OrganizationActive
Pettissheparddentastic LLC
NPI 1467839522 · Dentist · Pompano Beach, FL
Pettissheparddentastic LLC is a Dentist organization in Pompano Beach, FL (NPI 1467839522).
Provider details
- NPI number
- 1467839522
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Paul Shepard, Manager(954) 781-4670
- License
- DN19680 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2747 E Atlantic Blvd
Pompano Beach, FL 33062-4941
Phone: (954) 781-4670
Street-level locationGet directions
Mailing address
2747 E Atlantic Blvd
Pompano Beach, FL 33062-4941
Other names (DBA / former)
- Doing business as
- Dentastic Dental Center
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2015-04-28
Frequently asked questions
- What is Pettissheparddentastic LLC's NPI number?
- Pettissheparddentastic LLC's National Provider Identifier (NPI) is 1467839522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pettissheparddentastic LLC?
- Pettissheparddentastic LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Pettissheparddentastic LLC located?
- Pettissheparddentastic LLC's practice location on file with NPPES is 2747 E Atlantic Blvd, Pompano Beach, FL 33062-4941.
- What is Pettissheparddentastic LLC's phone number?
- The practice phone number listed in the NPPES registry for Pettissheparddentastic LLC is (954) 781-4670.
- Who is the authorized official for Pettissheparddentastic LLC?
- The authorized official listed on Pettissheparddentastic LLC's NPPES record is Paul Shepard, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pettissheparddentastic LLC's NPI active?
- Yes — Pettissheparddentastic LLC's NPI (1467839522) is active in the NPPES registry as of the last update on 2015-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.