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GATEWAY DENTAL KENDALL INC NPI 1144691858


NPI Information

NPI: 1144691858
Provider Name: GATEWAY DENTAL KENDALL INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11880 SW 40TH ST
SUITE 215
MIAMI, FL
ZIP 33175
Phone: (305) 552-1553
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GATEWAY DENTAL KENDALL INC 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. GATEWAY DENTAL KENDALL INC NPI is 1144691858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11880 SW 40TH ST
SUITE 215
MIAMI, FL
ZIP 33175-584
Phone: (305) 552-1553
Fax: (305) 577-2299

The provider's authorized official is Pablo Miranda .
The authorized official title is Owner/ceo and has the following contact phone number (305) 552-1553.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/8/2015.


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
11223P0300XDentistPeriodonticsFLORIDANo
2122300000XDentistFLORIDANo
31223E0200XDentistEndodonticsFLORIDANo
41223G0001XDentistGeneral PracticeFLORIDAYes

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: 4/28/2024

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