Active NPI
First Class Dental LLC
Doing business as Coral Gables Dental Health Center
- Dental Clinic/Center
- Coral Gables, FL
National Provider Identifier
1336957216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- FIRST CLASS DENTAL LLC
- Doing business as
- Coral Gables Dental Health Center
- Practice address
- 747 Ponce de Leon Blvd Ste 401
Coral Gables, FL 33134-2073 - Phone
- (305) 444-8591
- NPI assigned
- Dec 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandor Javier Valls, DMD
- Title
- Owner/Dentist
- Phone
- (305) 444-8591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd Ste 401
Coral Gables, FL 33134-2073
Mailing address
9451 SW 192ND Dr
Cutler Bay, FL 33157-7933
Phone (786) 970-9723
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194255539 | Other | FL | CMS |
| 1023742079 | Other | FL | CMS |
| 1689353856 | Other | FL | CMS |
Other names 1
- Coral Gables Dental Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1336957216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9451 SW 192ND DR",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577933",
"telephone_number": "786-970-9723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD STE 401",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342073",
"telephone_number": "305-444-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CLASS DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "VALLS",
"authorized_official_first_name": "SANDOR",
"authorized_official_middle_name": "JAVIER",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "305-444-8591",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "1194255539",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "1023742079",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "1689353856",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Coral Gables Dental Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.