OrganizationActive
Primary Dental Partners PA
NPI 1114509171 · General Practice Dentistry · Hollywood, FL
Provider details
- NPI number
- 1114509171
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Eyad Shehadeh, Director(954) 399-8039
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Practice location
3039 Johnson Street
Hollywood, FL 33021
Phone: (954) 399-8039
Approximate (ZIP-level) locationGet directions
Mailing address
3039 Johnson Street
Hollywood, FL 33021
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2023-09-25
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.