Dental Group of Hialeah

Primary specialty

DentistTaxonomy code 122300000X

License

DN20258 Issued in FL

Legal business name

DENTAL GROUP OF HIALEAH

Practice address

3750 W 16 Ave
Ste 142-Au
Hialeah, FL 33012

Phone

(305) 456-5722

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Danilo A Perez

Title

MGR

Phone

(305) 456-5722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1558818625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16 AVE",
            "address_2": "STE 142-AU",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-456-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16 AVE",
            "address_2": "STE 142-AU",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-456-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF HIALEAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-456-5722"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DENTAL LIC",
            "identifier": "DN20258",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mabel Dennis
• Dental American Group Corp (Dental American Group)
• Dental Boost LLC
• Dental Center of Florida
• Dental Cosmetic Miami LLC
• Dental Partner Group, PA
• Dental Services Plus
• Dentists of Hialeah, PA
• Dentists of Miami Gardens, PA (Dentists of Miami Gardens)
• Zayda C Depaz, RPH

• 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 Sep 7, 2016; 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.