NOVA SOUTHEASTERN UNIVERSITY
NPI 1275878241
Dentist - Pediatric Dentistry in Wilton Manors, FL

Q: What is Nova Southeastern University's NPI number?

The NPI number for Nova Southeastern University is 1275878241. It was assigned to this organization in the NPPES registry on December 3, 2012.

Q: What is Nova Southeastern University's specialty?

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

Active since December 03, 2012

819 NE 26TH ST, WILTON MANORS, FL 33305(954) 567-5650(954) 561-8556 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nova Southeastern University NPPES

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

NOVA SOUTHEASTERN UNIVERSITY (NPI 1275878241) is a healthcare organization registered as a pediatric dentistry in Wilton Manors, Florida and active in the NPI registry since December 2012. The organization lists Rosemery Estevez, Dir Contracting And Cred, as its authorized official.

NPPES Registry Identity

NPI1275878241

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameNOVA SOUTHEASTERN UNIVERSITY

Location Address819 NE 26TH STWilton Manors, FL 33305-1239

Mailing AddressPo Box 290250Davie, FL 33329-0250 · (954) 262-4343 · Fax (954) 262-2269

Phone(954) 567-5650

Fax(954) 561-8556

Organization SubpartNo

Authorized OfficialRosemery EstevezDir Contracting And Cred · (786) 262-4343

Enumeration DateDecember 3, 2012

Last NPPES UpdateMay 25, 2023

NPPES CertifiedMay 25, 2023

✔ NPI 1275878241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedDental HygienistTaxonomy 124Q00000X

819 NE 26TH ST, Wilton Manors, FL 33305

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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, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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Other Providers at the Same Location NPPES 20

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

DR. ARASH GOSHTASBY DMD

Student in an Organized Health Care Education/Training Program