Rafaela Dejanovic
Dentist · Hallandale Beach, FL
Practice location
1701 E Hallandale Beach BlvdHallandale Beach, FL 33009-4621
- Phone
- (954) 779-3000
NPI record
- NPI
- 1013379346
- Entity type
- Individual (Type 1)
- Enumeration date
- March 25, 2016
- Last updated
- June 3, 2021
- Certified
- June 3, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DN22457 | FL |
| Dentist | 122300000X |
10777 | NC |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
2449 1st StFort Lee, NJ 07024-4001
Other practice locations (3)
- 150 55th St, Brooklyn, NY 11220 · (718) 630-7000
- 150 55th St, Brooklyn, NY 11220 · (718) 630-7000
- 7643 Market St, Wilmington, NC 28411-9458 · (910) 686-9802
About Rafaela Dejanovic
Rafaela Dejanovic is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1701 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621. The NPI number 1013379346 was assigned on March 25, 2016 and the record was last updated on June 3, 2021.
Rafaela Dejanovic lists 2 licenses in the registry: #DN22457 (FL) for Dentist; #10777 (NC) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Rafaela Dejanovic?
The NPI number is 1013379346.
What is the phone number of Rafaela Dejanovic?
The phone number listed for the practice location is (954) 779-3000.
Where is Rafaela Dejanovic located?
1701 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621.
What is the taxonomy code for Rafaela Dejanovic?
The primary taxonomy code is 122300000X – Dentist; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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