Provider Demographics
NPI:1467474379
Name:SHECTER, BRETT WILLIAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:WILLIAM
Last Name:SHECTER
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 1:18540 LONG LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1937
Mailing Address - Country:US
Mailing Address - Phone:561-483-2227
Mailing Address - Fax:954-575-5215
Practice Address - Street 1:15200 JOG RD STE 301
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1249
Practice Address - Country:US
Practice Address - Phone:561-495-5600
Practice Address - Fax:561-495-5602
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN101591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice