PERIODONTICS AND IMPLANTOLOGY OF PEMBROKE PINES NPI 1841374279

NPI Information

PERIODONTICS AND IMPLANTOLOGY OF PEMBROKE PINES is a periodontics dentist in Pembroke Pines, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTICS AND IMPLANTOLOGY OF PEMBROKE PINES NPI is 1841374279. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Periodontology And Implants Of Pembroke Pines.

The provider's business location address is:

700 N HIATUS RD
#201
PEMBROKE PINES, FL
ZIP 33026-206
Phone: (954) 517-1721
Fax: (954) 436-3628

The provider's authorized official is Denise Anne Brady .
The authorized official title is President/owner and has the following contact phone number (954) 517-1721.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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