International Dental Clinic, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11609 Issued in FL

Legal business name

INTERNATIONAL DENTAL CLINIC, PA

Practice address

9100 SW 24TH St Ste 4
Miami, FL 33165-2066

Phone

(786) 401-6798

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Filiberto J Herdocia, DDS

Title

President

Phone

(786) 401-6798

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maylan Magdalena Rodriguez Orraca, DDS

  • General Practice Dentistry
  • Miami, FL
  • NPI 1780189100
  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1346629292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 SW 24TH ST STE 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652066",
            "telephone_number": "786-401-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SW 24TH ST STE 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652066",
            "telephone_number": "786-401-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DENTAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "HERDOCIA",
        "authorized_official_first_name": "FILIBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-401-6798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Impact, LLC
• Internal Medicine Group of South Florida
• Internal Medicine Institute of Florida, LLC
• International Center for Human Relations
• International Children Relief Fundation Corporation
• International Dermatology Research, Inc.
• International Healthcare Medical Corp
• International Home Care Services, Inc.
• International Integrative Therapy, LLC
• International J LLC

• General Practice Dentistry in Miami, FL
• Providers in Miami, 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 May 26, 2015; 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.