ROADS DENTAL SPECIALTY GROUP (NPI# 1679960231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679960231 |
| Entity Type | Organization |
| Organization Name | ROADS DENTAL SPECIALTY GROUP |
| Practice Address |
1378 Coral Way 5th Floor Miami FL 33145-2943 |
| Practice Telephone | 3058561134 |
| Practice Fax Number | 3052399452 |
| Mailing Telephone | 3058561134 |
| Mailing Fax Number | 3052399452 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | DR. JESSICA C EAGAN (PRESIDENT) |
| Authorized Official Telephone | 3058561134 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1378 CORAL WAY 5TH FLOOR |
| City | MIAMI |
| State | FL |
| Zip Code | 33145-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124660 | Hector J Serrano-cancino | Internal Medicine | 1378 Coral Way, Suite 300, Miami, FL 33145-2943 | 2006-10-30 |
| 1982951877 | Osvaldo Pineiro | Clinic/Center | 1378 Coral Way, 4th Floor, Miami, FL 33145-2943 | 2012-08-09 |
| 1396092292 | Best Florida Medical Service | Clinic/Center | 1378 Coral Way, 4th Floor, Miami, FL 33145-2943 | 2012-08-09 |
| 1255575957 | Hector J Serrano Md Pa | Internal Medicine | 1378 Coral Way, Suite 300, Miami, FL 33145-2943 | 2009-04-24 |
| 1649438110 | Centers of Medical Excellence Inc | Internal Medicine | 1378 Coral Way, 5th Floor, Miami, FL 33145-2943 | 2008-05-30 |
| 1811197254 | Jessica C Eagan I | Dentist | 1378 Coral Way, # 500, Miami, FL 33145-2943 | 2007-07-24 |
| 1043424559 | Jorge A Herrera Phd Pa | Clinical Neuropsychologist | 1378 Coral Way, Suite 500, Miami, FL 33145-2943 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711298 | Silvia Barbara Nunez | Behavior Technician | 2343 Sw 17th Terrace, Miami, FL 33145 | 2020-08-18 |
| 1669030813 | Macrina Morera Martinez | Behavior Technician | 3191 Sw 14th St Apt 3, Miami, FL 33145 | 2019-06-03 |
| 1275013898 | Ana Diez Sampedro | Nurse Practitioner | 1921 Sw 33rd Ct, Miami, FL 33145 | 2018-08-14 |
| 1811489461 | Riviera Tu Comida Favorita Corp. | Home Delivered Meals | 3138 Coral Way, Miami, FL 33145 | 2018-05-30 |
| 1710475587 | Mayte Gentil Gomez | Nurse Practitioner | 3536 Sw 22 Terrace, Miami, FL 33145 | 2018-04-27 |
| 1073027967 | Ismaray Morejon | Behavior Technician | 1407 Sw 19th St, Miami, FL 33145 | 2017-11-30 |
| 1154833176 | Yuniar Porto Jimenez | Nurse Practitioner | 2021 Sw 23 Terrace, Miami, FL 33145 | 2017-10-31 |
| 1447769013 | Nidal Qaad | Nurse Practitioner | 3500 Coral Way, Apt 1002, Miami, FL 33145 | 2017-09-26 |
| 1821514209 | Angelica Maria Gonzalez | Behavior Technician | 3506 Sw 23rd Ter, Miami, FL 33145 | 2017-08-17 |
| 1639692924 | Yaile Espino Fernandez | Behavior Technician | 3660 Sw 16th Ter Apt #2, Miami, FL 33145 | 2017-07-19 |
| Find all providers in zip 33145 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847134 | Kenward & Mayoral Dentistry Partnership | Dentist | 8950 Sw 74th Ct Ste 1212, Miami, FL 33156-3170 | 2020-10-05 |
| 1174139893 | Haitham Nabood | Dentist | 7504 Ne 6th Ct Apt 5, Miami, FL 33138-5184 | 2020-09-17 |
| 1649882523 | Ivis Tamargo Echeverria | Dentist | 15105 Sw 31st Ter, Miami, FL 33185-4904 | 2020-08-20 |
| 1184233587 | Dayamis Herrera Rosales | Dentist | 3075 Sw 2nd St, Miami, FL 33135-2756 | 2020-07-31 |
| 1740899020 | Laura Fernandez | Dentist | 68 Se 6th St Apt 1407, Miami, FL 33131-3194 | 2020-07-23 |
| 1366050767 | Liannette Marquez | Dentist | 8370 W Flagler St Ste 100, Miami, FL 33144-2038 | 2020-07-21 |
| 1548878481 | Anabel Paya Dmd Pa | Dentist | 6641 S Dixie Hwy Unit A, Miami, FL 33143-7919 | 2020-07-16 |
| 1922626787 | Sepideh Sajadi | Dentist | 255 Sw 11th St Apt 614, Miami, FL 33130-4185 | 2020-07-08 |
| 1891313821 | Josaida Contreras | Dentist | 7680 Sw 82nd St Apt H221, Miami, FL 33143-7346 | 2020-07-07 |
| 1467079780 | Oscar Sanchez | Dentist | 3281 Sw 130th Ave, Miami, FL 33175-2515 | 2020-07-02 |
| 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.