NPI 1255697074 · live from the CMS NPI Registry
21st Century Dental Associates
Dentist in Wilton Manors, FL. National Provider Identifier 1255697074, active.
NPI record
| NPI | 1255697074 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2517 Ne 9th Ave, Wilton Manors, FL 33305 |
| Practice phone | 954-564-4746 |
| Enumerated | April 5, 2012 |
| Last updated | April 5, 2012 |
| Authorized official | Donald Nadel, Dentist/Owner |
| Other names | 21st Century Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.