OrganizationDr. Norman Bluth, Dr. Barry Bluth, Pa(Bluth Family Dental)DentistDental ProvidersPractice Address4175 SW 64th Ave, Suite 103, Davie, FL 33314-3459(954) 792-3800PECOS EnrollmentBased on the most recent information from CMS, provider Dr. Norman Bluth, Dr. Barry Bluth, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1932346574Provider TypeOrganizationFull NameDr. Norman Bluth, Dr. Barry Bluth, PaOther NameBluth Family DentalSubpartNoEnumeration Date1/20/2009Last Updated1/20/2009Contact InformationPractice LocationPractice Address4175 SW 64th Ave, Suite 103, Davie, FL 33314-3459Phone(954) 792-3800Fax(954) 792-3377Mailing LocationMailing Address4175 SW 64th Ave, Suite 103, Davie, FL 33314-3459Phone(954) 792-3800Fax(954) 792-3377Authorized OfficialNameBluth, Barry Adam (Dentist)Phone(954) 792-3800Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseFL12656FloridaCode122300000XDescriptionDentistDental ProvidersLicenseFL15109FloridaCode122300000XDescriptionDentistDental ProvidersLicenseFL2848FloridaCode1223P0300XDescriptionDentistDental ProvidersLicenseFL16973Florida