Active NPI
United Dental Specialists, PLLC
- General Practice Dentistry
- Doral, FL
National Provider Identifier
1922489921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0010709
- Legal business name
- UNITED DENTAL SPECIALISTS, PLLC
- Practice address
- 10305 NW 41St St
Ste: 207
Doral, FL 33178-2396 - Phone
- (305) 593-6520
- NPI assigned
- Jun 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David A Bennett, DDS
- Title
- Ceo
- Phone
- (305) 593-6520
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | DN0010709 | FL | Primary |
| Periodontics | 1223P0300X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
10305 NW 41St St
Ste: 207
Doral, FL 33178-2396
Mailing address
10305 NW 41St St
Ste: 207
Doral, FL 33178-2396
Phone (305) 593-6520
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434326400000",
"number": "1922489921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10305 NW 41ST ST",
"address_2": "STE: 207",
"city": "DORAL",
"state": "FL",
"postal_code": "331782396",
"telephone_number": "305-593-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 NW 41ST ST",
"address_2": "STE: 207",
"city": "DORAL",
"state": "FL",
"postal_code": "331782396",
"telephone_number": "305-593-6520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED DENTAL SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-593-6520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0010709",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.