Individual
DR. NICHOLAS JOHN SAVASTANO, JR. JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4362 NORTHLAKE BLVD STE 114, PALM BEACH GARDENS, FL 33410-6269
(561) 658-4100
(866) 333-2309
Mailing address
4362 NORTHLAKE BLVD STE 114, PALM BEACH GARDENS, FL 33410-6269
(561) 658-4100
(866) 333-2309
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DGD 8789 DS
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105737100
—
FL
05
—
ZX8789
—
SC
Enumeration date
07/16/2006
Last updated
06/02/2021
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