Provider Demographics
NPI:1689987026
Name:AMERICAN DENTAL OF FLORIDA-MARGATE
Entity Type:Organization
Organization Name:AMERICAN DENTAL OF FLORIDA-MARGATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KERNS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-974-8550
Mailing Address - Street 1:1509 N STATE ROAD 7
Mailing Address - Street 2:SUITE H
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5731
Mailing Address - Country:US
Mailing Address - Phone:954-974-8550
Mailing Address - Fax:954-974-1419
Practice Address - Street 1:1509 N STATE ROAD 7
Practice Address - Street 2:SUITE H
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5731
Practice Address - Country:US
Practice Address - Phone:954-974-8550
Practice Address - Fax:954-974-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty