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NPI Code Detail

MEDICARE: DR. ANDREA HADDAD ESPIRITO SANTO D.M.D.

MEDICARE: DR. ANDREA HADDAD ESPIRITO SANTO D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry15818FL
21223G0001XGeneral Practice DentistryDN15818FL

General Provider Information

NPI Number : 1255392478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA HADDAD ESPIRITO SANTO D.M.D.
Provider Business Mailing Address
First Line : 16235 STATE ROAD 7
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2736
Country : US
Telephone Number : 561-637-4443
Fax Number : 561-637-4428
Provider Business Practice Location Address
First Line : 16235 STATE ROAD 7
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33446-2736
Country : US
Telephone Number : 561-637-4428
Fax Number : 561-637-4428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 11/20/2012

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Directions to “ DR. ANDREA HADDAD ESPIRITO SANTO D.M.D.” Practice Location

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