Provider Demographics
NPI:1952705055
Name:PLANES DENTAL ARTS PLLC
Entity Type:Organization
Organization Name:PLANES DENTAL ARTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:A
Authorized Official - Last Name:PLANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-205-3099
Mailing Address - Street 1:4755 HIGHWAY A1A
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-5402
Mailing Address - Country:US
Mailing Address - Phone:772-205-3099
Mailing Address - Fax:
Practice Address - Street 1:4755 HIGHWAY A1A
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-5402
Practice Address - Country:US
Practice Address - Phone:772-205-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty