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BROWARD PERIODONTICS PA
NPI 1639624539
Dentist in Ft Lauderdale, FL

Active since August 20, 2016
1027 SE 17TH ST, FT LAUDERDALE, FL 33316(954) 916-7664(954) 916-7647 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broward Periodontics Pa NPPES

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

BROWARD PERIODONTICS PA (NPI 1639624539) is a healthcare organization registered as a dentist in Ft Lauderdale, Florida and active in the NPI registry since August 2016. The organization lists Christopher Deture, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1639624539
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBROWARD PERIODONTICS PA
Location Address1027 SE 17TH STFt Lauderdale, FL 33316-2116
Mailing Address1027 Se 17th StFt Lauderdale, FL 33316-2116 · (954) 916-7664 · Fax (954) 916-7647
Phone(954) 916-7664
Fax(954) 916-7647
Organization SubpartNo
Authorized OfficialChristopher DetureDoctor/owner · (954) 916-7664
Enumeration DateAugust 20, 2016
✔ NPI 1639624539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN14431
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.
1027 SE 17TH ST, Ft Lauderdale, FL 33316
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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

Other Providers at the Same Location NPPES 2

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

MR. BRUCE L BARTOS DDS
Dentist (General Practice)
1027 SE 17TH ST
FT LAUDERDALE, FL 33316
Broward County (954) 524-2121
DR. SAWAN KYLE MALIK DMD
Dentist (Periodontics)
1027 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (954) 916-7664

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 Broward Periodontics PA's NPI number?

The NPI number for Broward Periodontics PA is 1639624539. It was assigned to this organization in the NPPES registry on August 20, 2016.

Where is Broward Periodontics PA located?

Broward Periodontics PA is located at 1027 SE 17th St, Ft Lauderdale, FL 33316. The listed phone number is (954) 916-7664.

What is Broward Periodontics PA'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 Broward Periodontics PA was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.