Provider Demographics
NPI:1225737349
Name:BENJAMIN YANOWITZ D.M.D, M.S., PLLC
Entity Type:Organization
Organization Name:BENJAMIN YANOWITZ D.M.D, M.S., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:954-431-9500
Mailing Address - Street 1:9700 STIRLING RD STE 113
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8011
Mailing Address - Country:US
Mailing Address - Phone:954-431-9500
Mailing Address - Fax:
Practice Address - Street 1:9700 STIRLING RD STE 113
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8011
Practice Address - Country:US
Practice Address - Phone:954-431-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1790288140OtherPERSONAL NPI NUMBER