MEDICARE: DORRI'S DENTAL P.A.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336785609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORRI'S DENTAL P.A.

Provider Business Mailing Address
First Line	:	12658 S. MILITARY TRAIL
Second Line	:	SUITE #104
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12658 S. MILITARY TRAIL
Second Line	:	SUITE #104
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-5819
Country	:	US
Telephone Number	:	561-244-5001
Fax Number	:	561-770-7372

Authorized Official
Title or Position	:	OWNER/GENERAL DENTIST
Name	:	KHALID ALDORRI
Credential	:	DDS
Telephone Number	:	561-244-5001

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	11/20/2020

Similar Medicare Providers

1780891622 — DR. MICHAEL J BIRNBAUM D.C.
Practice Location Address:

5819 E 2ND ST # 616
LONG BEACH, CA
90803-5050

Practice Phone: 949-275-2368
Practice Fax: 562-433-1077

1124443056 — YVONNE FONG I
Practice Location Address:

5050 E GARFORD ST APT 254
LONG BEACH, CA
90815-5819

Practice Phone: 408-859-2984
Practice Fax:

1114456175 — EBONYE JUNAE DICKENS LMHC
Practice Location Address:

217 MIRACLE STRIP PKWY SE STE 121
FORT WALTON BEACH, FL
32548-5819

Practice Phone: 850-966-3030
Practice Fax: 850-563-9100

1801536917 — BIGG COUNSELING & CONSULTING, INC.
Practice Location Address:

217 MIRACLE STRIP PKWY SE STE 121
FORT WALTON BEACH, FL
32548-5819

Practice Phone: 850-861-7171
Practice Fax: 850-563-9100

1386408177 — MRS. MARY ANNE EVERTZ WILCOX
Practice Location Address:

217 MIRACLE STRIP PKWY SE
FORT WALTON BEACH, FL
32548-5819

Practice Phone: 850-861-7171
Practice Fax:

1851157945 — MEGAN ELLIS
Practice Location Address:

217 MIRACLE STRIP PKWY SE STE 121
FORT WALTON BEACH, FL
32548-5819

Practice Phone: 850-861-7171
Practice Fax:

Directions to “DORRI'S DENTAL P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.