BOUTIQUE DENTAL (NPI# 1235765983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235765983 |
| Entity Type | Organization |
| Organization Name | BOUTIQUE DENTAL |
| Practice Address |
Urb Royal Town Ave Las Cumbres A20 Bayamon PR 00956 |
| Practice Telephone | 7874286363 |
| Practice Fax Number | 7877995052 |
| Mailing Telephone | 7874286363 |
| Mailing Fax Number | 7877995052 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | JESSICA RIVERA CRUZ (SECRETARY) |
| Authorized Official Telephone | 7874286363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285079962 | Boutique Dental | Clinic/Center | 6835 Myrtle Ave, Glendale, NY 11385-7234 | 2013-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BOUTIQUE DENTAL P.C. | 102-10 63rd Road, Forest Hills, Ny 11375 |
| Street Address |
URB ROYAL TOWN AVE LAS CUMBRES A20 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437514 | Julio Alberto Cedeno Alicea | Pharmacist | Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 | 2020-11-03 |
| 1851992275 | Patricia Santurio | Pharmacist | Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 | 2020-11-03 |
| 1336754423 | Gustavo Jose Morey Cruz | Physical Therapist | Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 | 2020-09-15 |
| 1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
| 1861004285 | Glorilis Zambrana Sr. | Social Worker | Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 | 2020-08-18 |
| 1568073484 | Luz Myriam Bracero | Counselor | Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 | 2020-08-13 |
| 1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
| 1750909495 | Agustin Vazquez | Physician Assistant | Carr 167 Km 10.9, Bayamon, PR 00956 | 2020-07-09 |
| 1710509211 | Carmen Luz Rosa Santiago | Registered Nurse | Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 | 2020-05-07 |
| 1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
| Find all providers in zip 00956 | ||||
| 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 |
|---|---|---|---|---|
| 1093271827 | Suane Ann Canales | Dentist | 725 West Main Plaza Del Sol, Local 1100a, Bayamon, PR 00961 | 2019-02-18 |
| 1306337761 | Morales Dental Care LLC | Dentist | Ave Los Millones D95, Repto Alhambra, Bayamon, PR 00957 | 2018-05-22 |
| 1164887469 | Prosthodontics and Dental Implant Solutions | Dentist | Bb 25 Ave Santa Juanita, Bayamon, PR 00959 | 2015-12-31 |
| 1487990297 | Dana M Ortiz-sastre | Dentist | Ig15 Calle Crisantemo, Urb. Royal Palm, Bayamon, PR 00956-3111 | 2012-12-26 |
| 1811269277 | Levittown Dental | Dentist | Calle 11 A-7 Urb.san Souci, Bayamon, PR 00957 | 2012-02-01 |
| 1528369188 | Stones Dental Services | Dentist | Carr. 167 Km. 226, Hypermercado Pitusa De Bayamon, Bayamon, PR 00959 | 2010-11-12 |
| 1295042240 | Sandoval Dental Services, P.s.c. | Dentist | Aq-34 Ave. Laurel, Urb. Santa Juanita, Bayamon, PR 00956 | 2010-09-10 |
| 1760711964 | Clinica Dental Canton Mall | Dentist | Rio Hondo, Pmb Suite 452, Bayamon, PR 00961-3106 | 2009-12-17 |
| 1447405907 | Veronica Rivera | Dentist | Urb. Santa Cruz B-9, Bayamon, PR 00961 | 2008-11-25 |
| 1447420419 | Metro Medical Dental Associates Inc. | Dentist | 1995 Carr # 2, Suite 2804, Bayamon, PR 00959-2804 | 2008-03-06 |
| Find all providers in BAYAMON | ||||
Please comment or provide details below to improve the information on BOUTIQUE DENTAL.
| 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.