South Kendall Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOUTH KENDALL DENTISTRY, PA

Doing business as

South Kendall Dentistry

Practice address

15201 SW 127TH Ave.
Suite 3
Miami, FL 33177

Phone

(786) 870-4805

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Minh B Pham, DDS

Title

Owner

Phone

(786) 870-4805

Specialties & licenses 1

Addresses

Other names 1

• South Kendall Dentistry Doing business as

Locations

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1881232221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SW 127TH AVE.",
            "address_2": "SUITE 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "786-870-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH KENDALL DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-870-4805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Kendall Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Kendall Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Florida Wound and Ostomy Care
• South Floridian Village Corp
• South General
• South Health Care Inc
• South Health SF
• South Kendall Dermatology
• South Kendall Dermatology Associates
• South Kendall Home Care, LLC
• South Kendall Medical Services, Inc
• South Labs LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.