Broward County Dental Surgery Pa

LBN: Broward County Dental Surgery Pa
Broward County Dental Surgery Pa is an health care organization with primary practice located at 5181 Ne 19 Ave , Ft Lauderdale FL 33308. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Broward County Dental Surgery Pa can be contacted via phone (954) 562-9610, or through Clarke, John R via phone (954) 562-9610.

Contact Information

Primary practice address
5181 Ne 19 Ave Ft Lauderdale FL 33308
Phone: (954) 562-9610
Fax: (954) 772-2569
Website:
Map and Directions
Authorized official contact:
Name: Clarke, John R Doctor of Dental Medicine (DMD)
Phone: (954) 562-9610

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN5272 Florida

Profile Details

NPI number 1861748402
LBN Legal business name Broward County Dental Surgery Pa
DBA Doing business as
Authorized official Clarke, John R Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2012
Last updated Dec 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861748402 NPPES
Florida MEDICAID 070653100

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