Pirkko Pedersen, DDS
Individual provider Active NPI General Practice Dentistry · Lake Worth, FL
NPI 1245404235 · NPPES record last updated Apr 21, 2008
Key facts
- NPI
- 1245404235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7568 (FL)
- Practice address
- 400 S Dixie Hwy
Suite #13
Lake Worth, FL 33460-4457 - Phone
- (561) 582-1034
- Fax
- (561) 588-3066
- NPI assigned
- Apr 21, 2008
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7568 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7568 | FL | Yes |
Addresses
Primary practice location
400 S Dixie Hwy
Suite #13
Lake Worth, FL 33460-4457
Mailing address
400 S Dixie Hwy
Suite #13
Lake Worth, FL 33460-4457
Phone (561) 582-1034
Other providers in Lake Worth, FL
- PCC Medical Holdings LLC
- PCP Specialists of the Palm Beaches, LLC
- Beatriz Pealaez
- Monette Pean
- Kevin Joseph Peckovitch
- Pediatric Medical Associates, LLC.
- Pedikidz of Florida Corp
- Pedikidz of Palm Beach
- Pedikidz of Palm Beach
- Jorge Enrique Pedraza
All providers in Lake Worth, FL · General Practice 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 Apr 21, 2008. 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.