Organization
NICHOLAS G. KALEEL DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS GEORGE KALEEL DMD (PRESIDENT)
(561) 736-9997
Entity
Organization
Contact information
Practice address
555 N CONGRESS AVE, SUITE 303, BOYNTON BEACH, FL 33426-3469
(561) 736-9997
(561) 736-3800
Mailing address
555 N CONGRESS AVE, SUITE 303, BOYNTON BEACH, FL 33426-3469
(561) 736-9997
(561) 736-3800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530204
UNITED CONCORDIA
FL
01
—
53149-1
UNITED HEALTHCARE
FL
01
—
77499
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
09/19/2006
Last updated
08/22/2020
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