Jcm Dental Group, INC
Dentist, General Practice in Miami, FL. Organization (NPI-2).
NPI number1124884473
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1124884473
- Entity type
- Organization (NPI-2)
- Legal business name
- Jcm Dental Group, INC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2024
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 1223D0004X | Dentist, Dentist Anesthesiologist Speciality | – | – | |
| 1223E0200X | Dentist, Endodontics | – | – | |
| 1223P0106X | Dentist, Oral and Maxillofacial Pathology | – | – | |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 1223P0700X | Dentist, Prosthodontics | – | – | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | |
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | |
| 1223X2210X | Dentist, Orofacial Pain | – | – |
Other names
- Jcm Family Dental (Doing Business As)
Practice location
9835 Sw 72nd St Ste 209Miami, FL 33173-4647
Phone 305-400-9835 · Fax 786-796-9699
Mailing address
9835 Sw 72nd St Ste 209Miami, FL 33173-4647
Phone 305-400-9835 · Fax 786-796-9699
Authorized official
Julieta Maria Morales Rueda
President
3054009835
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