DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETTISSHEPARDDENTASTIC LLC

Active Organization

PETTISSHEPARDDENTASTIC LLC is a Dentist organization located in POMPANO BEACH, Florida. NPI 1467839522 is currently active in the NPPES registry. Verify at CMS.

Dentist · POMPANO BEACH, FL

Registration Details

NPI Number
1467839522
Provider Type
Organization
NPI Issued
Apr 28, 2015 (11.293503865005 yrs)
Last Updated
Apr 28, 2015
Licenses
DN19680 (FL)
DN19879 (FL)
DN7571 (FL)

Practice Information

Address
2747 E ATLANTIC BLVD
POMPANO BEACH, FL, 330624941
Browse FL providers · Browse ZIP 33062
Phone
9547814670
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Organizations in POMPANO BEACH, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.