MEDICARE: ALL CARE 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	261QD0000X	Dental Clinic/Center

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548819972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CARE DENTAL

Provider Business Mailing Address
First Line	:	3207 N STATE ROAD 7 STE 24
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-7008
Country	:	US
Telephone Number	:	954-655-3551
Fax Number	:

Provider Business Practice Location Address
First Line	:	3207 N STATE ROAD 7 STE 24
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-7008
Country	:	US
Telephone Number	:	954-655-3551
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ODED YEOSHOUA
Credential	:	DMD
Telephone Number	:	954-655-3551

Provider Enumeration Date	:	09/09/2019
Last Update Date	:	09/09/2019

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Directions to “ALL CARE DENTAL ” Practice Location

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