Camejo IV DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CAMEJO IV DMD LLC

Doing business as

Tea Tree Dental

Practice address

10768 SW 24TH St
Miami, FL 33165-2493

Phone

(305) 457-1183

NPI assigned

Apr 24, 2019

Last updated

Mar 6, 2025By 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

Dr. Joaquin Camejo IV, DMDNPI 1124407762

Title

General Dentist

Phone

(305) 456-9900

Specialties & licenses 1

Addresses

Other names 1

• Tea Tree Dental Doing business as

Locations

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.

• Joaquin Camejo IV, D.M.D

  • Dentist
  • Miami, FL
  • NPI 1124407762
  NPD Authorized official
• Aldo Javier Segui Hevia, DMD

  • Dentist
  • Miami, FL
  • NPI 1730920893

  General Practice

  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1114581311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10768 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10768 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "305-457-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEJO IV DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "305-456-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tea Tree Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tea Tree Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Laily Camejo Benitez
• Yamilet A Camejo de la Rosa
• Gianna Camejo Garin, DDS
• Ana Rocio Camejo Hernandez
• Jessica Camejo Hernandez, RBT
• Brisaida Camejo Jaen, MS, CF-SLP
• Nery Leisy Camejo Moreno
• Yaritza Carolina Camejo Nava
• Belkis Camejo Pena
• Sarai Katherine Camejo Perez

• 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 Mar 6, 2025; 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.