Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL CENTER LLC

Practice address

1125 NW 22ND Ave
Miami, FL 33125-2738

Phone

(305) 649-6112

Fax

(305) 649-1803

NPI assigned

Feb 6, 2020

Last updated

Jul 30, 2021By 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. Luis S Lopez-Chamorro

Title

Administrator

Phone

(305) 649-6112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1649802760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6112",
            "fax_number": "305-649-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6112",
            "fax_number": "305-649-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-CHAMORRO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-649-6112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Care of South Florida, Inc
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• Dental Center at Baptist, PA (Dental Specialty Center at Baptist)
• Dental Center at Baptist, PA (Dental Specialty Center at Baptist)
• Dental Center of Country Walk, LLC (Dental Center of Country Walk)
• Dental Cosmetics of Florida, PA
• Dental Design Specialists
• Dental Esthetic Smile LLC
• Dental Excellence Partners 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 Jul 30, 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.