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

Countryside Dental Assoc Inc

Organization Dentist · NPI 1699934646

Countryside Dental Assoc Inc is a Dentist in Cooper City, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5810 S Flamingo Rd
Cooper City, FL 33330-3237
Phone: (954) 434-3229
Fax: (954) 680-6254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN8648
Dentist Taxonomy 122300000X · Licence DN8648 (FL)
Dentist Taxonomy 122300000X · Licence DN18677 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN18066 (FL)

Record details

NPI number1699934646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ancona — President/Dentist · (954) 434-3229
NPI enumeratedJune 5, 2008
Last updated in NPPESJanuary 20, 2011
Mailing address5810 S. Flamingo Rd, Cooper City, FL 33330-3237

Other providers in Cooper City