Mia Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MIA DENTAL CORP

Doing business as

South Beach Dentistry

Practice address

407 Lincoln Rd Ste 700
Miami Beach, FL 33139-3024

Phone

(305) 532-6795

Fax

(305) 728-0854

NPI assigned

Dec 23, 2024

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandor Javier Valls, DMD

Title

Owner/Dentist

Phone

(305) 532-6795

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Beach Dentistry Doing business as

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1487462362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9451 SW 192ND DR",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577933",
            "telephone_number": "786-970-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD STE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393024",
            "telephone_number": "305-532-6795",
            "fax_number": "305-728-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "VALLS",
        "authorized_official_first_name": "SANDOR",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "305-532-6795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPES",
            "identifier": "1194255539",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPES",
            "identifier": "1023742079",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Beach Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Messore, M.D.
• Jeffrey Mesuk, MD
• Curtis Mewbourne
• Whitney Mhoon-Mock, PHD
• Mia Consulting Group, Inc.
• Miami Beach Acupuncture Center
• Miami Beach Anesthesiology Associates Inc
• Miami Beach Behavioral Health LLC
• Miami Beach Center for Dental Specialties, PA (Main Street Children's Dentistry of Miami Beach)
• Miami Beach Center for Dental Specialties, PA (Miami Beach Dental Center)

• Dental Clinic/Center in Miami Beach, FL
• Providers in Miami Beach, 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 Dec 23, 2024; 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.