| Dentastic Dental Center | |
|
2747 E Atlantic Blvd Pompano Beach FL 33062-4941 | |
| (954) 781-4670 | |
| Not Available |
| Full Name | Dentastic Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 2747 E Atlantic Blvd, Pompano Beach, Florida |
| Authorized Official Name and Position | Paul R Shepard (MANAGER) |
| Authorized Official Contact | 9547814670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentastic Dental Center 2747 E Atlantic Blvd Pompano Beach FL 33062-4941 Ph: (954) 781-4670 | Dentastic Dental Center 2747 E Atlantic Blvd Pompano Beach FL 33062-4941 Ph: (954) 781-4670 |
| NPI Number | 1467839522 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467839522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN7571 (Florida) | Primary |
| 122300000X | Dentist | DN19680 (Florida) | Secondary |
| 122300000X | Dentist | DN19879 (Florida) | Secondary |
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