Dental Group of South Florida IV

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN17638 Issued in FL

Legal business name

DENTAL GROUP OF SOUTH FLORIDA IV

Practice address

11373 SW 211TH St Ste 10-11
Miami, FL 33189-2245

Phone

(305) 542-3197

Fax

(786) 713-0959

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Rolando Bello

Title

VP

Phone

(305) 542-3197

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1477085983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST STE 10-11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892245",
            "telephone_number": "305-542-3197",
            "fax_number": "786-713-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 SW 211TH ST STE 10-11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892245",
            "telephone_number": "305-542-3197",
            "fax_number": "786-713-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF SOUTH FLORIDA IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-542-3197"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076710700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Family Center LLC
• Dental Family Services
• Dental Group of Kendall Inc
• Dental Group of Miami PA
• Dental Group of South Florida II
• Dental Group of South Florida V Inc
• Dental Group of South Florida,Inc
• Dental Group of South Florida,Inc
• Dental Hauss LLC
• Dental Implant 24HRS Miami LLC

• Dental Clinic/Center in Miami, FL
• Providers in Miami, 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 Apr 3, 2017; 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.