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NPI Code Detail

MEDICARE: DEERFIELD DENTAL, LLP

MEDICARE: DEERFIELD DENTAL, LLP
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1295943694
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEERFIELD DENTAL, LLP
Provider Business Mailing Address
First Line : 1874 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1420
Country : US
Telephone Number : 561-428-4575
Fax Number : 954-428-3708
Provider Business Practice Location Address
First Line : 1874 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-1420
Country : US
Telephone Number : 561-428-4575
Fax Number : 954-428-3708
Authorized Official
Title or Position : MEMBER
Name : DR. ILYA STEIN
Credential :
Telephone Number : 954-428-4575
Provider Enumeration Date : 05/18/2007
Last Update Date : 08/22/2020

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Directions to “DEERFIELD DENTAL, LLP ” Practice Location

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