Dental Specialists of Doral Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SPECIALISTS OF DORAL GROUP

Practice address

10305 SW 41 St
Doral, FL 33178

Phone

(786) 355-4401

NPI assigned

Jan 23, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evelyn Cruz

Title

Office Manager/President

Phone

(786) 355-4401

Specialties & licenses 1

Addresses

Tax ID family

Dental Specialists of Doral Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Specialists of Doral Group

  • General Practice Dentistry
  • Miami, FL
  • NPI 1477988442
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1003154261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST",
            "address_2": "# 207",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782396",
            "telephone_number": "786-355-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 SW 41 ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-355-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF DORAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "786-355-4401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selene Denis
• Annieka Dennis
• Dental Diagnostic Scanning & Imaging
• Dental Hygiene Centers of Florida, PLLC
• Dental Specialist of Doral
• Dentists of Doral West, P.a
• Dentists of Doral, PA
• Gabriela Alejandra Deras, BCBA
• Jose J Dergan, PSY.D
• Sandra Deris Atassi, PSY.D.

• General Practice Dentistry in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.