Dental Specialist of Doral

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SPECIALIST OF DORAL

Practice address

10305 NW 41St St
207
Doral, FL 33178-2396

Phone

(786) 355-4401

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Evelyn Martinez

Title

Partner/Office Manager

Phone

(786) 355-4401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1124377916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST",
            "address_2": "207",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782396",
            "telephone_number": "786-355-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST",
            "address_2": "207",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782396",
            "telephone_number": "786-355-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALIST OF DORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PARTNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "786-355-4401"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denali CRT, LLC
• Selene Denis
• Annieka Dennis
• Dental Diagnostic Scanning & Imaging
• Dental Hygiene Centers of Florida, PLLC
• Dental Specialists of Doral Group
• Dentists of Doral West, P.a
• Dentists of Doral, PA
• Gabriela Alejandra Deras, BCBA
• Jose J Dergan, PSY.D

• General Practice Dentistry in Doral, FL
• Providers in Doral, 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 Sep 7, 2012; 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.