Organization · Type 2 NPI

Southeastern Dental Associates I

Periodontics · Boynton Beach, FL

NPI number 1154400497 Active

Practice location

200 Knuth Road, Suite 106
Boynton Beach, FL 33436

Fax (561) 738-9963

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN15761 (FL)
Periodontics 1223P0300XDN14485 (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.

2 other providers at this address

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About NPI 1154400497

Southeastern Dental Associates I's National Provider Identifier is 1154400497, issued on Nov 6, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boynton Beach, FL. The record was last updated on Aug 22, 2020.