MEDICARE: ATTUNE DENTISTRY PA

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

General Provider Information

NPI Number	:	1548878309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTUNE DENTISTRY PA

Provider Business Mailing Address
First Line	:	4750 N FEDERAL HWY STE 16
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6553
Country	:	US
Telephone Number	:	561-702-0039
Fax Number	:	561-931-3994

Provider Business Practice Location Address
First Line	:	4750 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6553
Country	:	US
Telephone Number	:	561-702-0039
Fax Number	:	561-931-3994

Authorized Official
Title or Position	:	DENTIST
Name	:	ANDREA C DIAZ VASQUEZ
Credential	:	DMD
Telephone Number	:	719-930-3776

Provider Enumeration Date	:	07/17/2020
Last Update Date	:	03/03/2026

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