SOUTH MIAMI DENTAL SERVICES PA NPI 1568848257

NPI Information

SOUTH MIAMI DENTAL SERVICES PA is a general practice dentist in Miami, FL. The provider is 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. SOUTH MIAMI DENTAL SERVICES PA NPI is 1568848257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9100 SOUTH DADELAND BLVD
SUITE 502
MIAMI, FL
ZIP 33156
Phone: (305) 667-2633

The provider's authorized official is Mara Pilavsky .
The authorized official title is President and has the following contact phone number (646) 320-8247.

The CLIA number assigned to this NPI record is 10D2145836 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 8/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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