MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, 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	1223G0001X	General Practice Dentistry	DN0011299	FL

General Provider Information

NPI Number	:	1588781314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Provider Business Mailing Address
First Line	:	1831 NE 45TH ST
Second Line	:	SUITE B
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5117
Country	:	US
Telephone Number	:	954-771-3331
Fax Number	:	954-771-7795

Provider Business Practice Location Address
First Line	:	1831 NE 45TH ST
Second Line	:	SUITE B
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5117
Country	:	US
Telephone Number	:	954-771-3331
Fax Number	:	954-771-7795

Authorized Official
Title or Position	:	CREDENTIALING SUPERVISOR
Name	:	MS. HEATHER PRUEMER
Credential	:
Telephone Number	:	217-540-8434

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	02/07/2017

Similar Medicare Providers

1104815943 — DR. AHMED F OSMAN MD
Practice Location Address:

1841 NE 45TH ST
FORT LAUDERDALE, FL
33308-5117

Practice Phone: 954-678-9531
Practice Fax: 954-678-9533

1154300150 — MAMMEN P ZACHARIAH MD
Practice Location Address:

1841 NE 45TH ST
FORT LAUDERDALE, FL
33308-5117

Practice Phone: 954-820-4200
Practice Fax: 954-678-9533

1609855683 — MOLLY ANN ZACHARIAH MD
Practice Location Address:

1841 NE 45TH ST STE 104
FORT LAUDERDALE, FL
33308-5117

Practice Phone: 954-820-4200
Practice Fax: 954-678-9533

1316956469 — DR. LAWRENCE HAROLD MARKS D.M.D.
Practice Location Address:

1825 NE 45TH ST , SUITE C
FORT LAUDERDALE, FL
33308-5117

Practice Phone: 954-776-9025
Practice Fax: 954-772-4980

1902967144 — DR. DAVID NOAH KENIGSBERG MD
Practice Location Address:

1841 NE 45TH ST
FORT LAUDERDALE, FL
33308-5117

Practice Phone: 954-678-9531
Practice Fax: 954-678-9533

1265589337 — CORE FOCUS PILATES REHABILITATION AND FITNESS INC
Practice Location Address:

1825 NE 45TH ST , STE A
FORT LAUDERDALE, FL
33308-5117

Practice Phone: 954-202-9009
Practice Fax: 954-202-9003

Directions to “COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, 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.