| 5th Avenue Dental Pllc | |
|
1500 N Federal Hwy Ste 280 Ft Lauderdale FL 33304-5600 | |
| (561) 205-5000 | |
| Not Available |
| Full Name | 5th Avenue Dental Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1500 N Federal Hwy Ste 280, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Andrew Forrest (PERIODONTIST/OWNER) |
| Authorized Official Contact | 5612055000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5th Avenue Dental Pllc 1500 N Federal Hwy Ste 280 Ft Lauderdale FL 33304-5600 Ph: (561) 205-5000 | 5th Avenue Dental Pllc 1500 N Federal Hwy Ste 280 Ft Lauderdale FL 33304-5600 Ph: (561) 205-5000 |
| NPI Number | 1609446632 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609446632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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