Provider Demographics
NPI:1801608450
Name:DT CLINICAL BOYNTON
Entity type:Organization
Organization Name:DT CLINICAL BOYNTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRYON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-623-5320
Mailing Address - Street 1:950 N CONGRESS AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3329
Mailing Address - Country:US
Mailing Address - Phone:561-623-5320
Mailing Address - Fax:
Practice Address - Street 1:950 N CONGRESS AVE STE 120
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3329
Practice Address - Country:US
Practice Address - Phone:561-623-5320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty