Provider Demographics
NPI:1174415319
Name:QUALITY DENTISTRY OF COCONUT CREEK PA
Entity type:Organization
Organization Name:QUALITY DENTISTRY OF COCONUT CREEK PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIFAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:585-978-4040
Mailing Address - Street 1:8332 NW 7TH CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1364
Mailing Address - Country:US
Mailing Address - Phone:585-978-4040
Mailing Address - Fax:
Practice Address - Street 1:5300 W HILLSBORO BLVD STE 204
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4395
Practice Address - Country:US
Practice Address - Phone:585-978-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty