Stephen Criscuolo
Pediatric Dentist
8311 N Pine Island Rd
Tamarac
, Florida 33321-1539
Stephen Criscuolo
Pediatric Dentist
8311 N Pine Island Rd
Tamarac
, Florida 33321-1539
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Stephen Criscuolo
- 7500 Nw 5th St Ste 107
- Plantation, FL
- Zip : 33317-1612
- Phone :
Second Address
- Stephen Criscuolo
- 8311 N Pine Island Rd
- Tamarac, FL
- Zip : 33321-1539
- Fax : (954) 314-0575
- Phone : (954) 228-7284
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FAQs
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Is Stephen Criscuolo a sole practitioner?
Is Stephen Criscuolo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DN21814 | FL |
National Provider Identifier
| NPI | 1053792168 |
|---|---|
| Provider Name | Stephen Criscuolo |
| First Address | Plantation, FL 33317-1612 |
| Second Address | Tamarac, FL 33321-1539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2015 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.