DEERFIELD MODERN DENTISTRY PA NPI 1790393890

NPI Information

  • NPI: 1790393890
  • Provider Name: DEERFIELD MODERN DENTISTRY, PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DEERFIELD MODERN DENTISTRY
  • Address: 778 S FEDERAL HWY
    DEERFIELD BEACH, FL
    ZIP 33441
  • Phone: (754) 333-2966

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NPI Details

DEERFIELD MODERN DENTISTRY, PA is a general practice dentist in Deerfield Beach, 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. DEERFIELD MODERN DENTISTRY, PA NPI is 1790393890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deerfield Modern Dentistry.

The provider's business location address is:

778 S FEDERAL HWY
DEERFIELD BEACH, FL
ZIP 33441-767
Phone: (754) 333-2966
Fax: (754) 333-4026

The provider's authorized official is Anthony Azadi .
The authorized official title is Owner and has the following contact phone number (754) 333-2966.

The enumeration date for this NPI number is 7/15/2020 and was last updated on 6/14/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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