Charles D Mcnutt DDS PA
Charles D Mcnutt DDS PA is a healthcare organization registered as Dentist in Sunrise, FL, holding Type 2 (organization) NPI 1174783369 since 2008. The authorized official on file is Charles Mcnutt, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174783369 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Charles D Mcnutt DDS PA |
| Practice address | 3501 NW 84TH AVE, Sunrise, FL, 33351 |
| Phone | 9547412323 |
| Fax | 9547493606 |
| Enumeration date | 2008-06-11 |
| Last updated in NPPES | 2008-06-11 |
Authorized official
| Name | Charles Mcnutt |
|---|---|
| Title | President |
| Phone | 9547412323 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 5807 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074253800 | Medicaid | FL | — |
Copy-ready billing details
Provider: Charles D Mcnutt DDS PA NPI: 1174783369 Taxonomy: 122300000X (Dentist) Address: 3501 NW 84TH AVE, Sunrise, FL, 33351
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720530447 | Charles D Mcnutt DDS PA | Organization | Point of Service | Sunrise, FL |
| 1609398684 | Jennifer Garcia DDS PA | Organization | Dental Clinic/Center | Sunrise, FL |
Verify this record
Cross-check NPI 1174783369 against the authoritative CMS record: view Charles D Mcnutt DDS PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Charles D Mcnutt DDS PA?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-11.