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

Dr. Philip L Provenzale, DDS

Individual provider General Practice Dentistry · NPI 1124240908

Dr. Philip L Provenzale, DDS is a General Practice Dentistry in Belle Glade, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

417 NW 16th St Ste 8
Belle Glade, FL 33430-2441
Phone: (561) 996-3700
Fax: (561) 996-9261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence FL0007396 (FL)

Record details

NPI number1124240908
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 249, Belle Glade, FL 33430-0249

Other providers in Belle Glade