Provider Demographics
NPI:1588831069
Name:PIKE, DARREN ROBERT (MS DMD PA)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:ROBERT
Last Name:PIKE
Suffix:
Gender:M
Credentials:MS DMD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 NW 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-2511
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6905 W BROWARD BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2903
Practice Address - Country:US
Practice Address - Phone:954-641-0414
Practice Address - Fax:954-641-0418
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN181411223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics