Provider Demographics
NPI:1043214547
Name:SOTO, ERNIE FRANCIS (DDS)
Entity Type:Individual
Prefix:
First Name:ERNIE
Middle Name:FRANCIS
Last Name:SOTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10187 CLEARY BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1026
Mailing Address - Country:US
Mailing Address - Phone:954-368-6264
Mailing Address - Fax:954-653-2970
Practice Address - Street 1:10187 CLEARY BLVD
Practice Address - Street 2:STE 103
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1026
Practice Address - Country:US
Practice Address - Phone:954-368-6264
Practice Address - Fax:954-653-2970
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN120751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU54148Medicare UPIN