Organization · NPI-2

183 Dental Group, PA

Dentist, General Practice · Miami, FL

NPI number1104969039
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1104969039
Entity type
Organization (NPI-2)
Legal business name
183 Dental Group, PA
Organization subpart
No
Enumeration date
Feb 14, 2007
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN 12408FLYes

Practice location

636 Nw 183rd St
Miami, FL 33169-4470

Phone 305-652-8338 · Fax 305-653-5807

Mailing address

636 Nw 183rd St
Miami, FL 33169-4470

Phone 305-652-8338 · Fax 305-653-5807

Authorized official

Todd A. Smith
Dentist
3056528338

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Miami, FL