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1500 Dental LLC — NPI 1073002259, Fort Lauderdale, FL | NPI Central

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OrganizationActive

1500 Dental LLC

NPI 1073002259 · Periodontics · Fort Lauderdale, FL

Provider details

NPI number: 1073002259
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Nekelda Weiss, Insurance & Credentialing Coordinat
License: DN14284 (FL)

Practice location

1500 N Federal Hwy Ste 250

Fort Lauderdale, FL 33304-5603

Phone: (954) 715-1000

Fax: (954) 372-1000

More FL providers

Mailing address

1500 N Federal Hwy Ste 250

Fort Lauderdale, FL 33304-5603

Registry dates

Enumerated: 2018-05-03
Last updated: 2018-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.