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KAWVEH NOFALLAH DMD PA NPI 1851479265


NPI Information

NPI: 1851479265
Provider Name: KAWVEH NOFALLAH DMD PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3624 HARDEN BLVD
LAKELAND, FL
ZIP 33803
Phone: (863) 648-5338
Get Directions

KAWVEH NOFALLAH DMD PA is a general practice dentist in Lakeland, 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. KAWVEH NOFALLAH DMD PA NPI is 1851479265. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3624 HARDEN BLVD
LAKELAND, FL
ZIP 33803-938
Phone: (863) 648-5338
Fax: (863) 648-5890

The provider's authorized official is Kawveh Nofallah .
The authorized official title is Owner-dentist and has the following contact phone number (863) 648-5338.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 9/18/2008.


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
11223G0001XDentistGeneral PracticeDN 17075FLORIDAYes

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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