Broward County Dental Surgery Pa
Oral and Maxillofacial Dental Clinic
5181 Ne 19 Ave, Ft Lauderdale
Florida, 33308
954-562-9610 954-772-2569
Maps & DirectionsBroward County Dental Surgery Pa is a Oral and Maxillofacial Dental Clinic in Ft Lauderdale, Florida. This organization is also known as sub part of Broward County Dental Surgery Pa. It is located at 5181 Ne 19 Ave, Ft Lauderdale, FL and its contact number is 954-562-9610. The authorized person for Broward County Dental Surgery Pa is Dr. John R Clarke
who is President Broward County Dental Sur of the clinic and their contact number is 954-562-9610. The primary license number for Broward County Dental Surgery Pa is DN5272 (Oral and Maxillofacial Surgery) in Florida.
Broward County Dental Surgery Pa Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Broward County Dental Surgery Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Broward County Dental Surgery Pa |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 5181 Ne 19 Ave, Ft Lauderdale,
Florida, 33308 |
| Phone: | 954-562-9610 |
| Fax: | 954-772-2569 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. John R Clarke |
| Position: | President Broward County Dental Sur |
| Contact Number: | 954-562-9610 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Broward County Dental Surgery Pa clinic are as mentioned below.
| NPI Number: | 1861748402 |
| Parent Organization: | Broward County Dental Surgery Pa |
| NPI Enumeration Date: | 01 Aug, 2012 |
| NPI Last Update On: | 17 Dec, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broward County Dental Surgery Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | DN5272 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 070653100 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Broward County Dental Surgery Pa
Po Box 11223,
Ft Lauderdale, Florida |
| Zip: | 33339 |
| Phone Number: | 954-562-9610 |
| Fax Number: | 954-772-2569 |
Patients can reach Broward County Dental Surgery Pa at
5181 Ne 19 Ave, Ft Lauderdale, Florida or can
call to book an appointment on 954-562-9610.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.