Healthcare Provider Details

I. General information

NPI: 1245415124
Provider Name (Legal Business Name): CASEY VEY PEDRO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 W PALMETTO PARK RD STE 52
BOCA RATON FL
33433-3464
US

IV. Provider business mailing address

7050 W PALMETTO PARK RD STE 52
BOCA RATON FL
33433-3464
US

V. Phone/Fax

Practice location:
  • Phone: 561-394-2592
  • Fax: 561-394-3768
Mailing address:
  • Phone: 561-394-2592
  • Fax: 561-394-3768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN19656
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: