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

Nova Southeastern University

Organization Endodontics · NPI 1275878241

Nova Southeastern University is an Endodontics in Wilton Manors, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
7

Practice location Address checks out

819 NE 26th St
Wilton Manors, FL 33305-1239
Phone: (954) 567-5650
Fax: (954) 561-8556
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1275878241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosemery Estevez — Dir Contracting And Cred · (786) 262-4343
NPI enumeratedDecember 3, 2012
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing addressPo Box 290250, Davie, FL 33329-0250

Other providers in Wilton Manors