Rafaela Dejanovic

Dentist · Hallandale Beach, FL

Individual Active NPI

NPI number 1013379346

Practice location

1701 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621
Phone
(954) 779-3000

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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

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN22457 FL
Dentist 122300000X 10777 NC
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2449 1st St
Fort 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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