East Commercial Childrens Dental
Clinic/Center, Dental in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1386265346
StatusActive
Last updated in NPPESApr 30, 2020
Details
- NPI
- 1386265346
- Entity type
- Organization (NPI-2)
- Legal business name
- East Commercial Childrens Dental
- Organization subpart
- No
- Enumeration date
- Apr 30, 2020
- Certification date
- Apr 30, 2020
- Last updated
- Apr 30, 2020
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 |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- East Commercial Childrens Dental (Doing Business As)
Practice location
2633 E Commercial BlvdFort Lauderdale, FL 33308-4135
Phone 888-601-4884
Mailing address
801 Se 6th Ave Ste 201Delray Beach, FL 33483-5185
Phone 772-204-3529
Authorized official
Robert Rodriguez
Ceo
7722043529
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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