LAS OLAS DENTAL ORTHODONTIC AND IMPLANT CENTER


Address: 800 E Broward Blvd Ste 305, Fort Lauderdale, FL 33301-2024
Phone: 9548591199

LAS OLAS DENTAL ORTHODONTIC AND IMPLANT CENTER (NPI# 1033768742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033768742
Entity Type Organization
Organization Name LAS OLAS DENTAL ORTHODONTIC AND IMPLANT CENTER
Practice Address 800 E Broward Blvd Ste 305
Fort Lauderdale
FL 33301-2024
Practice Telephone 9548591199
Enumeration Date 2019-09-05
Last Update Date 2019-09-05
Authorized Official Name DR. DENNIS SOLOMON SEVEL (OWNER)
Authorized Official Telephone 9545996835
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 800 E BROWARD BLVD STE 305
City FORT LAUDERDALE
State FL
Zip Code 33301-2024

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Competitor

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City FORT LAUDERDALE
Zip Code 33301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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