Organization Active NPI

Dental Advantage South LLC

  • Dental Clinic/Center
  • Florida City, FL
National Provider Identifier
1447901582
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL ADVANTAGE SOUTH LLC
Practice address
33497 S Dixie Hwy
Florida City, FL 33034-5642
Phone
(305) 874-7509
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Leiry Velazquez
Title
Owner
Phone
(786) 379-8019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

33497 S Dixie Hwy
Florida City, FL 33034-5642

Mailing address

8650 Coral Way
Miami, FL 33155-2338
Phone (786) 379-8019

National Provider Directory

National Provider Directory

Locations

33497 S Dixie Hwy
Homestead, FL 33034
Phone (305) 874-7509

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1447901582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552338",
            "telephone_number": "786-379-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33497 S DIXIE HWY",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330345642",
            "telephone_number": "305-874-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ADVANTAGE SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "LEIRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-379-8019"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.