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LILY XU DDS
NPI 1063204717
Dentist - General Practice in Davie, FL

Active since May 20, 2025
4745 VOLUNTEER RD STE 302, DAVIE, FL 33330(954) 530-5164 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, May 20, 2025 (2 updates tracked since 2025).

About Lily Xu Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILY XU DDS (NPI 1063204717) is a healthcare organization registered as a general practice in Davie, Florida and active in the NPI registry since May 2025. The organization lists Xiaoqian Xu, Owner, as its authorized official.

NPPES Registry Identity

NPI1063204717
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLILY XU DDS
Location Address4745 VOLUNTEER RD STE 302Davie, FL 33330-2126
Mailing Address3888 Cascade TerWeston, FL 33332-2486 · (248) 330-7268
Phone(954) 530-5164
Organization SubpartNo
Authorized OfficialXiaoqian XuOwner · (248) 330-7268
Enumeration DateMay 20, 2025
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1063204717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4745 VOLUNTEER RD STE 302, Davie, FL 33330
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Other Identifiers 1

Medicaid1649919374FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily Xu Dds's NPI number?

The NPI number for Lily Xu Dds is 1063204717. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Lily Xu Dds located?

Lily Xu Dds is located at 4745 Volunteer Rd Ste 302, Davie, FL 33330. The listed phone number is (954) 530-5164.

What is Lily Xu Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lily Xu Dds was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.