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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154348233 | NPPES |
| Florida | MEDICAID | 105737100 | |
| Florida | MEDICAID | ZX8789 |
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