Healthcare Provider Details

I. General information

NPI: 1194673160
Provider Name (Legal Business Name): CESARE CIAVARRO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5581 COACH HOUSE CIR APT H
BOCA RATON FL
33486-8942
US

IV. Provider business mailing address

5581 COACH HOUSE CIR APT H
BOCA RATON FL
33486-8942
US

V. Phone/Fax

Practice location:
  • Phone: 519-212-5571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN31380
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: