Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PLANTATION DENTAL ASSOCIATES, PL
Active
Organization
PLANTATION DENTAL ASSOCIATES, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE DEEDRICK (OFFICE MANAGER)
(954) 474-8977
Entity
Organization
Contact information
Practice address
10080 NW 1ST CT, PLANTATION, FL 33324-7035
(954) 474-8977
(954) 474-8946
Mailing address
10080 NW 1ST CT, PLANTATION, FL 33324-7035
(954) 474-8977
(954) 474-8946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10331
FL
1223G0001X
General Practice Dentistry
14352
FL
1223G0001X
General Practice Dentistry
Primary
17136
FL
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up