BEACH DENTAL SPECIALIST


Address: 4011 W Flagler St., 505, Miami, FL 33134
Phone: 3054242705

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4011 W FLAGLER ST.
505
City MIAMI
State FL
Zip Code 33134

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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
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City MIAMI
Zip Code 33134

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Dataset Information

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.

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