Broward Periodontics Pa

LBN: Broward Periodontics Pa
Broward Periodontics Pa is an health care organization with primary practice located at 1027 Se 17Th St , Ft Lauderdale FL 33316-2116. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Broward Periodontics Pa can be contacted via phone (954) 916-7664, or through Deture, Christopher via phone (954) 916-7664.

Contact Information

Primary practice address
1027 Se 17Th St Ft Lauderdale FL 33316-2116
Fax: (954) 916-7647
Website:
Authorized official contact:
Name: Deture, Christopher Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN14431 Florida

Profile Details

NPI number 1639624539
LBN Legal business name Broward Periodontics Pa
DBA Doing business as
Authorized official Deture, Christopher Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2016
Last updated Aug 20th, 2016 - about 9 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.

Request for update

Popular Providers