Radiant Dental Care, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RADIANT DENTAL CARE, LLC

Practice address

4445 W 16TH Ave Ste 501
Hialeah, FL 33012-4695

Phone

(305) 321-3107

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By 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

Dr. Jorge Emilio Vazquez, DMDNPI 1417163718

Title

Dentist/ Owner

Phone

(305) 321-3107

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Emilio Vazquez, DMD

  • General Practice Dentistry
  • Coral Gables, FL
  • NPI 1417163718
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1760209209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127190",
            "telephone_number": "305-321-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 501",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124695",
            "telephone_number": "305-321-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 NW 4th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172839",
            "country_code": "US",
            "telephone_number": "305-542-9837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2536 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213205",
            "country_code": "US",
            "telephone_number": "954-241-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANT DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "305-321-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.