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PERIO DOCTOR LLC
NPI 1881440105
Dentist - Periodontics in Fort Lauderdale, FL

Active since April 26, 2024
1312 E BROWARD BLVD, FORT LAUDERDALE, FL 33301(786) 449-4262 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Perio Doctor Llc NPPES

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

PERIO DOCTOR LLC (NPI 1881440105), doing business as Oasis Perio, is a healthcare organization registered as a periodontics in Fort Lauderdale, Florida and active in the NPI registry since April 2024. The organization lists Vanessa Lynn Mancuso, Owner, as its authorized official.

NPPES Registry Identity

NPI1881440105
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIO DOCTOR LLC
Location Address1312 E BROWARD BLVDFort Lauderdale, FL 33301-2136
Mailing Address1312 E Broward BlvdFort Lauderdale, FL 33301-2136
Phone(786) 449-4262
Organization SubpartNo
Authorized OfficialVanessa Lynn MancusoOwner · (786) 449-4262
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1881440105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1312 E BROWARD BLVD, Fort Lauderdale, FL 33301
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Other Names 1

Doing Business AsOasis Perio

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

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.

DANIELLE S. JAFFE, DDS P.A.
Dentist (Endodontics)
1312 E BROWARD BLVD
FORT LAUDERDALE, FL 33301
Broward County (954) 463-3636
DR. VANESSA LYNN MANCUSO DDS, MSD
Dentist (Periodontics)
1312 E BROWARD BLVD
FORT LAUDERDALE, FL 33301
Broward County (786) 449-4262

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 Perio Doctor LLC's NPI number?

The NPI number for Perio Doctor LLC is 1881440105. It was assigned to this organization in the NPPES registry on April 26, 2024. The provider is doing business as Oasis Perio.

Where is Perio Doctor LLC located?

Perio Doctor LLC is located at 1312 E Broward Blvd, Fort Lauderdale, FL 33301. The listed phone number is (786) 449-4262.

What is Perio Doctor LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Perio Doctor LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.