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NPI Code Detail

MEDICARE: ANDREWS DENTAL CARE CENTER, P.A.

MEDICARE: ANDREWS DENTAL CARE CENTER, 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
1122300000XDentistDN17611FL

Other Identifiers

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

General Provider Information

NPI Number : 1619277167
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREWS DENTAL CARE CENTER, P.A.
Provider Business Mailing Address
First Line : 3909 N ANDREWS AVE
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-5239
Country : US
Telephone Number : 954-561-6675
Fax Number :
Provider Business Practice Location Address
First Line : 3909 N ANDREWS AVE
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-5239
Country : US
Telephone Number : 954-561-6675
Fax Number :
Authorized Official
Title or Position : PRESIDENT/DIRECTOR
Name : DR. MARILYN P RILEY
Credential : DMD
Telephone Number : 954-561-6675
Provider Enumeration Date : 11/01/2010
Last Update Date : 11/01/2010

Similar Medicare Providers

1114941614 — MARILYN PATRICIA RILEY DMD
Practice Location Address:
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Practice Phone: 954-561-6675
Practice Fax: 954-630-2017
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Practice Location Address:
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Practice Fax:
1396421988 — JUAN PABLO PORRAS DMD
Practice Location Address:
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33309-5239
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Practice Fax:
1891560033 — PORRAS DENTAL
Practice Location Address:
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1093422107 — NICHOLAS ALAN NELSON RN
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Directions to “ANDREWS DENTAL CARE CENTER, P.A. ” Practice Location

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