NPI 1053413831 · live from the CMS NPI Registry
.Shofnos And Adami, DDS PA
Dentist, General Practice in Hollywood, FL. National Provider Identifier 1053413831, active.
NPI record
| NPI | 1053413831 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 12129 Sheridan St, Hollywood, FL 33026 |
| Practice phone | 954-433-1888 |
| Enumerated | September 2, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Charles Shofnos, Presidnet |
| Other names | Flamingo Dental Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN6140 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.