PRIMARY DENTAL PARTNERS PA
NPI 1114509171
Dentist - General Practice in Hollywood, FL

Q: What is Primary Dental Partners PA's NPI number?

The NPI number for Primary Dental Partners PA is 1114509171. It was assigned to this organization in the NPPES registry on April 28, 2021.

Q: What is Primary Dental Partners PA's specialty?

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

Active since April 28, 2021

3039 JOHNSON STREET, HOLLYWOOD, FL 33021(954) 399-8039 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Apr 28, 2021 (2 updates tracked since 2021).

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About Primary Dental Partners Pa NPPES

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

PRIMARY DENTAL PARTNERS PA (NPI 1114509171) is a healthcare organization registered as a general practice in Hollywood, Florida and active in the NPI registry since April 2021. The organization lists Eyad Shehadeh, Director, as its authorized official.

NPPES Registry Identity

NPI1114509171

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePRIMARY DENTAL PARTNERS PA

Location Address3039 JOHNSON STREETHollywood, FL 33021

Mailing Address3039 Johnson StreetHollywood, FL 33021 · (954) 399-8039

Phone(954) 399-8039

Organization SubpartNo

Authorized OfficialEyad ShehadehDirector · (954) 399-8039

Enumeration DateApril 28, 2021

Last NPPES UpdateSeptember 25, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1114509171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

3039 JOHNSON STREET, Hollywood, FL 33021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc. 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 Primary Dental Partners PA's NPI number?

The NPI number for Primary Dental Partners PA is 1114509171. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Primary Dental Partners PA located?

Primary Dental Partners PA is located at 3039 Johnson Street, Hollywood, FL 33021. The listed phone number is (954) 399-8039.

What is Primary Dental Partners PA's specialty?

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

What insurance does Primary Dental Partners PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc. and UnitedHealthcare list Primary Dental Partners PA 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 Primary Dental Partners PA was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.