Healthcare Provider Details
I. General information
NPI: 1467376855
Provider Name (Legal Business Name): VILLAGE VIEW DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
550 SW 3RD ST STE 108
POMPANO BEACH FL
33060-6944
US
IV. Provider business mailing address
550 SW 3RD ST STE 108
POMPANO BEACH FL
33060-6944
US
V. Phone/Fax
- Phone: 954-953-5656
- Fax: 954-301-2753
- Phone: 954-953-5656
- Fax: 954-301-2753
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONNA
CAMILLE
DIXON
Title or Position: OWNER
Credential: D.M.D.
Phone: 954-249-5220