DR. BRUCE M. MAHAFFEY D.M.D. NPI 1003871781

Dentist (Pediatric Dentistry) in Village Of Palmetto Bay, FL

About BRUCE MAHAFFEY

Bruce Mahaffey is a provider in Village Of Palmetto Bay, FL. The NPI number assigned to this provider is 1003871781. The practitioner's primary taxonomy code is Dentist (1223P0221X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003871781 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. BRUCE M. MAHAFFEY D.M.D.
Provider Location Address8805 SW 144TH ST VILLAGE OF PALMETTO BAY, FL 33176 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address8805 SW 144TH ST VILLAGE OF PALMETTO BAY, FL 33176 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-18-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-09-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. BRUCE M. MAHAFFEY D.M.D.
8805 SW 144TH ST
VILLAGE OF PALMETTO BAY, FL
ZIP 33176
Phone: (305) 253-6944
Fax: (605) 251-9989
Get Directions

Mailing Address

DR. BRUCE M. MAHAFFEY D.M.D.
8805 SW 144TH ST
VILLAGE OF PALMETTO BAY, FL
ZIP 33176
Phone: (305) 253-6944
Fax: (605) 251-9989

Primary Taxonomy

Taxonomy Code1223P0221X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
SpecializationPediatric Dentistry
License No.5808
License StateFL
Taxonomy DescriptionAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
70054MEDICAID (05)FL

Map Location


DR. BRUCE M. MAHAFFEY D.M.D. address is 8805 SW 144TH ST VILLAGE OF PALMETTO BAY, FL 33176

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174850093MAIN STREET CHILDREN'S DENTISTRY & ORTHODONTICS OF PALMETTO BAY, PA
Organization
Dentist (Pediatric Dentistry)8805 SW 144TH ST
PALMETTO BAY, FL 33176
(305) 253-6944
1790002038DR. FABIOLA D ORTEGA DDS
Individual
Dentist (Pediatric Dentistry)8805 SW 144TH ST
PALMETTO BAY, FL 33176
(305) 253-6944