IndividualActive
Brejaun Ford
NPI 1629730015 · Dental Assistant · Coral Springs, FL
Provider details
- NPI number
- 1629730015
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 257571 (FL)
Specialties & taxonomies
Dental Providers
Practice location
2801 N University Dr Ste 202
Coral Springs, FL 33065-5053
Phone: (954) 688-6888
Approximate (ZIP-level) locationGet directions
Mailing address
3555 W Atlantic Blvd Apt 507
Pompano Beach, FL 33069-2574
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-10-12
- Certified
- 2021-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.