BROWARD COUNTY DENTAL SURGERY PA
NPI 1861748402
Dentist - Oral and Maxillofacial Surgery in Ft Lauderdale, FL

Q: What is Broward County Dental Surgery PA's NPI number?

The NPI number for Broward County Dental Surgery PA is 1861748402. It was assigned to this organization in the NPPES registry on August 1, 2012.

Q: What is Broward County Dental Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since August 01, 2012

5181 NE 19 AVE, FT LAUDERDALE, FL 33308(954) 562-9610(954) 772-2569 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Broward County Dental Surgery Pa NPPES

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

BROWARD COUNTY DENTAL SURGERY PA (NPI 1861748402) is a healthcare organization registered as an oral and maxillofacial surgery in Ft Lauderdale, Florida and active in the NPI registry since August 2012. The organization lists John R Clarke, President Broward County Dental Sur, as its authorized official.

NPPES Registry Identity

NPI1861748402

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameBROWARD COUNTY DENTAL SURGERY PA

Location Address5181 NE 19 AVEFt Lauderdale, FL 33308

Mailing AddressPo Box 11223Ft Lauderdale, FL 33339 · (954) 562-9610 · Fax (954) 772-2569

Phone(954) 562-9610

Fax(954) 772-2569

Organization SubpartYes

Authorized OfficialJohn R ClarkePresident Broward County Dental Sur · (954) 562-9610

Enumeration DateAugust 1, 2012

Last NPPES UpdateDecember 17, 2012

✔ NPI 1861748402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN5272

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5181 NE 19 AVE, Ft Lauderdale, FL 33308

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Other Identifiers 1

Medicaid070653100FL

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

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 County Dental Surgery PA's NPI number?

The NPI number for Broward County Dental Surgery PA is 1861748402. It was assigned to this organization in the NPPES registry on August 1, 2012.

Where is Broward County Dental Surgery PA located?

Broward County Dental Surgery PA is located at 5181 NE 19 Ave, Ft Lauderdale, FL 33308. The listed phone number is (954) 562-9610.

What is Broward County Dental Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Broward County Dental Surgery PA was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.