Florida Dental Alliance

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FLORIDA DENTAL ALLIANCE

Practice address

4355 W 16 Ave Suite
#205A
Hialeah, FL 33012

Phone

(305) 766-3930

NPI assigned

Aug 30, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Pena

Title

Owner

Phone

(305) 766-3930

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marioly Fernandez, DMD

  • Dentist
  • Hialeah, FL
  • NPI 1235424904
  NPD (past)
• Odalys Valenzuela, DDS

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1063601631
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023536026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE STE 205A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127668",
            "telephone_number": "305-824-9199",
            "fax_number": "305-824-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 W 16 AVE SUITE",
            "address_2": "#205A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-766-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DENTAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-766-3930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yira Flores, MD
• Angelica M Florez
• Florida Behavioral System LLC
• Florida Children's Dentistry, P.a.
• Florida City Rehab & Medical Center
• Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
• Florida ENT Associates, Inc.
• Florida Eye Care Associates PA
• Florida Foot & Ankle Associates LLC
• Florida Healthcare Corp

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Jul 21, 2022; 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.