Raphael Arwas
Individual provider Active NPI General Practice Dentistry · Hallandale, FL
NPI 1891164059 · NPPES record last updated Sep 17, 2015
Key facts
- NPI
- 1891164059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN13003 (FL)
- Practice address
- 1440 E. Hallandale Beach Blvd
Hallandale, FL 33009 - Phone
- (954) 458-1133
- Fax
- (954) 458-5696
- NPI assigned
- Sep 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| DN13003 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallandale Beach Dental PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN13003 | FL | Yes |
Addresses
Primary practice location
1440 E. Hallandale Beach Blvd
Hallandale, FL 33009
Mailing address
1440 E. Hallandale Beach Blvd
Hallandale, FL 33009
Phone (954) 458-1133
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669613436 | Other | FL | PPO |
Other names
- Dr. Raphael Arwas
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All providers in Hallandale, 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 Sep 17, 2015. 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.