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SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY OF AVENTURA NPI 1104206754


NPI Information

NPI: 1104206754
Provider Name: SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY OF AVENTURA
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

CLIA Number: 10D1063412

Address:
19495 BISCAYNE BLVD
STE. #402
AVENTURA, FL
ZIP 33180
Phone: (305) 944-2700
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SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY OF AVENTURA is a periodontics dentist in Aventura, FL. The provider is 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. SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY OF AVENTURA NPI is 1104206754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19495 BISCAYNE BLVD
STE. #402
AVENTURA, FL
ZIP 33180-318
Phone: (305) 944-2700

The provider's authorized official is Samuel Zfaz .
The authorized official title is Owner and has the following contact phone number (305) 944-2700.

The CLIA number assigned to this NPI record is 10D1063412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 6/8/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsDN16891FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.