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CUSTOM CROWNS
NPI 1205321809
Durable Medical Equipment & Medical Supplies - Customized Equipment in Hollywood, FL

Active since June 26, 2018
5202 PLUNKETT ST, HOLLYWOOD, FL 33021(754) 581-8402 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Crowns NPPES

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

CUSTOM CROWNS (NPI 1205321809) is a healthcare organization registered as a customized equipment in Hollywood, Florida and active in the NPI registry since June 2018. The organization lists Tyshawn Martin, Founder/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1205321809
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCUSTOM CROWNS
Location Address5202 PLUNKETT STHollywood, FL 33021-8023
Mailing Address5202 Plunkett StHollywood, FL 33021-8023 · (305) 788-7779
Phone(754) 581-8402
Organization SubpartNo
Authorized OfficialTyshawn MartinFounder/ Ceo · (305) 788-7779
Enumeration DateJune 26, 2018
✔ NPI 1205321809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedSpecialistTaxonomy 174400000X
5202 PLUNKETT ST, Hollywood, FL 33021
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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.

TYSHAWN MARTIN LPN
Licensed Practical Nurse
5202 PLUNKETT ST
HOLLYWOOD, FL 33021
Broward County (305) 788-7779

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 Custom Crowns's NPI number?

The NPI number for Custom Crowns is 1205321809. It was assigned to this organization in the NPPES registry on June 26, 2018.

Where is Custom Crowns located?

Custom Crowns is located at 5202 Plunkett St, Hollywood, FL 33021. The listed phone number is (754) 581-8402.

What is Custom Crowns's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Custom Crowns was last updated on June 26, 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.