Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tarpon River Dental, PA

Organization General Practice Dentistry · NPI 1134762818

Tarpon River Dental, PA provides General Practice Dentistry in Fort Lauderdale, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

416 SE 11th Ct
Fort Lauderdale, FL 33316-1144
Phone: (954) 663-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1134762818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariel Petruk — Owner · (954) 663-2582
NPI enumeratedOctober 24, 2019
Last updated in NPPESOctober 24, 2019
Mailing address416 Se 11th Ct, Fort Lauderdale, FL 33316-1144

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