Active NPIIndividual providerSole proprietor

Dr. Juan C Mendoza Iglesias, DMD

Dentist, Periodontics in Hollywood, Florida

NPI Number1821326430
Practice location
3801 Hollywood Blvd Ste 225, Hollywood, FL 33021-6849
Fax
—
Last updated
March 17, 2018

Juan Carlos Mendoza Iglesias is a Dentist, Periodontics based in Hollywood, FL. Juan Carlos Mendoza Iglesias practices in Hollywood, FL and has the professional credentials of DMD. The NPI Number for Juan Carlos Mendoza Iglesias is 1821326430 and holds a License No. 2848 (PR). The current practice location address for Juan Carlos Mendoza Iglesias is 3801 Hollywood Blvd Ste 225, Hollywood, FL 33021-6849 and can be reached out via phone at 954-246-4851.

Provider Profile Details

NPI Number
1821326430
Provider Name
Juan Carlos Mendoza Iglesias
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3801 Hollywood Blvd Ste 225, Hollywood, FL 33021-6849
Phone Number
954-246-4851
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
November 20, 2009
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3801 Hollywood Blvd Ste 225
Hollywood, FL 33021-6849
State
Florida
Zip
33021-6849
Phone Number
954-246-4851
Hollywood, FL 33021Get directions →

Provider Business Mailing Address Details

Address
3970 Grove Park Dr
Tallahassee, FL 32311-3616
City
Tallahassee
State
FL
Zip
32311-3616

License Information

License Number (1)
2848
License State (1)
PR
Taxonomy (1)
Dentist, Periodontics · 1223P0300X
License Number (2)
DN23115
License State (2)
FL
Taxonomy (2)
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Juan C Mendoza Iglesias, DMD?

The NPI number of Dr. Juan C Mendoza Iglesias, DMD is 1821326430. It was assigned on November 20, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Juan C Mendoza Iglesias, DMD?

Dr. Juan C Mendoza Iglesias, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in PR under license number 2848.

Where does Dr. Juan C Mendoza Iglesias, DMD practice?

The practice location is 3801 Hollywood Blvd Ste 225, Hollywood, FL 33021-6849. The office can be reached at 954-246-4851 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821326430 directly on the NPPES registry website.

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