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

Custom Crowns

Organization Specialist · NPI 1205321809

Custom Crowns is a Specialist in Hollywood, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

5202 Plunkett St
Hollywood, FL 33021-8023
Phone: (754) 581-8402
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X
Specialist Taxonomy 174400000X

Record details

NPI number1205321809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyshawn Martin — Founder/ Ceo · (305) 788-7779
NPI enumeratedJune 26, 2018
Last updated in NPPESJune 26, 2018
Mailing address5202 Plunkett St, Hollywood, FL 33021-8023

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