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DR. PHILIP L PROVENZALE DDS
NPI 1124240908
Dentist - General Practice in Belle Glade, FL

Active since May 03, 2007
417 NW 16TH ST, SUITE 8, BELLE GLADE, FL 33430(561) 996-3700(561) 996-9261 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Philip L Provenzale Dds NPPES

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

DR. PHILIP L PROVENZALE DDS (NPI 1124240908) is an individual general practice provider in Belle Glade, Florida, licensed in Florida (FL0007396) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1124240908
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP L PROVENZALECredential: DDS
Location Address417 NW 16TH ST, SUITE 8Belle Glade, FL 33430-2441
Mailing AddressPo Box 249Belle Glade, FL 33430-0249 · (561) 996-3700 · Fax (561) 996-9261
Phone(561) 996-3700
Fax(561) 996-9261
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124240908 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 · FL0007396
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.
417 NW 16TH ST, Belle Glade, FL 33430
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.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.

ALL PROFESSIONAL COMMUNITY MEDICAL CENTER LLC
Clinic/Center (Community Health)
417 NW 16TH ST, SUITE 1A
BELLE GLADE, FL 33430
Palm Beach County (561) 993-0507

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 Philip Provenzale's NPI number?

The NPI number for Philip Provenzale is 1124240908. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Philip Provenzale located?

Philip Provenzale practices at 417 NW 16th St Suite 8, Belle Glade, FL 33430. The listed phone number is (561) 996-3700.

What is Philip Provenzale's specialty?

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

What insurance does Philip Provenzale accept?

Health plans from Renaissance Dental list Philip Provenzale 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 Philip Provenzale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.