Broward Periodontics PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN14431 Issued in FL

Legal business name

BROWARD PERIODONTICS PA

Practice address

1027 SE 17TH St
Ft Lauderdale, FL 33316-2116

Phone

(954) 916-7664

Fax

(954) 916-7647

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Deture, DMD

Title

Doctor/Owner

Phone

(954) 916-7664

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sawan Kyle Malik, DMD

  • Periodontics
  • Fort Lauderdale, FL
  • NPI 1770879702
  NPD (past)

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1639624539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162116",
            "telephone_number": "954-916-7664",
            "fax_number": "954-916-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162116",
            "telephone_number": "954-916-7664",
            "fax_number": "954-916-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD PERIODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "DETURE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "954-916-7664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Browder, MD

• Dentist in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.