Organization Active NPI

Innovadent Smile LLC

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1073457453
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INNOVADENT SMILE LLC
Practice address
8700 W Flagler St Ste 407
Miami, FL 33174-2401
Phone
(786) 721-3934
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Carolina Mesa
Title
Office Manager
Phone
(908) 422-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8700 W Flagler St Ste 407
Miami, FL 33174-2401

Mailing address

8700 W Flagler St
Suite 407
Miami, FL 33174
Phone (786) 721-3934

National Provider Directory

National Provider Directory

Locations

8700 W Flagler St
Ste 407
Miami, FL 33174
Phone (786) 721-3934

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1073457453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W FLAGLER ST",
            "address_2": "SUITE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "786-721-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W FLAGLER ST STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742401",
            "telephone_number": "786-721-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVADENT SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-422-9130"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.