Elaine Simone De Roode, D.D.S
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Key Biscayne, FL
NPI 1740432913 · NPPES record last updated Oct 18, 2008
Key facts
- NPI
- 1740432913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DN16695 (FL)
- Practice address
- 745 Crandon Blvd Apt 307
Key Biscayne, FL 33149-2509 - Phone
- (305) 361-1077
- NPI assigned
- Oct 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16695 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN16695 | FL | Yes |
Addresses
Primary practice location
745 Crandon Blvd Apt 307
Key Biscayne, FL 33149-2509
Mailing address
745 Crandon Blvd Apt 307
Key Biscayne, FL 33149-2509
Phone (305) 361-1077
Other providers in Key Biscayne, FL
- Jose Luis Chaviano Jr.
- Chia Ling Chow-Watson
- Mauricio Coro
- D.B.M. Distributors
- Mercedes Margarita De Cubas
- Denise Andrea Dixon
- Darlin Sue Dorcely
- Colleen Marie Doucet
- DRS Belle and Arias PA
- Elite Medical Alliance Inc
All providers in Key Biscayne, FL · Orthodontics and Dentofacial Orthopedics Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.