Gentle Teeth of Kendall

Primary specialty

DentistTaxonomy code 122300000X

License

DN17317 Issued in FL

Legal business name

GENTLE TEETH OF KENDALL

Practice address

6670 SW 117 Ave
Miami, FL 33183

Phone

(305) 595-3400

Fax

(305) 593-3352

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By 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

Dr. Chandy Samuel, DMDNPI 1891917688

Title

President

Phone

(305) 595-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Chandy Samuel, DMD

  • General Practice Dentistry
  • Miami, FL
  • NPI 1891917688
  NPD (past) Authorized official
• Dirk Lance Fleischman, D.D.S.

  • Dentist
  • Miami, FL
  • NPI 1336246883
  NPD (past)
• Grettel Marie Pantaleon, DMD

  • General Practice Dentistry
  • Miami, FL
  • NPI 1518727353
  NPD (past)
• Annabel Perez

  • General Practice Dentistry
  • Miami, FL
  • NPI 1932639283
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1447677554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832826",
            "telephone_number": "305-595-3400",
            "fax_number": "305-596-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 SW 117 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "305-595-3400",
            "fax_number": "305-593-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TEETH OF KENDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "CHANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-595-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.