Alpha Dental Group 2 Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14173 Issued in FL

Legal business name

ALPHA DENTAL GROUP 2 INC

Practice address

5870 SW 8TH St Ste 5
West Miami, FL 33144-5052

Phone

(954) 456-1939

Fax

(954) 456-1940

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Patricia M Bobadilla, D.D.S.

Title

Dentist/Owner

Phone

(954) 456-1939

Specialties & licenses 1

Addresses

Other names 1

• Alpha Dental Group 2 Inc Former legal business name

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1467933275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 SW 8TH ST STE 5",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445052",
            "telephone_number": "954-456-1939",
            "fax_number": "954-456-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 SW 8TH ST STE 5",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445052",
            "telephone_number": "954-456-1939",
            "fax_number": "954-456-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTAL GROUP 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "BOBADILLA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "954-456-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dental Group 2 Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alpha Dental Group 2 Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in West Miami, FL
• Providers in West 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 Dec 26, 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.