BEACH DENTAL SPECIALIST (NPI# 1477894079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477894079 |
Entity Type | Organization |
Organization Name | BEACH DENTAL SPECIALIST |
Practice Address |
4011 W Flagler St. 505 Miami FL 33134 |
Practice Telephone | 3054242705 |
Practice Fax Number | 3056430447 |
Mailing Telephone | 3054242705 |
Mailing Fax Number | 3056430447 |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-06 |
Authorized Official Name | EDY AUGUSTO GUERRA (PRESIDENT) |
Authorized Official Telephone | 3054242705 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
DN18777 | FL | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN18253 | FL | Dental Providers |
Street Address |
4011 W FLAGLER ST. 505 |
City | MIAMI |
State | FL |
Zip Code | 33134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
Find all providers in zip 33134 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225429038 | Lorena Marie Corzo | Dentist | 14201 Sw 66th St, Apt 508-a, Miami, FL 33183 | 2015-02-16 |
1851730477 | Vivian Sara Morad | Dentist | 8950 Sw 74th Ct Ste 1910, Miami, FL 33156-3178 | 2013-06-17 |
1578857454 | Zulema Pappaterra | Dentist | 8501 Sw 124th Ave Ste 106, Miami, FL 33183-4631 | 2011-06-08 |
1609187434 | Flavia Goncalves | Dentist | 13876 Sw 88th St, Miami, FL 33186-1304 | 2010-06-25 |
1669703443 | Southeastrern Dental Assoc, Vii, Pa | Dentist | 2482 Sw 27th Ter, Miami, FL 33133-3119 | 2010-01-19 |
1184870149 | Adriana M Castano | Dentist | 1401 Ne Miami Gardens Dr, #889e, Miami, FL 33179-4825 | 2008-08-11 |
1104086354 | Katherine Rodriguez | Dentist | 1330 Coral Way Ste 406, Miami, FL 33145-2945 | 2008-06-11 |
1750578134 | Lawrence Richard Imber | Dentist | 8861 Sw 69th Court, Miami, FL 33156 | 2007-09-28 |
1194938209 | Bernardo Antonio Villela | Dentist | 8500 W Flagler St Ste 108a, Miami, FL 33144-2054 | 2007-05-07 |
1134250020 | John Paul Gallardo | Dentist | 2020 Sw 27th Ave, Miami, FL 33145-2541 | 2007-03-09 |
Find all providers in MIAMI |
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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.