Organization Active NPI

Fundroa Dental Smile LLC

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1972492411
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FUNDROA DENTAL SMILE LLC
Practice address
8740 N Kendall Dr Ste 220
Miami, FL 33176-2221
Phone
(305) 270-8029
Fax
(305) 273-8437
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Dr. Jelsey Fundora
Title
General Dentist
Phone
(786) 317-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8740 N Kendall Dr Ste 220
Miami, FL 33176-2221

Mailing address

8740 N Kendall Dr Ste 220
Miami, FL 33176-2221
Phone (305) 270-8029

Other names 1

  • Best Dental Creations Doing business as

National Provider Directory

National Provider Directory

Locations

8740 N Kendall Dr
Ste 220
Miami, FL 33176
Phone (305) 270-8029

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1972492411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR STE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762221",
            "telephone_number": "305-270-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 N KENDALL DR STE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762221",
            "telephone_number": "305-270-8029",
            "fax_number": "305-273-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDROA DENTAL SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "FUNDORA",
        "authorized_official_first_name": "JELSEY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "786-317-1337",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Dental Creations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.