Great Dental Expressions Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREAT DENTAL EXPRESSIONS INC.

Practice address

568 Hialeah Dr
Hialeah, FL 33010-5349

Phone

(305) 835-0123

Fax

(305) 835-0128

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Aniel O Maza

Title

Owner

Phone

(305) 835-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DENTAL Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1487293189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105349",
            "telephone_number": "305-835-0123",
            "fax_number": "305-835-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 HIALEAH DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105349",
            "telephone_number": "305-835-0123",
            "fax_number": "305-835-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT DENTAL EXPRESSIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "MAZA",
        "authorized_official_first_name": "ANIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-835-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1760737480",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GREATDENTALMIAMI.COM",
            "affiliation": "N",
            "address_1": "568 Hialeah Dr",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330105349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Grau Echavarri, RBT
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• Odalis Graveran
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• Greater Florida Emergency Group, LLC

• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.