OrganizationActive
Broward County Dental Surgery PA
NPI 1861748402 · Oral and Maxillofacial Surgery (Dentist) · Ft Lauderdale, FL
Provider details
- NPI number
- 1861748402
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Broward County Dental Surgery PA
- Organization subpart
- Yes
- Authorized official
- John Clarke, President Broward County Dental Sur(954) 562-9610
- License
- DN5272 (FL)
Specialties & taxonomies
Dental Providers
Practice location
5181 Ne 19 Ave
Ft Lauderdale, FL 33308
Phone: (954) 562-9610
Fax: (954) 772-2569
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11223
Ft Lauderdale, FL 33339
Registry dates
- Enumerated
- 2012-08-01
- Last updated
- 2012-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.