NPI 1235433863 · live from the CMS NPI Registry
Acde
Dentist, General Practice in Wellington, FL. National Provider Identifier 1235433863, active.
NPI record
| NPI | 1235433863 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 12012 S Shore Blvd, Suite 211, Wellington, FL 33414 |
| Practice phone | 561-721-9777 |
| Enumerated | December 22, 2010 |
| Last updated | December 22, 2010 |
| Authorized official | Dmitry Gorbatov, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | dn15160 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.