Palm Beach Gardens Ortho Location Llc
Orthodontics and Dentofacial Clinic
4362 Northlake Blvd Ste 114, Palm Beach Gardens
Florida, 33410-6269
561-658-4100 Maps & DirectionsPalm Beach Gardens Ortho Location Llc is a Orthodontics and Dentofacial Clinic in Palm Beach Gardens, Florida. This organization is also known as sub part of Charleston Orthodontic Specialists, Inc. It is located at 4362 Northlake Blvd Ste 114, Palm Beach Gardens, FL and its contact number is 561-658-4100. The authorized person for Palm Beach Gardens Ortho Location Llc is Mrs. Brenda Cooper
who is Insurance Coordinator of the clinic and their contact number is 561-658-4100. Other organizations associated with this clinic are The Smile Store-palm Beach Gardens, P.a., Palm Beach Gardens Ortho Location Llc,
Palm Beach Gardens Ortho Location Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Palm Beach Gardens Ortho Location Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Palm Beach Gardens Ortho Location Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 4362 Northlake Blvd Ste 114, Palm Beach Gardens, Florida, 33410-6269 |
| Phone: | 561-658-4100 |
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: | Mrs. Brenda Cooper |
| Position: | Insurance Coordinator |
| Contact Number: | 561-658-4100 |
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 Palm Beach Gardens Ortho Location Llc clinic are as mentioned below.
| NPI Number: | 1518505692 |
| Parent Organization: | Charleston Orthodontic Specialists, Inc |
| NPI Enumeration Date: | 19 Dec, 2019 |
| NPI Last Update On: | 02 Jun, 2021 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| The Smile Store-palm Beach Gardens, P.a. | Orthodontics and Dentofacial Orthopedics | 1396492898 |
| Palm Beach Gardens Ortho Location Llc | Orthodontics and Dentofacial Orthopedics | 1518505692 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Palm Beach Gardens Ortho Location Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | 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 |
| 105737100 | 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: | Palm Beach Gardens Ortho Location Llc 4362 Northlake Blvd Ste 114, Palm Beach Gardens, Florida |
| Zip: | 33410-6269 |
| Phone Number: | 561-658-4100 |
Patients can reach Palm Beach Gardens Ortho Location Llc at
4362 Northlake Blvd Ste 114, Palm Beach Gardens, Florida or can
call to book an appointment on 561-658-4100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.