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1500 DENTAL LLC
NPI 1073002259
Dentist - Periodontics in Fort Lauderdale, FL

Active since May 03, 2018
1500 N FEDERAL HWY STE 250, FORT LAUDERDALE, FL 33304(954) 715-1000(954) 372-1000 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 1500 Dental Llc NPPES

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

1500 DENTAL LLC (NPI 1073002259) is a healthcare organization registered as a periodontics in Fort Lauderdale, Florida and active in the NPI registry since May 2018. The organization lists Nekelda A Weiss, Insurance & Credentialing Coordinat, as its authorized official.

NPPES Registry Identity

NPI1073002259
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business Name1500 DENTAL LLC
Location Address1500 N FEDERAL HWY STE 250Fort Lauderdale, FL 33304-5603
Mailing Address1500 N Federal Hwy Ste 250Fort Lauderdale, FL 33304-5603 · (954) 715-1000 · Fax (954) 372-1000
Phone(954) 715-1000
Fax(954) 372-1000
Organization SubpartNo
Authorized OfficialNekelda A WeissInsurance & Credentialing Coordinat · (954) 715-1000
Enumeration DateMay 3, 2018
✔ NPI 1073002259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN16336
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.
Also ListedDentistTaxonomy 122300000X · License DN14284 (FL)
1500 N FEDERAL HWY STE 250, Fort Lauderdale, FL 33304
Open in Google Maps ↗

Other Identifiers 2

Other1407978679FL · Npi
Other1043392111FL · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 1500 Dental LLC's NPI number?

The NPI number for 1500 Dental LLC is 1073002259. It was assigned to this organization in the NPPES registry on May 3, 2018.

Where is 1500 Dental LLC located?

1500 Dental LLC is located at 1500 N Federal Hwy Ste 250, Fort Lauderdale, FL 33304. The listed phone number is (954) 715-1000.

What is 1500 Dental LLC's specialty?

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

What insurance does 1500 Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list 1500 Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 1500 Dental LLC was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.