Organization Active NPI

Smile Pro Dental Group,LLC

  • Dentist
  • Miami, FL
National Provider Identifier
1720764400
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE PRO DENTAL GROUP,LLC
Practice address
10688 SW 24TH St
Miami, FL 33165-7917
Phone
(305) 553-1640
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Osiel Cardenas
Title
Manager
Phone
(305) 553-1640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10688 SW 24TH St
Miami, FL 33165-7917

Mailing address

10688 SW 24TH St
Miami, FL 33165-7917
Phone (305) 553-1640

National Provider Directory

National Provider Directory

Locations

10688 SW 24th St
Miami, FL 33165
Phone (305) 553-1640

Practitioners & affiliated clinicians

Practitioners 1

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": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1720764400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10688 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657917",
            "telephone_number": "305-553-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10688 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657917",
            "telephone_number": "305-553-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PRO DENTAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "OSIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-553-1640"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.