Healthcare Provider Details

I. General information

NPI: 1255601183
Provider Name (Legal Business Name): DANIELLE E BATTISTI-KATZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5669 CORAL RIDGE DR
CORAL SPRINGS FL
33076-3124
US

IV. Provider business mailing address

2493 EAGLE RUN DR
WESTON FL
33327-1424
US

V. Phone/Fax

Practice location:
  • Phone: 954-603-1850
  • Fax: 954-603-1852
Mailing address:
  • Phone: 954-385-3271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN 16132
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: