Palmetto Smile Center PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMETTO SMILE CENTER PA

Practice address

6500 Cow Pen Rd Ste 104
Miami Lakes, FL 33014-7620

Phone

(305) 827-3926

Fax

(305) 827-8109

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Martha MaderalNPI 1497870083

Title

Onwer

Phone

(305) 827-3926

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Martha Maderal, DDS

  • Dentist
  • Miami Lakes, FL
  • NPI 1497870083
  NPD Authorized official
• Alexandria D Garcini, DMD, MS

  • Dentist
  • Miami Lakes, FL
  • NPI 1194557934
  NPD
• Jessica Bouzo, DMD

  • Dentist
  • Hialeah, FL
  • NPI 1063039352

  Single Specialty

  NPD (past)
• Erick Delgado, DMD

  • General Practice Dentistry
  • Plantation, FL
  • NPI 1003605247
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1265200299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 COW PEN RD STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147620",
            "telephone_number": "305-827-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 COW PEN RD STE 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147620",
            "telephone_number": "305-827-3926",
            "fax_number": "305-827-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SMILE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MADERAL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "305-827-3926",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siva Kumar Palakurthi
• Ana Maria Palli Martinez
• Palm Springs Community Health Center Corp
• Palmetto Lakes Wellness Center Inc
• Palmetto Living Facility, Inc.
• Ines M Palomino
• Jorge Pando, M.D. FACOG
• Sara Mahmoud Panella, PHARMD, BCPS
• Yanelis Pantoja
• Paradise Home Health Care LLC

• General Practice Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, 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 Dec 19, 2023; 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.