Provider Demographics
NPI:1861839714
Name:RICHARD W. KAPLAN, D.D.S, M.D., P.A.
Entity type:Organization
Organization Name:RICHARD W. KAPLAN, D.D.S, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS
Authorized Official - Phone:561-848-0553
Mailing Address - Street 1:1951 BOMAR DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3006
Mailing Address - Country:US
Mailing Address - Phone:561-848-0553
Mailing Address - Fax:561-420-0151
Practice Address - Street 1:1951 BOMAR DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33408-3006
Practice Address - Country:US
Practice Address - Phone:561-848-0553
Practice Address - Fax:561-420-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL116251223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL073664301Medicaid
FL073664301Medicaid
FL63835Medicare PIN