Elite Dental Smile

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 11046 Issued in FL

Legal business name

ELITE DENTAL SMILE

Practice address

4750 NW 7TH St
Miami, FL 33126-2253

Phone

(305) 442-2103

Fax

(305) 442-2116

NPI assigned

Aug 5, 2010

Last updated

Aug 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Mujica

Title

Owner

Phone

(305) 442-2103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1629382346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262253",
            "telephone_number": "305-442-2103",
            "fax_number": "305-442-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262253",
            "telephone_number": "305-442-2103",
            "fax_number": "305-442-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "MUJICA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-442-2103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 11046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Beauty Medical Center Corp
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• Elite Community Transport LLC
• Elite Consulting & Medical Group, Inc.
• Elite Core Therapy, LLC
• Elite Diagnostic Services Corp
• Elite DME Inc
• Elite Eyecare Specialists
• Elite Health & Wellness Center Inc
• Elite Home Care LLC

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.