Advanced Dentistry of Coral Springs
Organization Active NPI Dentist · Coral Springs, FL
NPI 1609538388 · NPPES record last updated Oct 9, 2021
Key facts
- NPI
- 1609538388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ADVANCED DENTISTRY OF CORAL SPRINGS
- Practice address
- 2232 N University Dr Ste B
Coral Springs, FL 33071-6184 - Phone
- (954) 997-5147
- Fax
- (954) 692-6496
- NPI assigned
- Oct 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Renan Buitrago, DDS
- Title
- President
- Phone
- (917) 574-3822
Practitioners 1
-
Renan Leonardo Buitrago, D.D.S.
National Provider Directory
Locations
2232 N University Dr
#B
Coral Springs, FL 33071
Phone (954) 997-5147
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes | ||
| Periodontics |
1223P0300X | |||
| Prosthodontics |
1223P0700X |
Addresses
Primary practice location
2232 N University Dr Ste B
Coral Springs, FL 33071-6184
Mailing address
2232 N University Dr Ste B
Coral Springs, FL 33071-6184
Phone (954) 997-5147
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2021. 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.