Provider Demographics
NPI:1659772853
Name:CONTE, KATHERINE V
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:V
Last Name:CONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N UNIVERSITY DR
Mailing Address - Street 2:STE 114
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8915
Mailing Address - Country:US
Mailing Address - Phone:954-344-6266
Mailing Address - Fax:954-344-8483
Practice Address - Street 1:1881 N UNIVERSITY DR
Practice Address - Street 2:STE 114
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8915
Practice Address - Country:US
Practice Address - Phone:954-344-6266
Practice Address - Fax:954-344-8483
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20932122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist