MEDICARE: OSWALDO ALFONSO NIEVES VACA DENTIST

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	1223P0700X	Prosthodontics	DTP807	FL

General Provider Information

NPI Number	:	1952919045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSWALDO ALFONSO NIEVES VACA DENTIST

Provider Business Mailing Address
First Line	:	3300 S UNIVERSITY DR
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33328-2004
Country	:	US
Telephone Number	:	954-262-7373
Fax Number	:	954-262-1782

Provider Business Practice Location Address
First Line	:	3300 S UNIVERSITY DR
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33328-2004
Country	:	US
Telephone Number	:	954-262-7373
Fax Number	:	954-262-1782

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

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	03/03/2026

Similar Medicare Providers

1174587315 — DR. KEVIN LYNN PAYTON D.D.S.
Practice Location Address:

3300 S UNIVERSITY DR STE 7153
FT LAUDERDALE, FL
33328-2004

Practice Phone: 954-262-7153
Practice Fax: 954-262-1793

1225179336 — MRS. HEATHER KNOEFERL B.S., OTR
Practice Location Address:

3300 S UNIVERSITY DR DEPT TERRY
FT LAUDERDALE, FL
33328-2004

Practice Phone: 954-262-1233
Practice Fax:

1508284399 — MR. GREGORY DEAN WATSON BS, MS
Practice Location Address:

3300 S UNIVERSITY DR
FT LAUDERDALE, FL
33328-2004

Practice Phone: 800-541-6682
Practice Fax:

1629462130 — AQSA SHAUKAT
Practice Location Address:

3300 S UNIVERSITY DR FL 33328
FT LAUDERDALE, FL
33328-2004

Practice Phone: 954-372-5309
Practice Fax:

1760081517 — ALAINA SHORT OD
Practice Location Address:

3300 S UNIVERSITY DR
FT LAUDERDALE, FL
33328-2004

Practice Phone: 800-541-6682
Practice Fax:

1497419550 — ANGELICA N RODRIGUEZ
Practice Location Address:

3300 S UNIVERSITY DR
FT LAUDERDALE, FL
33328-2004

Practice Phone: 800-541-6682
Practice Fax:

Directions to “ OSWALDO ALFONSO NIEVES VACA DENTIST” 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.