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NPI 1609446632

OrganizationActive

5th Avenue Dental PLLC

NPI 1609446632 · Periodontics · Ft Lauderdale, FL

Provider details

NPI number: 1609446632
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: Andrew Forrest, Periodontist/Owner

Practice location

1500 N Federal Hwy Ste 280

Ft Lauderdale, FL 33304-5600

Phone: (561) 205-5000

More FL providers

Mailing address

1500 N Federal Hwy Ste 280

Ft Lauderdale, FL 33304-5600

Registry dates

Enumerated: 2021-06-30
Last updated: 2021-06-30

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

5th Avenue Dental PLLC — NPI 1609446632, Ft Lauderdale, FL | NPI Central