Organization
FOREST HILL FAMILY ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SHUTTS (CEO)
(954) 803-9351
Entity
Organization
Contact information
Practice address
3472 FOREST HILL BLVD STE 1, WEST PALM BEACH, FL 33406-5864
(561) 328-1555
Mailing address
3472 FOREST HILL BLVD STE 1, WEST PALM BEACH, FL 33406-5864
(561) 328-1555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194057620
NPI
FL
Enumeration date
12/07/2020
Last updated
12/07/2020
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