PEDO ORTHO DENTAL SPECIALISTS LLC (NPI# 1538673975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538673975 |
| Entity Type | Organization |
| Organization Name | PEDO ORTHO DENTAL SPECIALISTS LLC |
| Practice Address |
8950 Sw 74th Ct Ste 124 Miami FL 33156-3171 |
| Practice Telephone | 9542689825 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Authorized Official Name | STEPHEN CRISCUOLO (DMD/OWNER) |
| Authorized Official Telephone | 9542689825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN21814 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008662900 | 05 | |
| FL | 019273100 | 05 |
| Street Address |
8950 SW 74TH CT STE 124 |
| City | MIAMI |
| State | FL |
| Zip Code | 33156-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1831541424 | Garcia Saint-hilaire Pa | Dentist | 2260 Sw 87th Ave, Miami, FL 33165-2090 | 2016-07-07 |
| 1053701771 | Ashley Lynn Rosenbaum | Dentist | 41 Se 5th St Apt 2409, Miami, FL 33131-2551 | 2015-02-02 |
| 1689063133 | Yohayra Elizabeth Chardon | Dentist | 15831 Sw 139th Pl, Miami, FL 33177-1096 | 2015-01-21 |
| 1851707079 | Danielle Fernandez | Dentist | 6601 Sw 80th St Ste 212, Miami, FL 33143-4661 | 2014-07-08 |
| 1649598087 | Tatiana Toquica | Dentist | 8319 W Flagler St, Miami, FL 33144-2029 | 2010-05-10 |
| 1356570303 | Celia Marina Roman | Dentist | 2950 Sw 8th St, Miami, FL 33135-2827 | 2009-07-13 |
| 1366677858 | Jorge E Landa | Dentist | 11790 Sw 89th St, Miami, FL 33186-2165 | 2009-05-27 |
| 1235374471 | Tuong-vi Le | Dentist | 185 Sw 7th St, Apt 3004, Miami, FL 33130-2990 | 2008-12-02 |
| 1255455028 | Teddi Litman | Dentist | 8966 Sw 87th Ct Ste 1, Miami, FL 33176-2272 | 2007-03-19 |
| 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.