COUNTYLINE DENTAL, LLP (NPI# 1063620789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063620789 |
| Entity Type | Organization |
| Organization Name | COUNTYLINE DENTAL, LLP |
| Other Organization Name | FAMILY DENTISTRY OF FLORIDA, COUNTYLINE |
| Practice Address |
21457 Nw 2nd Ave Miami FL 33169-2120 |
| Practice Telephone | 3056541234 |
| Practice Fax Number | 4843480322 |
| Mailing Telephone | 3056541234 |
| Mailing Fax Number | 4843480322 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IGOR PASISNITCHENKO (MEMBER) |
| Authorized Official Telephone | 3056541234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15470 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Family Dentistry of Florida, Countyline | Doing Business As Name - Organization |
| Street Address |
21457 NW 2ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33169-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| 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 |
|---|---|---|---|---|
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| 1912516626 | Mustafa Alameri | Dentist | 117 Sw 10th St Apt 2006, Miami, FL 33130-3689 | 2020-07-28 |
| 1043828973 | Laura Cabrera Dmd Pa | Dentist | 138 Ne 2nd Ave Ste 200, Miami, FL 33132-2509 | 2020-07-16 |
| 1700404613 | Sandra Diaz Dmd Pa | Dentist | 8500 W Flagler St Ste 202b, Miami, FL 33144-2044 | 2020-07-07 |
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1023638749 | Joel O Figueredo Dds Pa | Dentist | 9000 Sw 137th Ave Ste 205, Miami, FL 33186-1436 | 2020-04-22 |
| 1740816644 | Yinet Garcia De Castro | Dentist | 4300 Sw 97th Pl, Miami, FL 33165-5127 | 2020-03-23 |
| 1972139889 | Pino Dental Pa | Dentist | 20161 Sw 127th Ave, Miami, FL 33177-5117 | 2020-03-23 |
| 1235773466 | Blue Dental Studio Inc | Dentist | 9251 W Flagler St Ste B107, Miami, FL 33174-2410 | 2019-10-31 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on COUNTYLINE DENTAL, LLP.
| 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.