Organization · Type 2 NPI

1500 Dental LLC

Periodontics · Fort Lauderdale, FL

NPI number 1073002259 Active

Practice location

1500 N Federal Hwy Ste 250
Fort Lauderdale, FL 33304-5603

Fax (954) 372-1000

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN14284 (FL)
Periodontics Primary 1223P0300XDN16336 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1073002259

1500 Dental LLC's National Provider Identifier is 1073002259, issued on May 3, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 3, 2018.