Lazaro F. Gavilla, DDS

Dentist · Pompano Beach, FL

Individual Active NPI

NPI number 1982947651

Practice location

2701 NE 14TH Street CSWY Ste 4
Pompano Beach, FL 33062-3535
Phone
(754) 205-4900

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NPI record

NPI
1982947651
Entity type
Individual (Type 1)
Enumeration date
April 1, 2013
Last updated
April 25, 2023
Certified
April 25, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN20449 FL
Dentist 122300000X 057508-1 NY

About Dr. Gavilla

Lazaro F. Gavilla, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2701 NE 14TH Street CSWY Ste 4, Pompano Beach, FL 33062-3535. The NPI number 1982947651 was assigned on April 1, 2013 and the record was last updated on April 25, 2023.

Dr. Gavilla lists 2 licenses in the registry: #DN20449 (FL) for Dentist; #057508-1 (NY) 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 Lazaro F. Gavilla, DDS?

The NPI number is 1982947651.

What is the phone number of Dr. Gavilla?

The phone number listed for the practice location is (754) 205-4900.

Where is Dr. Gavilla located?

2701 NE 14TH Street CSWY Ste 4, Pompano Beach, FL 33062-3535.

What is the taxonomy code for Dr. Gavilla?

The primary taxonomy code is 122300000X – Dentist; 1 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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