Dental Group of South Florida,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17638 Issued in FL

Legal business name

DENTAL GROUP OF SOUTH FLORIDA,INC

Practice address

13419 SW 56 St
Miami, FL 33175

Phone

(305) 559-2663

Fax

(305) 559-3040

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Maria Josefina Alvarez, DDS

Title

President

Phone

(305) 444-8591

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

Dental Group of South Floridainc2 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 Group of South Florida,Inc

  • Dentist
  • Miami, FL
  • NPI 1841320074
  NPD tax ID

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1073720645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13419 SW 56 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-559-2663",
            "fax_number": "305-559-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 SW 56 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-559-2663",
            "fax_number": "305-559-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF SOUTH FLORIDA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "JOSEFINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-8591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17638",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11187",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12021",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16376",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH16946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076710700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Group of Kendall Inc
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• Dental Group of South Florida II
• Dental Group of South Florida IV
• Dental Group of South Florida V Inc
• Dental Group of South Florida,Inc
• Dental Hauss LLC
• Dental Implant 24HRS Miami LLC
• Dental Implant 24HRS Westchester LLC
• Dental Managed Care Consultants LLC

• 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 Nov 1, 2019; 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.