Provider Demographics
NPI:1003832528
Name:SLINGBAUM, JOEL BRIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:BRIAN
Last Name:SLINGBAUM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 N UNIVERSITY DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3603
Mailing Address - Country:US
Mailing Address - Phone:954-961-3636
Mailing Address - Fax:954-961-8107
Practice Address - Street 1:2221 N UNIVERSITY DR
Practice Address - Street 2:SUITE D
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3603
Practice Address - Country:US
Practice Address - Phone:954-961-3636
Practice Address - Fax:954-961-8107
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN149471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics