PALM DENTAL CENTER, PA (NPI# 1043323587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043323587 |
| Entity Type | Organization |
| Organization Name | PALM DENTAL CENTER, PA |
| Other Organization Name | PALM CENTER FOR DENTAL SPECIALTIES |
| Practice Address |
7150 W 20 Ave Suite 102 Hialeah FL 33016 |
| Mailing Address |
13195 Sw 134 St 2nd Floor Miami FL 33186 |
| Practice Telephone | 3055563313 |
| Mailing Telephone | 3052742499 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | STEPHANIE GOMEZ (PROVIDER RELATIONS) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Palm Center for Dental Specialties | Doing Business As Name - Organization |
| Street Address |
7150 W 20 AVE SUITE 102 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720022635 | Hector Luis Fernandez | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-15 |
| 1568581130 | Wendy Reiss Rothfield | Social Worker | 7150 W 20 Ave, #315, Hialeah, FL 33016 | 2007-03-28 |
| 1386756641 | Main Street Children's Dentistry At Palmetto Hospital, Pa | Dentist | 7150 W 20 Ave, Suite 103, Hialeah, FL 33016 | 2006-08-31 |
| 1740214337 | Gonzalez Abreu and Fernandez Md Pa | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-07-10 |
| 1205872314 | Rolando Gonzalez | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-20 |
| 1114963220 | Jose Jesus Abreu | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384535 | Mariano Gutierrez | Dentist | 3822 W 16th Ave, Hialeah, FL 33012-7040 | 2019-09-10 |
| 1669930459 | A-z Dental Inc. | Dentist | 5924 W 16th Ave, Hialeah, FL 33012-6814 | 2019-03-11 |
| 1053803056 | Seven Dental of Hialeah, Inc | Dentist | 1935 W 60th St, Hialeah, FL 33012-7504 | 2018-06-05 |
| 1790293595 | Karolina Rincon | Dentist | 18300 Nw 62nd Ave Ste 120, Hialeah, FL 33015-8207 | 2018-01-15 |
| 1073028684 | Pedro Quesada, Dds,pa | Dentist | 742 W 49th St, Hialeah, FL 33012-3609 | 2017-12-05 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1487176020 | Jose Leonel Vazquez Llana | Dentist | 2387 W 68th St Ste 302, Hialeah, FL 33016-6890 | 2017-07-15 |
| 1851842181 | Dental Partner Group, Pa | Dentist | 1124 W 29th St, Hialeah, FL 33012-5019 | 2016-10-21 |
| 1447619820 | Julian Ruiz Rodriguez | Dentist | 18111 Nw 68th Ave Apt I204, Hialeah, FL 33015-3956 | 2016-02-15 |
| 1679931000 | Christina Maria Reyes | Dentist | 4410 W 16th Ave Ste 58, Hialeah, FL 33012-7194 | 2016-01-30 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.