| 1500 Dental Llc | |
|
1500 N Federal Hwy Ste 250 Fort Lauderdale FL 33304-5603 | |
| (954) 715-1000 | |
| (954) 372-1000 |
| Full Name | 1500 Dental Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1500 N Federal Hwy Ste 250, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Nekelda A Weiss (INSURANCE & CREDENTIALING COORDINAT) |
| Authorized Official Contact | 9547151000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1500 Dental Llc 1500 N Federal Hwy Ste 250 Fort Lauderdale FL 33304-5603 Ph: (954) 715-1000 | 1500 Dental Llc 1500 N Federal Hwy Ste 250 Fort Lauderdale FL 33304-5603 Ph: (954) 715-1000 |
| NPI Number | 1073002259 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073002259 | NPI | - | NPPES |
| 1407978679 | Other | FL | NPI |
| 1043392111 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN14284 (Florida) | Secondary |
| 1223P0300X | Dentist - Periodontics | DN16336 (Florida) | Primary |
Marisabel Olivera, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2022 Ne 18th St, Fort Lauderdale, FL 33305 Phone: 954-727-9865 | |
Cecilia Salazar, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Se 18th St Apt 210, Fort Lauderdale, FL 33316 Phone: 561-201-1844 | |
Las Olas Dental Orthodontic And Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Broward Blvd Ste 305, Fort Lauderdale, FL 33301 Phone: 954-859-1199 | |
International Smile Institute Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2161 E Commercial Blvd, 3rd Floor, Fort Lauderdale, FL 33308 Phone: 954-772-0842 Fax: 954-776-7480 | |
Sleep Better Fort Lauderdale Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2330 Ne 9th St, Fort Lauderdale, FL 33304 Phone: 954-593-3593 | |
Brad W. Graff D.m.d. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3107 Stirling Rd, Suite # 108, Fort Lauderdale, FL 33312 Phone: 954-963-3706 Fax: 954-963-1223 |