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St. John Dental Center P.A

Dentist in Miami, FL. Organization (NPI-2).

NPI number1497005276
StatusActive
Last updated in NPPESSep 19, 2012

Details

NPI
1497005276
Entity type
Organization (NPI-2)
Legal business name
St. John Dental Center P.A
Organization subpart
No
Enumeration date
Sep 19, 2012
Last updated
Sep 19, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

161 Nw 29th St
Miami, FL 33127-3929

Phone 786-313-3330

Mailing address

161 Nw 29th St
Miami, FL 33127-3929

Authorized official

Celia Figueroa
President
7863133330

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.

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