Individual provider Active NPI

Grettel Marie Pantaleon, DMD

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1518727353
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN30926 Issued in FL
Practice address
6670 SW 117TH Ave
Miami, FL 33183-2826
Phone
(305) 595-3400
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN30926 FL Primary

Addresses

Primary practice location

6670 SW 117TH Ave
Miami, FL 33183-2826

Mailing address

4505 SW 152ND Ave
Miramar, FL 33027-3357
Phone (786) 459-7900

Other practice location 1

2725 Ponce De Leon Blvd
Coral Gables, FL 33134-6004
Phone (305) 901-1441

Other practice location 2

11500 NW 7th Ave
Miami, FL 33168-2506
Phone (786) 705-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN30926FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Teeth of Kendall PastSince Sep 21, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1518727353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SW 152ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273357",
            "telephone_number": "786-459-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832826",
            "telephone_number": "305-595-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346004",
            "country_code": "US",
            "telephone_number": "305-901-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11500 NW 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331682506",
            "country_code": "US",
            "telephone_number": "786-705-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTALEON",
        "first_name": "GRETTEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.