Organization
HART DENTAL PLLC
Active
Other names
Hart to Hart Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR HART DMD (CEO)
(954) 546-3087
Entity
Organization
Contact information
Practice address
3425 N DIXIE HWY, OAKLAND PARK, FL 33334-2839
(954) 546-3087
Mailing address
2121 NE 56TH CT, FORT LAUDERDALE, FL 33308-2502
(321) 377-4680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033561907
NPI
FL
01
—
1891285375
NPI
FL
Enumeration date
03/12/2019
Last updated
03/12/2019
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