Phoenix Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN13031 Issued in FL

Legal business name

PHOENIX DENTAL, INC

Doing business as

The Family Dental Group

Practice address

2645 SW 37TH Ave
Ste 303
Miami, FL 33133-2754

Phone

(305) 441-0499

Fax

(305) 441-0114

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ramon Bana, D.D,S.

Title

President

Phone

(305) 644-9375

Specialties & licenses 1

Addresses

Other names 1

• The Family Dental Group Doing business as

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780680421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "SUITE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-441-0499",
            "fax_number": "305-441-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-441-0499",
            "fax_number": "305-441-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-644-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D,S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN13031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Rae Phillips
• Laroche Philocles, PT
• Phlebotomy Associates of FL
• Phoenix Behavioral Health LLC
• Phoenix Center for Healing P.a.
• Phoenix Medical Rehab Inc
• Phoenix Psychsolutions LLC
• Phoenix Rehab Center Corp
• Phoenix Wellness Center LLC
• Phu H Nguyen DPM PA

• Dental Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.