Sierra Dental INC.
Dentist, General Practice in Southwest Ranches, FL. Organization (NPI-2).
NPI number1548683089
StatusActive
Last updated in NPPESFeb 3, 2014
Details
- NPI
- 1548683089
- Entity type
- Organization (NPI-2)
- Legal business name
- Sierra Dental INC.
- Organization subpart
- No
- Enumeration date
- Feb 3, 2014
- Last updated
- Feb 3, 2014
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN0012206 | FL | Yes |
Practice location
4849 Sw 148th AveSouthwest Ranches, FL 33330-2129
Phone 954-434-1702 · Fax 954-689-4828
Mailing address
4849 Sw 148th AveSouthwest Ranches, FL 33330-2129
Phone 954-434-1702 · Fax 954-689-4828
Authorized official
Carlos L Sierra
Owner
9544341702
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Other General Practice Dentistry providers in Southwest Ranches, FL
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