MEDICARE: BANYAN DENTAL GROUP, L.L.C.

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

General Provider Information

NPI Number	:	1477672475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANYAN DENTAL GROUP, L.L.C.

Provider Business Mailing Address
First Line	:	1820 58TH AVE
Second Line	:	SUITE 101
City	:	VERO BEACH
State	:	FL
Zip	:	32966-4673
Country	:	US
Telephone Number	:	772-567-2132
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 58TH AVE
Second Line	:	SUITE 101
City	:	VERO BEACH
State	:	FL
Zip	:	32966-4673
Country	:	US
Telephone Number	:	772-567-2132
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE HOFFMAN
Credential	:	D.D.S.
Telephone Number	:	772-567-2132

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	03/17/2014

Similar Medicare Providers

1568042646 — SHAMICA N WILLIAMS CNA
Practice Location Address:

503 JEAN ST APT 3
DAYTONA BEACH, FL
32114-4673

Practice Phone: 386-675-3365
Practice Fax:

1295737575 — DR. TIMOTHY ADKINS MD
Practice Location Address:

960 48TH AVE
VERO BEACH, FL
32966-2850

Practice Phone: 772-778-0409
Practice Fax:

1548247844 — MR. EMIL RICHARD NARDONE II DC
Practice Location Address:

2146 58TH AVE
VERO BEACH, FL
32966-4647

Practice Phone: 304-312-3445
Practice Fax:

1447226006 — MELVYN A. LOBO MD
Practice Location Address:

1960 POINTE WEST DR , SUITES 101 & 102
VERO BEACH, FL
32966-1302

Practice Phone: 772-564-7828
Practice Fax: 772-564-6107

1497707285 — ALLIANCE CARE OF FLORIDA INC
Practice Location Address:

1700 WATERFORD DR
VERO BEACH, FL
32966-8043

Practice Phone: 772-778-9550
Practice Fax: 772-778-8054

1457308439 — JANINE HEDDING H.I.S.
Practice Location Address:

5445 20TH ST
VERO BEACH, FL
32966-2241

Practice Phone: 772-774-8208
Practice Fax:

Directions to “BANYAN DENTAL GROUP, L.L.C. ” 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.