Kendall Square Dental Studio PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KENDALL SQUARE DENTAL STUDIO PLLC

Practice address

8905 SW 169TH CT Ste 109
Miami, FL 33196-4770

Phone

(786) 354-1599

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jans Gandul Cabrera, DMDNPI 1487176996

Title

General Dentist

Phone

(786) 354-1599

Specialties & licenses 1

Addresses

Other names 1

• Kendall Square Dental Studio PLLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jans Gandul Cabrera, DMD

  • General Practice Dentistry
  • Miami, FL
  • NPI 1487176996
  NPD Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1912603598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 SW 144TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843252",
            "telephone_number": "786-354-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 SW 169TH CT STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964770",
            "telephone_number": "786-354-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL SQUARE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "GANDUL CABRERA",
        "authorized_official_first_name": "JANS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "786-354-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall Square Dental Studio PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Kendall Speech and Language Center, Inc.
• Kendall Therapeutics Inc
• Kendall Therapy for Kids Corp
• Kendall Union Medical Supply Corp
• Kendall Urgent Care
• Kendall Urgent Care Corp

• 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 Feb 6, 2023; 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.