Dental Care of South Florida, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL CARE OF SOUTH FLORIDA, INC

Practice address

2772 NW 7TH St
Miami, FL 33125-4302

Phone

(954) 684-6162

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Ana Desiree Gonzalez, DDS

Title

President

Phone

(954) 684-6162

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1346063633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254302",
            "telephone_number": "954-684-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254302",
            "telephone_number": "954-684-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF SOUTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANA DESIREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-684-6162",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.