Miami Dental Specialist Group Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIAMI DENTAL SPECIALIST GROUP CORP

Practice address

2701 W Oakland Park Blvd Ste 205B
Oakland Park, FL 33311-1330

Phone

(954) 296-3631

NPI assigned

Nov 11, 2025

Organization subpart

No

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

Authorized official

Name

Miguel Godoy

Title

General Manager

Phone

(954) 296-3631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1285504464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 205B",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111330",
            "telephone_number": "954-296-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 205B",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111330",
            "telephone_number": "954-296-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DENTAL SPECIALIST GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "GODOY",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "954-296-3631"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Mendiratta, M.D.
• Kimberly Lynn Mercer Etheredge, D.C.
• Herdyne Mercier
• Emmanuel Metzer Metayer, ARNP
• Brian Mevorah, M.D.
• Michael F Petrie DC PA (Petrie Chiropractic Life Center)
• Michael T Reilly MD & David H Gilbert MD PA
• Midland Cares Inc
• Midland Cares Inc
• Midland Medical Broward LLC (Midland Wellness Centers)

• General Practice Dentistry in Oakland Park, FL
• Providers in Oakland Park, 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 11, 2025; 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.