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

Broward Periodontics PA

Organization Dentist · NPI 1639624539

Broward Periodontics PA is a Dentist in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1027 SE 17th St
Ft Lauderdale, FL 33316-2116
Phone: (954) 916-7664
Fax: (954) 916-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN14431 (FL)

Record details

NPI number1639624539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Deture — Doctor/Owner · (954) 916-7664
NPI enumeratedAugust 20, 2016
Last updated in NPPESAugust 20, 2016
Mailing address1027 Se 17th St, Ft Lauderdale, FL 33316-2116

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