Provider Demographics
NPI:1497826085
Name:MAGYAR, CARL W (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:W
Last Name:MAGYAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 REGINA BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34465-4085
Mailing Address - Country:US
Mailing Address - Phone:352-527-8585
Mailing Address - Fax:352-527-3623
Practice Address - Street 1:22 REGINA BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:FL
Practice Address - Zip Code:34465-4085
Practice Address - Country:US
Practice Address - Phone:352-527-8585
Practice Address - Fax:352-527-3623
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN74511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice