MEDICARE: DANIELLE E BATTISTI-KATZ DMD

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN 16132	FL

General Provider Information

NPI Number	:	1255601183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE E BATTISTI-KATZ DMD

Provider Business Mailing Address
First Line	:	2493 EAGLE RUN DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1424
Country	:	US
Telephone Number	:	954-385-3271
Fax Number	:

Provider Business Practice Location Address
First Line	:	5669 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3124
Country	:	US
Telephone Number	:	954-603-1850
Fax Number	:	954-603-1852

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	01/10/2012

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