=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831334671
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NACHT, TRUPKIN, BABYAK, WILENTZ & HIRSCH, D.D.S., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/09/2008
-----------------------------------------------------
Last Update Date | 12/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7400 N.W. 5TH STREET
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-581-7883
-----------------------------------------------------
Fax | 954-581-8043
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7400 N.W. 5TH STREET
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-581-7883
-----------------------------------------------------
Fax | 954-581-8043
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. DENIS P. TRUPKIN
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 954-581-7883
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------