Eddy Juan Sedeno III, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN20629 Issued in FL

Practice address

8140 NW 155TH St Ste 202
Miami Lakes, FL 33016-5847

Phone

(305) 822-6784

NPI assigned

Nov 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Specialty Smiles PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miami Lakes, FL
  • NPI 1487183950
  NPD Authorized official
• Specialty Smiles PLLC

  • Dentist
  • Miramar, FL
  • NPI 1861110066
  NPD Authorized official

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1578005179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 NW 155TH ST STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165847",
            "telephone_number": "305-822-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 NW 155TH ST STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165847",
            "telephone_number": "305-822-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDENO",
        "first_name": "EDDY",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN20629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Scorpo-Lucas, M.S., CCC-SLP
• SD Behavioral Connections, LLC
• Second Chance Case Management Inc
• Second Chance Case Management Inc
• Sedam Medical Center Inc
• Melissa A Sedeno, DMD
• Melany Segui Rosa
• Antonio Ernesto Segura Reina
• Select Physical Therapy Holdings Inc
• Select Specialty Hospital - Miami Lakes Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.