Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TARPON RIVER DENTAL, P.A.
Active
Organization
TARPON RIVER DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIEL PETRUK (OWNER)
(954) 663-2582
Entity
Organization
Contact information
Practice address
416 SE 11TH CT, FORT LAUDERDALE, FL 33316-1144
(954) 663-2582
Mailing address
416 SE 11TH CT, FORT LAUDERDALE, FL 33316-1144
(954) 663-2582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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