Broward County Dental Surgery PA
NPI 1861748402ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Ft Lauderdale, FL
Dentist, Oral and Maxillofacial Surgery in Ft Lauderdale, Florida, registered in NPPES in August 2012, part of Broward County Dental Surgery PA. The authorized official on file is John R. Clarke, DMD, President Broward County Dental Sur.
Overview
| NPI | 1861748402 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Broward County Dental Surgery PA |
| NPI issued | Aug 1, 2012 |
| Last updated in NPPES | Dec 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | DN5272 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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