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NPI Code Detail

MEDICARE: DR. OSCAR PADILLA DDS

MEDICARE: DR. OSCAR PADILLA DDS
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
11223P0221XPediatric Dentistry047911NY

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 : 1669478863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OSCAR PADILLA DDS
Provider Business Mailing Address
First Line : 3200 S UNIVERSITY DR
Second Line : NOVA SOUTHEASTERN UNIV. COLLEGE OF DENTAL MEDICINE
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-1791
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S UNIVERSITY DR
Second Line : NOVA SOUTHEASTERN UNIV. COLLEGE OF DENTAL MEDICINE
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 954-262-1791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/11/2013

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