Universal Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13222 Issued in FL

Legal business name

UNIVERSAL DENTAL GROUP

Practice address

1935 West 60 Street
Hialeah, FL 33012

Phone

(305) 821-3344

Fax

(305) 821-3311

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Juan Gonzalez, MR

Title

President

Phone

(305) 903-1161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1265709554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W 60TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127504",
            "telephone_number": "305-821-3344",
            "fax_number": "305-821-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 WEST 60 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-821-3344",
            "fax_number": "305-821-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-903-1161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Help Home Health,Inc
• United Medical Healthcare Compliance Solutions LLC
• Unity Wellness Services LLC
• Universal
• Universal Community Services Inc.
• Universal Health Care Association
• Universal Healthcare Logistics Corp
• Universal Med-Care Center Corp
• Universal Medical Diagnostic Services Inc
• Universal Recovery Center Corp

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Nov 30, 2011; 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.