Provider Demographics
NPI:1366030199
Name:PLANES DENTAL ARTS PLLC
Entity Type:Organization
Organization Name:PLANES DENTAL ARTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:ALVAREZ
Authorized Official - Last Name:PLANES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:772-231-6004
Mailing Address - Street 1:4755 HIGHWAY A1A
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-5402
Mailing Address - Country:US
Mailing Address - Phone:772-231-6004
Mailing Address - Fax:
Practice Address - Street 1:15084 LYONS RD STE 600
Practice Address - Street 2:
Practice Address - City:WEST DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-9792
Practice Address - Country:US
Practice Address - Phone:561-708-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANES DENTAL ARTS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty