MEDICARE: ADVANCED DENTAL SOLUTIONS OF SOUTH FLORIDA

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	1223G0001X	General Practice Dentistry	DN12508	FL

General Provider Information

NPI Number	:	1912279654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED DENTAL SOLUTIONS OF SOUTH FLORIDA

Provider Business Mailing Address
First Line	:	5054 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8129
Country	:	US
Telephone Number	:	561-498-3182
Fax Number	:	561-498-9677

Provider Business Practice Location Address
First Line	:	5054 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8129
Country	:	US
Telephone Number	:	561-498-3182
Fax Number	:	561-498-9677

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD HOWARD HARRIS
Credential	:	D.M.D.
Telephone Number	:	561-498-3182

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	01/26/2012

Similar Medicare Providers

1992786131 — DR. LEWIS S PASSMAN D.C.
Practice Location Address:

5066 W ATLANTIC AVE
DELRAY BEACH, FL
33484-8129

Practice Phone: 561-498-2233
Practice Fax: 561-498-5074

1528119724 — DR. RICHARD HOWARD HARRIS D.M.D.
Practice Location Address:

5054 W ATLANTIC AVE
DELRAY BEACH, FL
33484-8129

Practice Phone: 561-498-3181
Practice Fax:

1720282775 — DR. BENJAMIN FREEMAN ANDERSON JR. O.D.
Practice Location Address:

5062 W ATLANTIC AVE
DELRAY BEACH, FL
33484-8129

Practice Phone: 561-498-8884
Practice Fax: 561-498-7878

1164692430 — MR. PAUL L GALVEZ CMT, LMT
Practice Location Address:

5032 W ATLANTIC AVE
DELRAY BEACH, FL
33484-8129

Practice Phone: 561-667-6634
Practice Fax:

1891935631 — VERDINO OPTICIANS INC.
Practice Location Address:

5068 W ATLANTIC AVE
DELRAY BEACH, FL
33484-8129

Practice Phone: 561-498-8884
Practice Fax: 561-498-7878

1669786539 — BENJAMIN F ANDERSON JR OD PA
Practice Location Address:

5062 W ATLANTIC AVE , GOLDEN EYE & EAR
DELRAY BEACH, FL
33484-8129

Practice Phone: 561-498-8884
Practice Fax: 561-498-7878

Directions to “ADVANCED DENTAL SOLUTIONS OF SOUTH FLORIDA ” Practice Location

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