OrganizationActive
Tarpon River Dental, P.A.
NPI 1134762818 · General Practice Dentistry · Fort Lauderdale, FL
Tarpon River Dental, P.A. is a General Practice Dentistry organization in Fort Lauderdale, FL (NPI 1134762818).
Provider details
- NPI number
- 1134762818
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mariel Petruk, Owner(954) 663-2582
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
416 Se 11th Ct
Fort Lauderdale, FL 33316-1144
Phone: (954) 663-2582
Street-level locationGet directions
Mailing address
416 Se 11th Ct
Fort Lauderdale, FL 33316-1144
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2019-10-24
Frequently asked questions
- What is Tarpon River Dental, P.A.'s NPI number?
- Tarpon River Dental, P.A.'s National Provider Identifier (NPI) is 1134762818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tarpon River Dental, P.A.?
- Tarpon River Dental, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tarpon River Dental, P.A. located?
- Tarpon River Dental, P.A.'s practice location on file with NPPES is 416 Se 11th Ct, Fort Lauderdale, FL 33316-1144.
- What is Tarpon River Dental, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Tarpon River Dental, P.A. is (954) 663-2582.
- Who is the authorized official for Tarpon River Dental, P.A.?
- The authorized official listed on Tarpon River Dental, P.A.'s NPPES record is Mariel Petruk, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tarpon River Dental, P.A.'s NPI active?
- Yes — Tarpon River Dental, P.A.'s NPI (1134762818) is active in the NPPES registry as of the last update on 2019-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.