Advanced Dental Care of Plantation
Organization Active NPI Dentist · Plantation, FL
NPI 1902173115 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1902173115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- ADVANCED DENTAL CARE OF PLANTATION
- Practice address
- 4141 NW 5TH St
102
Plantation, FL 33317-2180 - Phone
- (954) 791-1220
- NPI assigned
- Nov 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Mike Cole
- Title
- Insurance Director
- Phone
- (727) 726-1611
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
4141 NW 5TH St
102
Plantation, FL 33317-2180
Mailing address
4141 NW 5TH St
102
Plantation, FL 33317-2180
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. 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.