MIGHTY CHILDREN'S DENTISTRY NPI 1134784267

NPI Information

MIGHTY CHILDREN'S DENTISTRY is a pediatric dentistry dentist in Coral Springs, FL. The provider is 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. MIGHTY CHILDREN'S DENTISTRY NPI is 1134784267. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pediatric Dentistry Of Miami Lakes.

The provider's business location address is:

5850 CORAL RIDGE DR STE 101B
CORAL SPRINGS, FL
ZIP 33076-379
Phone: (786) 301-9853
Fax: (954) 688-3414

The provider's authorized official is Aurelio Antonio Bula .
The authorized official title is President and has the following contact phone number (786) 301-9853.

The CLIA number assigned to this NPI record is 10D2178172 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/3/2019 and was last updated on 5/3/2019.

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:

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.