PRESTIGE PERIODONTAL AND IMPLANT CENTER
NPI 1063953875
Dentist - Periodontics in Palm Beach Gardens, FL

Q: What is Pawel D Fotek Dmd PLLC's NPI number?

The NPI number for Pawel D Fotek Dmd PLLC is 1063953875. It was assigned to this organization in the NPPES registry on March 13, 2017. The provider is doing business as Prestige Periodontal And Implant Center.

Q: What is Pawel D Fotek Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since March 13, 2017

11641 KEW GARDENS AVE, SUITE 209, PALM BEACH GARDENS, FL 33410(561) 693-3236 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prestige Periodontal And Implant Center NPPES

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

PRESTIGE PERIODONTAL AND IMPLANT CENTER (NPI 1063953875) is a healthcare organization registered as a periodontics in Palm Beach Gardens, Florida and active in the NPI registry since March 2017. The organization lists Pawel D Fotek, Owner, as its authorized official.

NPPES Registry Identity

NPI1063953875

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePAWEL D FOTEK DMD PLLC

Location Address11641 KEW GARDENS AVE, SUITE 209Palm Beach Gardens, FL 33410-2763

Mailing Address11641 Kew Gardens Ave, Suite 209Palm Beach Gardens, FL 33410-2763 · (561) 693-3236

Phone(561) 693-3236

Organization SubpartNo

Authorized OfficialPawel D FotekOwner · (561) 693-3236

Enumeration DateMarch 13, 2017

✔ NPI 1063953875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in FL · DN18002

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

11641 KEW GARDENS AVE, Palm Beach Gardens, FL 33410

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Other Names 1

Doing Business AsPrestige Periodontal And Implant Center

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAWEL D FOTEK DMD

Dentist (Periodontics)

11641 KEW GARDENS AVE, STE 209
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 693-3236

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 Pawel D Fotek Dmd PLLC's NPI number?

The NPI number for Pawel D Fotek Dmd PLLC is 1063953875. It was assigned to this organization in the NPPES registry on March 13, 2017. The provider is doing business as Prestige Periodontal And Implant Center.

Where is Pawel D Fotek Dmd PLLC located?

Pawel D Fotek Dmd PLLC is located at 11641 Kew Gardens Ave Suite 209, Palm Beach Gardens, FL 33410. The listed phone number is (561) 693-3236.

What is Pawel D Fotek Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Pawel D Fotek Dmd PLLC was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.