MEDICARE: B&E DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	10484	FL

General Provider Information

NPI Number	:	1053539171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&E DENTAL

Provider Business Mailing Address
First Line	:	8430 W BROWARD BLVD
Second Line	:	SUITE 100
City	:	PLANTATION
State	:	FL
Zip	:	33324-2700
Country	:	US
Telephone Number	:	954-474-3330
Fax Number	:	954-236-3025

Provider Business Practice Location Address
First Line	:	8430 W BROWARD BLVD
Second Line	:	SUITE 100
City	:	PLANTATION
State	:	FL
Zip	:	33324-2700
Country	:	US
Telephone Number	:	954-474-3330
Fax Number	:	954-236-3025

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MITCHELL R EPSTEIN
Credential	:	DMD
Telephone Number	:	954-474-3330

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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Directions to “B&E DENTAL ” Practice Location

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