Health and Cosmetic Dental Care PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19927 Issued in FL

Legal business name

HEALTH AND COSMETIC DENTAL CARE PA

Practice address

4150 NW 7TH St Ste 103
Miami, FL 33126-5535

Phone

(305) 646-9222

Fax

(305) 646-6704

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Gretell M Rodriguez, DDS

Title

Dentist

Phone

(305) 646-9222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1417348467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NW 7TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265535",
            "telephone_number": "305-646-9222",
            "fax_number": "305-646-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NW 7TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265535",
            "telephone_number": "305-646-9222",
            "fax_number": "305-646-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND COSMETIC DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GRETELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-646-9222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008147300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.