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SOUTH DENTAL OF DAVIE, INC
NPI 1477413896
Dentist in Davie, FL

Active since November 17, 2025
4699 SW 64TH AVE, DAVIE, FL 33314(754) 285-1616(754) 285-1615 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Dental Of Davie, Inc NPPES

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

SOUTH DENTAL OF DAVIE, INC (NPI 1477413896) is a healthcare organization registered as a dentist in Davie, Florida and active in the NPI registry since November 2025. The organization lists Elias Tobon-angel, Legal Representative, as its authorized official.

NPPES Registry Identity

NPI1477413896
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTH DENTAL OF DAVIE, INC
Location Address4699 SW 64TH AVEDavie, FL 33314-4423
Mailing Address4699 Sw 64th AveDavie, FL 33314-4423 · (754) 285-1616 · Fax (754) 285-1615
Phone(754) 285-1616
Fax(754) 285-1615
Organization SubpartNo
Authorized OfficialElias Tobon-angelLegal Representative · (754) 285-1616
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1477413896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4699 SW 64TH AVE, Davie, FL 33314
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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

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 South Dental Of Davie, Inc's NPI number?

The NPI number for South Dental Of Davie, Inc is 1477413896. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is South Dental Of Davie, Inc located?

South Dental Of Davie, Inc is located at 4699 SW 64th Ave, Davie, FL 33314. The listed phone number is (754) 285-1616.

What is South Dental Of Davie, Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for South Dental Of Davie, Inc was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.