Super Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

584600-2 Issued in FL

Legal business name

SUPER DENTAL INC

Practice address

995 N Miami Beach Blvd
Suite137
North Miami Beach, FL 33162-3721

Phone

(305) 945-9333

Fax

(305) 945-9444

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank Hidalgo

Title

Vice-President

Phone

(305) 945-9333

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, and the practitioner matching its NPPES authorized official.

• Maria Alejandra Yanez Bravo, DDS

  • General Practice Dentistry
  • North Miami Beach, FL
  • NPI 1891074183
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427272947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE137",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-945-9333",
            "fax_number": "305-945-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE137",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-945-9333",
            "fax_number": "305-945-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "305-945-9333"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "584600-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.