Judith Renee Chin, DDS, MS
Individual provider Active NPI Pediatric Dentistry · Wilton Manors, FL
NPI 1124151592 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1124151592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DN24018 (FL)
- Practice address
- 819 NE 26TH St
Wilton Manors, FL 33305-1239 - Phone
- (954) 262-7663
- Fax
- (954) 262-1782
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47207 | CA | MD | Pediatric Dentist |
| DN24018 | FL | MD | Pediatric Dentist |
| 12009724 | IN | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12009724 | IN | |
| Pediatric Dentistry | 1223P0221X | 47207 | CA | |
| Pediatric Dentistry | 1223P0221X | DN24018 | FL | Yes |
Addresses
Primary practice location
819 NE 26TH St
Wilton Manors, FL 33305-1239
Mailing address
3300 S University Dr RM 4317
Ft Lauderdale, FL 33328-2004
Phone (954) 262-7663
Other providers in Wilton Manors, FL
- Kenel Cazeau
- Jason Ceavers
- John Chaffin
- Kensy Chavez
- Cherise Mizrahi-Levi DO PA
- David James Clapp
- Brad Clark
- Tommy Lee Cline
- Coastal Behavioral Health LLC
- Cogent Healthcare of Jacksonville, LLC
All providers in Wilton Manors, FL · Pediatric Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.