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GREENLAKE MANAGEMENT LLC NPI 1699294132


NPI Information

NPI: 1699294132
Provider Name: GREENLAKE MANAGEMENT, LLC

Doing Business As: HOMETOWN DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10625 N MILITARY TRL STE 201
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 366-7303
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GREENLAKE MANAGEMENT, LLC is a general practice dentist in Palm Beach Gardens, 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. GREENLAKE MANAGEMENT, LLC NPI is 1699294132. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Hometown Dentistry.

The provider's business location address is:

10625 N MILITARY TRL STE 201
PALM BEACH GARDENS, FL
ZIP 33410-548
Phone: (561) 366-7303
Fax: (561) 366-7305

The provider's authorized official is Jennifer Lynn Westcott .
The authorized official title is Owner and has the following contact phone number (561) 366-7303.

The enumeration date for this NPI number is 9/15/2017 and was last updated on 9/15/2017.


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 PracticeDN19762FLORIDAYes
21223G0001XDentistGeneral PracticeDN19072FLORIDANo

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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