Provider Demographics
NPI:1770978033
Name:STEVEN H NADEL DDS LLC
Entity type:Organization
Organization Name:STEVEN H NADEL DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-271-4851
Mailing Address - Street 1:7755 SW 87TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2534
Mailing Address - Country:US
Mailing Address - Phone:305-271-4851
Mailing Address - Fax:
Practice Address - Street 1:1301 W BOYNTON BEACH BLVD STE 5
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3420
Practice Address - Country:US
Practice Address - Phone:561-732-8665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBN14765261QD0000X
261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental