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DENTAL SPECIALISTS OF PEMBROKE PINES GROUP
NPI 1073030755
Dentist - General Practice in Pembroke Pines, FL

Active since August 24, 2017
12558 PINES BLVD, PEMBROKE PINES, FL 33027(305) 220-8911 Get Directions Write a Review

NPPES record last updated: August 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental Specialists Of Pembroke Pines Group NPPES

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

DENTAL SPECIALISTS OF PEMBROKE PINES GROUP (NPI 1073030755) is a healthcare organization registered as a general practice in Pembroke Pines, Florida and active in the NPI registry since August 2017. The organization lists Ivan Pelton, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1073030755
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL SPECIALISTS OF PEMBROKE PINES GROUP
Location Address12558 PINES BLVDPembroke Pines, FL 33027-1713
Mailing Address12558 Pines BlvdPembroke Pines, FL 33027-1713
Phone(305) 220-8911
Organization SubpartNo
Authorized OfficialIvan PeltonClinical Director · (305) 220-8911
Enumeration DateAugust 24, 2017
✔ NPI 1073030755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN5838
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.
12558 PINES BLVD, Pembroke Pines, FL 33027
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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 Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

PINES DENTAL VILLAGE CORP.
Dentist (General Practice)
12558 PINES BLVD
PEMBROKE PINES, FL 33027
Broward County (954) 639-6998

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 Dental Specialists Of Pembroke Pines Group's NPI number?

The NPI number for Dental Specialists Of Pembroke Pines Group is 1073030755. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is Dental Specialists Of Pembroke Pines Group located?

Dental Specialists Of Pembroke Pines Group is located at 12558 Pines Blvd, Pembroke Pines, FL 33027. The listed phone number is (305) 220-8911.

What is Dental Specialists Of Pembroke Pines Group's specialty?

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

What insurance does Dental Specialists Of Pembroke Pines Group accept?

Health plans from Ambetter Health, Ambetter of Alabama and DentaQuest Insurance Company, Inc. list Dental Specialists Of Pembroke Pines Group 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 Dental Specialists Of Pembroke Pines Group was last updated on August 24, 2017. 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.