Idental of West Plam Beach, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN16932 Issued in FL

Legal business name

IDENTAL OF WEST PLAM BEACH, PLLC

Practice address

6901 Okeechobee Blvd
West Palm Beach, FL 33411-2511

Phone

(561) 684-5800

Fax

(561) 684-8830

NPI assigned

Jul 6, 2017

Organization subpart

No

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

Authorized official

Name

Michael Floyd Battle, DDS

Title

Dentist / Owner

Phone

(727) 327-5561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1952822470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "561-684-5800",
            "fax_number": "561-684-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTAL OF WEST PLAM BEACH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "727-327-5561",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.