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MICHEL MATOUK MD.DDS.PA NPI 1730241654


NPI Information

NPI: 1730241654
Provider Name: MICHEL MATOUK, MD.,DDS.,PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2600 EAST COMMERCIAL BLVD
SUITE 200
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 566-0300
Get Directions

MICHEL MATOUK, MD.,DDS.,PA is an oral and maxillofacial surgery dentist in Fort Lauderdale, FL. 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. MICHEL MATOUK, MD.,DDS.,PA NPI is 1730241654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 EAST COMMERCIAL BLVD
SUITE 200
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 566-0300
Fax: (954) 566-9066

The provider's authorized official is Michel Matouk .
The authorized official title is Oral Surgeon and has the following contact phone number (954) 566-0300.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 2/28/2020.


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
11223S0112XDentistOral and Maxillofacial SurgeryDN15692FLORIDAYes

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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