Individual provider · Type 1 NPI

Philip L. Provenzale, DDS

General Practice Dentistry · Belle Glade, FL

NPI number 1124240908 Active

Practice location

417 NW 16th St, Suite 8
Belle Glade, FL 33430-2441

Fax (561) 996-9261

Mailing address

PO Box 249
Belle Glade, FL 33430-0249

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XFL0007396 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1124240908

Philip L. Provenzale, DDS's National Provider Identifier is 1124240908, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Belle Glade, FL. The record was last updated on Jul 8, 2007.