Dental Blush Miami PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL BLUSH MIAMI PA

Practice address

12260 SW 8TH St Ste 226
Miami, FL 33184-1549

Phone

(305) 553-0666

Fax

(305) 553-0933

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yacell Del Toro

Title

General Manager

Phone

(305) 553-0666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Blush Miami Former legal business name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geraldine Pullas, DDS

  • General Practice Dentistry
  • Miami, FL
  • NPI 1407746464
  NPD
• Yesenia Rosell Padron, DMD

  • Dentist
  • Miami, FL
  • NPI 1053290403
  NPD
• Jose Serafin Seota, DDS

  • General Practice Dentistry
  • Miami, FL
  • NPI 1346730843
  NPD
• Luis Heriberto Fonseca, D.M.D.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1770614794
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1285267047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12260 SW 8TH ST STE 226",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841549",
            "telephone_number": "305-553-0666",
            "fax_number": "305-553-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 SW 8TH ST STE 226",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841549",
            "telephone_number": "305-553-0666",
            "fax_number": "305-553-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BLUSH MIAMI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "DEL TORO",
        "authorized_official_first_name": "YACELL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "305-553-0666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE",
            "identifier": "1750788030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Blush Miami",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.