Healthcare Provider Details
I. General information
NPI: 1447938196
Provider Name (Legal Business Name): WILLIAM POSNER DENTAL VERO BEACH, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1820 58TH AVE STE 101
VERO BEACH FL
32966-4674
US
IV. Provider business mailing address
1212 US HIGHWAY 1 STE B
NORTH PALM BEACH FL
33408-3536
US
V. Phone/Fax
- Phone: 772-217-4088
- Fax: 772-673-0996
- Phone: 561-898-0440
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0106X |
| Taxonomy | Oral and Maxillofacial Pathology Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
POSNER
Title or Position: OWNER
Credential: DMD
Phone: 561-898-0440