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WILLIAM A. PENA DMD PA NPI 1720374838


NPI Information

NPI: 1720374838
Provider Name: WILLIAM A. PENA DMD, PA

Doing Business As: AMERICAN PEDIATRIC DENTAL GROUP

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10021 PINES BLVD
SUITE 100
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 417-1337
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WILLIAM A. PENA DMD, PA is a pediatric dentistry dentist in Pembroke Pines, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WILLIAM A. PENA DMD, PA NPI is 1720374838. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As American Pediatric Dental Group.

The provider's business location address is:

10021 PINES BLVD
SUITE 100
PEMBROKE PINES, FL
ZIP 33024-191
Phone: (954) 417-1337
Fax: (954) 417-1338

The provider's authorized official is William Antonio Pena .
The authorized official title is Owner/president and has the following contact phone number (415) 216-6649.

The enumeration date for this NPI number is 6/27/2011 and was last updated on 6/27/2011.


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
11223P0221XDentistPediatric DentistryDN17608FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000641100MEDICAIDFLORIDA

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.