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

Nova Southeastern University, Inc

Organization Pediatric Dentistry · NPI 1548406812

Nova Southeastern University, Inc is a Pediatric Dentistry in Hollywood, Florida. Registered with an NPI since 2008.

In the registry since
2008
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

3501 Johnson Street 2nd Fl Ste 200 Joe Dimaggio Children's Hospital Medical Ofc Centre
Hollywood, FL 33021-5421
Phone: (954) 262-2187
Fax: (954) 262-2910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1548406812
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNova Southeastern University, Inc
Authorized official Robert Oller — Clinical Operations · (954) 262-4343
NPI enumeratedDecember 17, 2008
Last updated in NPPESJuly 7, 2011
Mailing address3200 S University Drive, Sanford L. Ziff Bldg. 3rd Floor, Room 4364-D, Ft. Lauderdale, FL 33328-2018

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