| Oakland Park Family Dental | |
|
2901 W Oakland Park Blvd Ste B21 Oakland Park FL 33311-1239 | |
| (954) 816-0555 | |
| Not Available |
| Full Name | Oakland Park Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2901 W Oakland Park Blvd Ste B21, Oakland Park, Florida |
| Authorized Official Name and Position | Lakshay Goyal (OWNER) |
| Authorized Official Contact | 9548160555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Park Family Dental 2901 W Oakland Park Blvd Ste B21 Oakland Park FL 33311-1239 Ph: () - | Oakland Park Family Dental 2901 W Oakland Park Blvd Ste B21 Oakland Park FL 33311-1239 Ph: (954) 816-0555 |
| NPI Number | 1528822541 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 0143667121 |
|---|---|
| Medicare Enrollment ID | O20240326003243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528822541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| Provider Name | Lakshay Goyal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609364876 PECOS PAC ID: 1052758034 Enrollment ID: I20240326003425 |
| Provider Name | Brad Lewis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376567685 PECOS PAC ID: 0648599852 Enrollment ID: I20240411001376 |
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