Pediatric Dentistry of Miami PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN18428 Issued in FL

Legal business name

PEDIATRIC DENTISTRY OF MIAMI PLLC

Practice address

9485 SW 72ND St
Suite A240
Miami, FL 33173-3242

Phone

(786) 360-5401

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Derek Sanders

Title

Owner

Phone

(305) 598-3384

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1912318320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 SW 72 STREET",
            "address_2": "SUITE A240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "786-360-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "SUITE A240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "786-360-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF MIAMI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-598-3384",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18428",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dental Center of Biscayne Inc
• Pediatric Dental Center of Liberty City Inc
• Pediatric Dental Center of River Landing
• Pediatric Dental Center of West Kendall Inc
• Pediatric Dental Centers of Miami
• Pediatric Dentistry Only PA
• Pediatric Development Center
• Pediatric Development Group
• Pediatric Developmental Health Institute
• Pediatric Emergency Consultants

• Pediatric Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.