Dental Specialists of Doral Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 2046 Issued in FL

Legal business name

DENTAL SPECIALISTS OF DORAL GROUP

Practice address

10666 Fontainebleau Blvd
Miami, FL 33172-3117

Phone

(786) 355-4401

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Golden, D.D.S

Title

Clinical Director / Owner

Phone

(786) 355-4401

Specialties & licenses 1

Addresses

Tax ID family

Dental Specialists of Doral Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Specialists of Doral Group

  • General Practice Dentistry
  • Doral, FL
  • NPI 1003154261
  NPD tax ID

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1477988442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10666 FONTAINEBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723117",
            "telephone_number": "786-355-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 FONTAINEBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723117",
            "telephone_number": "786-355-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF DORAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "786-355-4401",
        "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": "DN 2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.