1578732822 NPI number — OLGA BIRD D.D.S

Table of content: OLGA BIRD D.D.S (NPI 1578732822)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578732822 NPI number — OLGA BIRD D.D.S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIRD
Provider First Name:
OLGA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.D.S
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578732822
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2642 E ORCHARD CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAVIE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33328-6781
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-476-2524
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6491 SUNSET STRIP
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
SUNRISE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33313-2867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-572-1801
Provider Business Practice Location Address Fax Number:
954-572-4195
Provider Enumeration Date:
02/20/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  DN11994 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 18007521547 . This is a "DENTAMAX" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18776383379 . This is a "METLIFE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18002446224 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9546387948 . This is a "NATURALISTIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18002446224 . This is a "HEALTH ASE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18003425209 . This is a "COMPBENEFITS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1632454 . This is a "UNITED CONCORDIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18002563368 . This is a "AMERIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18883358227 . This is a "DELTA DENTAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8004517715 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9544379781 . This is a "NAVEDENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18004410380 . This is a "CARRINGTON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18666332446 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8005584444 . This is a "HUMANAR CARRINGTONG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18006354238 . This is a "SAFEGUARD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18008473995 . This is a "SUMMITT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18009647811 . This is a "ADI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18009647911 . This is a "GUARDIAN" identifier . This identifiers is of the category "OTHER".




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