Mitchell Indictor, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MITCHELL INDICTOR, D.D.S., P.A.

Practice address

207 SE 23Rd Ave
Suite 100
Boynton Beach, FL 33435-7653

Phone

(561) 734-8600

Fax

(561) 738-6672

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Indictor, D.D.S.NPI 1245385525

Title

President/Director

Phone

(561) 734-8600

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Mitchell Indictor, D.D.S.

  • General Practice Dentistry
  • Boynton Beach, FL
  • NPI 1245385525
  NPD (past) Authorized official

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1699085498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SE 23RD AVE",
            "address_2": "SUITE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357653",
            "telephone_number": "561-734-8600",
            "fax_number": "561-738-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SE 23RD AVE",
            "address_2": "SUITE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357653",
            "telephone_number": "561-734-8600",
            "fax_number": "561-738-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL INDICTOR, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "INDICTOR",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "561-734-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle-Ear, Inc.
• Angel G Miralles Paneque
• Jorab Mirassaint
• Kimberly Mire, RPH
• Gulnaz Mirza, MD
• Mitchell Roth
• Stephanie Mittauer, APRN
• Leslie Jill Mittelman, M.A.
• Wambura Neema Mkono, M.D.
• MKW Med Supply and Consulting

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, 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 Oct 14, 2010; 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.