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NPI Code Detail

MEDICARE: DAVID EUGENE DDS II PLLC

MEDICARE: DAVID EUGENE DDS II PLLC
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
1122300000XDentist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639565765
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID EUGENE DDS II PLLC
Provider Business Mailing Address
First Line : 16811 NE 6TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2405
Country : US
Telephone Number : 954-733-9971
Fax Number : 954-733-5521
Provider Business Practice Location Address
First Line : 16811 NE 6TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-2405
Country : US
Telephone Number : 954-733-9971
Fax Number : 954-733-5521
Authorized Official
Title or Position : OWNER
Name : DAVID EUGENE
Credential : DDS
Telephone Number : 954-733-9971
Provider Enumeration Date : 04/15/2015
Last Update Date : 04/15/2015

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Directions to “DAVID EUGENE DDS II PLLC ” Practice Location

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