Healthcare Provider Details

I. General information

NPI: 1033224399
Provider Name (Legal Business Name): GROUP DENTAL OF THE PALM BEACHES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 N FLAGLER DR STE 101
WEST PALM BEACH FL
33407-5542
US

IV. Provider business mailing address

2601 NORTH FLAGLER DRIVE SUITE 101
WEST PALM BEACH FL
33407
US

V. Phone/Fax

Practice location:
  • Phone: 561-833-5474
  • Fax: 561-833-0490
Mailing address:
  • Phone: 561-833-5474
  • Fax: 561-833-0490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN P BROWN
Title or Position: VICE PRESIDENT
Credential: DMD
Phone: 561-833-5474