DENTALMED ASSOCIATES LLC NPI 1124363676

NPI Information

NPI: 1124363676
Provider Name: DENTALMED ASSOCIATES, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12600 PEMBROKE RD
SUITE 314
MIRAMAR, FL
ZIP 33027
Phone: (954) 505-7631
Get Directions

DENTALMED ASSOCIATES, LLC is a general practice dentist in Miramar, 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. DENTALMED ASSOCIATES, LLC NPI is 1124363676. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12600 PEMBROKE RD
SUITE 314
MIRAMAR, FL
ZIP 33027-544
Phone: (954) 505-7631
Fax: (954) 505-7633

The provider's authorized official is Federico Diez .
The authorized official title is Owner and has the following contact phone number (954) 505-7631.

The enumeration date for this NPI number is 12/10/2012 and was last updated on 10/11/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	DN13029	FLORIDA	No
2	1223P0300X	Dentist	Periodontics	DN14345	FLORIDA	No
3	1223P0700X	Dentist	Prosthodontics	DN-14284	FLORIDA	No
4	1223G0001X	Dentist	General Practice	DN14284	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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