DENTISTRY OF SOUTH FLORIDA
NPI 1790364511
Clinic/Center - Dental in Deerfield Beach, FL
About Dentistry Of South Florida NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENTISTRY OF SOUTH FLORIDA (NPI 1790364511) is a healthcare organization registered as a dental in Deerfield Beach, Florida and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Stacy Mcdaniel, Assistant Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2192194
Dentistry Of South Florida · Deerfield Beach, FLOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEERFIELD BEACH, FL 33441
DEERFIELD BEACH, FL 33441
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 Dentistry Of South Florida's NPI number?
The NPI number for Dentistry Of South Florida is 1790364511. It was assigned to this organization in the NPPES registry on April 7, 2021.
Where is Dentistry Of South Florida located?
Dentistry Of South Florida is located at 1348 E Hillsboro Blvd, Deerfield Beach, FL 33441. The listed phone number is (954) 427-3000.
What is Dentistry Of South Florida's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Does Dentistry Of South Florida hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2192194) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dentistry Of South Florida was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dentistry Of South Florida · NPI 1790364511
Dental organization in Deerfield Beach, Florida. Organization record, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1790364511 (Entity type: Organization)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Stacy Mcdaniel, ASSISTANT MANAGER
## Practice location
- **Address:** 1348 E HILLSBORO BLVD, Deerfield Beach, FL 33441-4241
- **Phone:** (954) 427-3000
## Record status
- **NPPES last updated:** April 7, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1790364511) · Data from the CMS NPPES public registry.