Healthcare Provider Details

I. General information

NPI: 1144060922
Provider Name (Legal Business Name): SETH MENDELL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14143 US HIGHWAY 1
JUNO BEACH FL
33408-1427
US

IV. Provider business mailing address

14143 US HIGHWAY 1
JUNO BEACH FL
33408-1427
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-5552
  • Fax:
Mailing address:
  • Phone: 561-627-5552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN28960
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: