Dental Services of Aventura, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SERVICES OF AVENTURA, PA

Practice address

2630 NE 203Rd St
Suite 101
Miami, FL 33180-1903

Phone

(305) 258-9838

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth Santiago

Title

Insurance/Credentialing Coordinator

Phone

(305) 258-9838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1528601747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 NE 203RD STREET",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801903",
            "telephone_number": "305-258-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 NE 203RD ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801903",
            "telephone_number": "305-258-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF AVENTURA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "305-258-9838"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Miami, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.