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

Advanced Dental Wellness Center

Organization Dentist · NPI 1730694191

Advanced Dental Wellness Center is a Dentist in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

104 SE 1st St
Fort Lauderdale, FL 33301-1924
Phone: (954) 525-5662
Fax: (954) 525-5251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN21039 (FL)

Record details

NPI number1730694191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Lipovetskiy — Owner · (954) 525-5662
NPI enumeratedDecember 7, 2017
Last updated in NPPESDecember 7, 2017
Mailing address104 Se 1st St, Fort Lauderdale, FL 33301-1924

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