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Philip Provenzale, DDS
NPI 1124240908 · General Practice Dentistry · Belle Glade, FL
Philip Provenzale, DDS is a General Practice Dentistry provider in Belle Glade, FL (NPI 1124240908).
Provider details
- NPI number
- 1124240908
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- FL0007396 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
417 Nw 16th St
Suite 8
Belle Glade, FL 33430-2441
Phone: (561) 996-3700
Fax: (561) 996-9261
Street-level locationGet directions
Mailing address
Po Box 249
Belle Glade, FL 33430-0249
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Philip Provenzale's NPI number?
- Philip Provenzale's National Provider Identifier (NPI) is 1124240908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Provenzale's specialty?
- Philip Provenzale is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Philip Provenzale located?
- Philip Provenzale's practice location on file with NPPES is 417 Nw 16th St, Belle Glade, FL 33430-2441.
- What is Philip Provenzale's phone number?
- The practice phone number listed in the NPPES registry for Philip Provenzale is (561) 996-3700.
- Is Philip Provenzale's NPI active?
- Yes — Philip Provenzale's NPI (1124240908) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.