Quality Dentistry Of Coconut Creek PA
Dentist, General Practice in Coconut Creek, FL. Organization (NPI-2).
NPI number1174415319
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1174415319
- Entity type
- Organization (NPI-2)
- Legal business name
- Quality Dentistry Of Coconut Creek PA
- Organization subpart
- No
- Enumeration date
- Jul 21, 2025
- Certification date
- Jul 20, 2025
- Last updated
- Jul 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5300 W Hillsboro Blvd Ste 204Coconut Creek, FL 33073-4395
Phone 585-978-4040
Mailing address
8332 Nw 7th CtBoca Raton, FL 33487-1364
Phone 585-978-4040
Authorized official
George Sifain
President
5859784040
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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