1. Home
  2. Directory
  3. Florida
  4. Fort Lauderdale
  5. Dentist
  6. NPI Profile

ALKHADRA DDS, P.A.
NPI 1194050690
Dentist - Pediatric Dentistry in Fort Lauderdale, FL

Active since October 16, 2009
4800 NE 20TH TER STE 301, FORT LAUDERDALE, FL 33308(954) 727-9865(954) 727-9904 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alkhadra Dds, P.a. NPPES

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

ALKHADRA DDS, P.A. (NPI 1194050690) is a healthcare organization registered as a pediatric dentistry in Fort Lauderdale, Florida and active in the NPI registry since October 2009. The organization lists Enas Alkhadra, Owner, as its authorized official.

NPPES Registry Identity

NPI1194050690
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameALKHADRA DDS, P.A.
Location Address4800 NE 20TH TER STE 301Fort Lauderdale, FL 33308-4510
Mailing Address4800 Ne 20th Ter Ste 301Fort Lauderdale, FL 33308-4510 · (954) 727-9865
Phone(954) 727-9865
Fax(954) 727-9904
Organization SubpartNo
Authorized OfficialEnas AlkhadraOwner · (561) 212-0715
Enumeration DateOctober 16, 2009
Last NPPES UpdateJune 29, 2010
✔ NPI 1194050690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN16650
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4800 NE 20TH TER STE 301, Fort Lauderdale, FL 33308
Open in Google Maps ↗

Other Identifiers 1

Medicaid075773000FL

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.

ENAS AL-KHADRA DDS
Dentist (Pediatric Dentistry)
4800 NE 20TH TER STE 301
FORT LAUDERDALE, FL 33308
Broward County (954) 727-9865

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 Alkhadra Dds, P.A.'s NPI number?

The NPI number for Alkhadra Dds, P.A. is 1194050690. It was assigned to this organization in the NPPES registry on October 16, 2009.

Where is Alkhadra Dds, P.A. located?

Alkhadra Dds, P.A. is located at 4800 NE 20th Ter Ste 301, Fort Lauderdale, FL 33308. The listed phone number is (954) 727-9865.

What is Alkhadra Dds, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Alkhadra Dds, P.A. was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.