Countyline Dental, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15470 Issued in FL

Legal business name

COUNTYLINE DENTAL, LLP

Doing business as

Family Dentistry of Florida, Countyline

Practice address

21457 NW 2ND Ave
Miami, FL 33169-2120

Phone

(305) 654-1234

Fax

(484) 348-0322

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Igor Pasisnitchenko

Title

Member

Phone

(305) 654-1234

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Florida, Countyline Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063620789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21457 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692120",
            "telephone_number": "305-654-1234",
            "fax_number": "484-348-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21457 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692120",
            "telephone_number": "305-654-1234",
            "fax_number": "484-348-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTYLINE DENTAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASISNITCHENKO",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-654-1234",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Florida, Countyline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Countrywide Billing Services Inc
• County Line Chiropractic Center, Inc.
• Countyline Dentistry PA
• Countywide Taxi, Inc
• Sarah Ken Couper, FNP, PMHNP
• Steve Clifford Courel, M.D.
• Maria De Lurdes Couret Morales

• General Practice Dentistry in Miami, FL
• Providers in Miami, 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 Aug 22, 2020; 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.