MEDICARE: TTB DENTISTRY

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1295459188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TTB DENTISTRY

Provider Business Mailing Address
First Line	:	20941 BOCA RIDGE DR W
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1465
Country	:	US
Telephone Number	:	516-732-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	7479 LAKE WORTH RD STE B
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2527
Country	:	US
Telephone Number	:	561-968-7050
Fax Number	:	561-968-7068

Authorized Official
Title or Position	:	OWNER
Name	:	ALAN SEIDENFELD
Credential	:	DMD
Telephone Number	:	561-968-7050

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	08/20/2025

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Directions to “TTB DENTISTRY ” Practice Location

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