Provider Demographics
NPI:1326272204
Name:LURIE, NORMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:LURIE
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 1:3020 N MILITARY TRL
Mailing Address - Street 2:SUITE #250
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-1814
Mailing Address - Country:US
Mailing Address - Phone:561-443-4133
Mailing Address - Fax:561-443-3670
Practice Address - Street 1:3020 N MILITARY TRL
Practice Address - Street 2:SUITE #250
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-1814
Practice Address - Country:US
Practice Address - Phone:561-443-4133
Practice Address - Fax:561-443-3670
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN8566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist