Provider Demographics
NPI:1982486718
Name:PARKLAND ORTHODONTICS I, LLC
Entity Type:Organization
Organization Name:PARKLAND ORTHODONTICS I, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ONNI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:954-553-2207
Mailing Address - Street 1:7633 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3524
Mailing Address - Country:US
Mailing Address - Phone:954-553-2207
Mailing Address - Fax:
Practice Address - Street 1:7633 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-3524
Practice Address - Country:US
Practice Address - Phone:954-553-2207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental