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POMPANO BEACH PERIODONTICS PLLC
NPI 1972930774
Dentist - Periodontics in Pompano Beach, FL

Active since October 11, 2013
2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL 33062(954) 782-7911(954) 782-7925 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pompano Beach Periodontics Pllc NPPES

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

POMPANO BEACH PERIODONTICS PLLC (NPI 1972930774) is a healthcare organization registered as a periodontics in Pompano Beach, Florida and active in the NPI registry since October 2013. The organization lists Jason A Witonsky, Managingmember, as its authorized official.

NPPES Registry Identity

NPI1972930774
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePOMPANO BEACH PERIODONTICS PLLC
Location Address2231 NE 25TH AVE, SUITE 4Pompano Beach, FL 33062-1148
Mailing Address2231 Ne 25th Ave, Suite 4Pompano Beach, FL 33062-1148 · (954) 782-7911 · Fax (954) 782-7925
Phone(954) 782-7911
Fax(954) 782-7925
Organization SubpartNo
Authorized OfficialJason A WitonskyManagingmember · (954) 782-7911
Enumeration DateOctober 11, 2013
✔ NPI 1972930774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN18938
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.
2231 NE 25TH AVE, Pompano Beach, FL 33062
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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 Pompano Beach Periodontics PLLC's NPI number?

The NPI number for Pompano Beach Periodontics PLLC is 1972930774. It was assigned to this organization in the NPPES registry on October 11, 2013.

Where is Pompano Beach Periodontics PLLC located?

Pompano Beach Periodontics PLLC is located at 2231 NE 25th Ave Suite 4, Pompano Beach, FL 33062. The listed phone number is (954) 782-7911.

What is Pompano Beach Periodontics PLLC'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 Pompano Beach Periodontics PLLC was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.