MEDICARE: DR. ROY HART 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
1	1223G0001X	General Practice Dentistry	DN14863	FL

General Provider Information

NPI Number	:	1932397577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY HART DDS

Provider Business Mailing Address
First Line	:	537 US HIGHWAY 1
Second Line	:	SUITE 1
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4903
Country	:	US
Telephone Number	:	561-844-8653
Fax Number	:	561-844-8666

Provider Business Practice Location Address
First Line	:	537 US HIGHWAY 1
Second Line	:	SUITE 1
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4903
Country	:	US
Telephone Number	:	561-844-8653
Fax Number	:	561-844-8666

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	08/06/2010

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