Dental Services of Homestead,PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN10814 Issued in FL

Legal business name

DENTAL SERVICES OF HOMESTEAD,PA

Practice address

25001 SW 127TH Ave
Homestead, FL 33032-5834

Phone

(305) 258-9838

Fax

(305) 258-9872

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Otero, D.D.S.

Title

President

Phone

(305) 258-9838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1225211121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 SW 127TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325834",
            "telephone_number": "305-258-9838",
            "fax_number": "305-258-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 SW 127TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325834",
            "telephone_number": "305-258-9838",
            "fax_number": "305-258-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF HOMESTEAD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-258-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyonka Alexis Denis, LCSW
• Yorklanys Denis
• Rakiya Tamara Denny
• Dental Associates of Homestead, PA
• Dental Care Association,Corp
• Dental Specialists of Homestead
• Dental Specialty Center of Homestead, PA
• Adam Hicham Derbani, PHARM D
• Fatima Deriche Gallardo
• Lourdes Desamours

• Dentist in Homestead, FL
• Providers in Homestead, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.