Dental Partner Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20998 Issued in FL

Legal business name

DENTAL PARTNER GROUP, PA

Practice address

1124 W 29TH St
Hialeah, FL 33012-5019

Phone

(305) 885-7767

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Marlen Gutierrez, DDS

Title

General Dentist

Phone

(305) 885-7767

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1851842181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125019",
            "telephone_number": "305-885-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125019",
            "telephone_number": "305-885-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARTNER GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "305-885-7767",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014805301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental American Group Corp
• Dental Boost LLC
• Dental Center of Florida
• Dental Cosmetic Miami LLC
• Dental Group of Hialeah
• Dental Services Plus
• Dentists of Hialeah, PA
• Dentists of Miami Gardens, PA
• Zayda C Depaz, RPH
• Dependable Wound Care Services, LLC

• General Practice Dentistry in Hialeah, FL
• Providers in Hialeah, 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 Oct 21, 2016; 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.