Savastano, Jr., Nicholas John

Savastano, Jr., Nicholas John is an sole proprietor health care provider with primary practice located at 4362 Northlake Blvd Ste 114 , Palm Beach Gardens FL 33410-6269. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Savastano, Jr., Nicholas John can be contacted via phone (561) 658-4100.

Contact Information

Primary practice address
4362 Northlake Blvd Ste 114 Palm Beach Gardens FL 33410-6269
Phone: (561) 658-4100
Fax: (866) 333-2309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DGD 8789 DS South Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN15487 Florida

Profile Details

NPI number 1154348233
LBN Legal business name Savastano, Jr., Nicholas John
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jun 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154348233 NPPES
Florida MEDICAID 105737100
Florida MEDICAID ZX8789

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