Michael a. Meddoff, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 6065 Issued in FL

Legal business name

MICHAEL A. MEDDOFF, DMD, PA

Practice address

9840 Sandalfoot Blvd
Boca Raton, FL 33428-6645

Phone

(561) 482-7008

Fax

(561) 477-9248

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael A Meddoff, DMDNPI 1205831351

Title

President

Phone

(561) 482-7008

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Allen Meddoff, D.M.D.

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1205831351
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316163645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 SANDALFOOT BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286645",
            "telephone_number": "561-482-7008",
            "fax_number": "561-477-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 SANDALFOOT BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286645",
            "telephone_number": "561-482-7008",
            "fax_number": "561-477-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. MEDDOFF, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDDOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-482-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 6065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael J Ball DPM PA
• Michael M Zukowsky Mdpa
• Michael P. Zahalsky, MD PA
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• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.