Organization Active NPI

Advance and General Dental

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1548922966
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANCE AND GENERAL DENTAL
Practice address
820 East 41St
Suite #202
Hialeah, FL 33013
Phone
(305) 836-3635
Fax
(305) 836-3670
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Aymara Fernandez
Title
Office Manager
Phone
(305) 836-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

820 East 41St
Suite #202
Hialeah, FL 33013

Mailing address

820 East 41St
Suite #202
Hialeah, FL 33013
Phone (305) 836-3635

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1548922966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EAST 41ST",
            "address_2": "SUITE #202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-836-3635",
            "fax_number": "305-836-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EAST 41ST",
            "address_2": "SUITE #202",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-836-3635",
            "fax_number": "305-836-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE AND GENERAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "AYMARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-836-3635"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.