Provider Demographics
NPI:1023248408
Name:PECHTER, JOSEPH EMANUEL (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EMANUEL
Last Name:PECHTER
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 1:2699 STIRLING RD STE C201
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6557
Mailing Address - Country:US
Mailing Address - Phone:954-367-3356
Mailing Address - Fax:
Practice Address - Street 1:2699 STIRLING RD STE C201
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6557
Practice Address - Country:US
Practice Address - Phone:954-367-3356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1855123122300000X
FLDN186691223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist