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PALM BEACH ENDODONTICS P.A. NPI 1740431980


NPI Information

NPI: 1740431980
Provider Name: PALM BEACH ENDODONTICS, P.A.
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
11211 PROSPERITY FARMS RD
SUITE B107
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 630-8900
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PALM BEACH ENDODONTICS, P.A. is an endodontics dentist in Palm Beach Gardens, FL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PALM BEACH ENDODONTICS, P.A. NPI is 1740431980. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11211 PROSPERITY FARMS RD
SUITE B107
PALM BEACH GARDENS, FL
ZIP 33410-446
Phone: (561) 630-8900
Fax: (561) 630-8909

The provider's authorized official is Kenneth W. Bradshaw .
The authorized official title is President and has the following contact phone number (561) 630-8900.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.


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
11223E0200XDentistEndodonticsDN16549FLORIDANo
21223E0200XDentistEndodonticsDN13841FLORIDANo
31223E0200XDentistEndodonticsDN13872FLORIDAYes

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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