South Dental of Dadeland and Spa, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

14672 Issued in FL

Legal business name

SOUTH DENTAL OF DADELAND AND SPA, INC.

Practice address

9035 SW 73Rd PL
Miami, FL 33156-2963

Phone

(305) 670-9996

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Elias Tobon-Angel, DMD

Title

Owner

Phone

(305) 388-7599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lorena Pell, DDS

  • General Practice Dentistry
  • Miami, FL
  • NPI 1396226627
  NPD (past)

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1477998367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 SW 73RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562963",
            "telephone_number": "305-670-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 SW 73RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562963",
            "telephone_number": "305-670-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DENTAL OF DADELAND AND SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "TOBON-ANGEL",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-388-7599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "14672",
            "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 May 6, 2013; 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.