Provider Demographics
NPI:1114388121
Name:ERIC MOHR DMD, P.A.
Entity Type:Organization
Organization Name:ERIC MOHR DMD, P.A.
Other - Org Name:DENTAL SMILE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-882-8421
Mailing Address - Street 1:1901 N FEDERAL HWY UNIT 215
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1000
Mailing Address - Country:US
Mailing Address - Phone:954-785-1102
Mailing Address - Fax:
Practice Address - Street 1:1901 N FEDERAL HWY UNIT 215
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1000
Practice Address - Country:US
Practice Address - Phone:954-785-1102
Practice Address - Fax:954-785-1344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 15689122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty