZIP 33028-596
Phone: (954) 437-2040
Fax: (954) 437-4573

The provider's authorized official is John Victor Sootin .
The authorized official title is Owner and has the following contact phone number (954) 437-2040.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.


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
11223P0300XDentistPeriodonticsDN 16213FLORIDAYes

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.