Organization
DEERFIELD CENTER FOR DENTAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI PONCE (OFFICE MANAGER)
(954) 427-4287
Entity
Organization
Contact information
Practice address
1800 W HILLSBORO BLVD, #211, DEERFIELD BEACH, FL 33442-1484
(954) 427-4287
(954) 427-5540
Mailing address
1800 W HILLSBORO BLVD, #211, DEERFIELD BEACH, FL 33442-1484
(954) 427-4287
(954) 427-5540
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
08490
FL
1223P0300X
Periodontics
15174
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13518
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14521
FL
Other
Enumeration date
04/23/2007
Last updated
09/11/2025
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