Organization · Type 2 NPI

Nova Southeastern University, Inc

General Practice Dentistry · Davie, FL

NPI number 1811288012 Active

Practice location

7600 SW 36th Street, Bldg. # 100 Room 1263
Davie, FL 33328-1902

Call (954) 262-7127 Map

Fax (954) 262-3937

Mailing address

PO Box 290370
Fort Lauderdale, FL 33329-0370

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed
General Practice Dentistry Primary 1223G0001XNone listed
Pediatric Dentistry 1223P0221XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone listed
Nutritionist 133N00000XNone listed
Pediatric Nutrition Registered Dietitian 133VN1004XNone listed
Pediatrics Physician 208000000XNone listed
Physical Therapist 225100000XNone listed
Pediatric Physical Therapist 2251P0200XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

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 1811288012

Nova Southeastern University, Inc's National Provider Identifier is 1811288012, issued on Apr 22, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Davie, FL. The record was last updated on Oct 26, 2026.