Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

1500 Dental LLC

Organization Dentist · NPI 1073002259

1500 Dental LLC is a Dentist in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 N Federal Hwy Ste 250
Fort Lauderdale, FL 33304-5603
Phone: (954) 715-1000
Fax: (954) 372-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN16336 (FL)
Dentist Taxonomy 122300000X · Licence DN14284 (FL)

Record details

NPI number1073002259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nekelda Weiss — Insurance & Credentialing Coordinat · (954) 715-1000
NPI enumeratedMay 3, 2018
Last updated in NPPESMay 3, 2018
Mailing address1500 N Federal Hwy Ste 250, Fort Lauderdale, FL 33304-5603

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