Blue Dental Studio Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLUE DENTAL STUDIO INC

Practice address

9251 W Flagler St Ste B107
Miami, FL 33174-2410

Phone

(786) 634-1072

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Delia Maria Garcia PinoNPI 1639413206

Title

President

Phone

(407) 583-9178

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delia Maria Garcia Pino, DMD

  • Dentist
  • Orlando, FL
  • NPI 1639413206
  NPD (past) Authorized official
• Maria De Las Mercedes Cutanda Puigvert, DDS

  • Dentist
  • Miramar, FL
  • NPI 1588271803

  General Practice

  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1235773466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 W FLAGLER ST STE B107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742410",
            "telephone_number": "786-634-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 W FLAGLER ST STE B107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742410",
            "telephone_number": "786-634-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DENTAL STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA PINO",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-583-9178"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 31, 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.