Healthcare Provider Details
I. General information
NPI: 1669376547
Provider Name (Legal Business Name): WORLD OF DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 N FEDERAL HWY STE 412
HALLANDALE BEACH FL
33009-2464
US
IV. Provider business mailing address
601 N FEDERAL HWY STE 412
HALLANDALE BEACH FL
33009-2464
US
V. Phone/Fax
- Phone: 786-440-4948
- Fax:
- Phone: 786-440-4948
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SHEILA
RONQUILLO
Title or Position: OFFICE MANAGER
Credential:
Phone: 786-440-4948