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PEDIATRIC DENTAL CENTER OF BISCAYNE INC NPI 1154853927


NPI Information

NPI: 1154853927
Provider Name: PEDIATRIC DENTAL CENTER OF BISCAYNE INC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
557 NE 81ST ST
MIAMI, FL
ZIP 33138
Phone: (786) 368-6212
Get Directions

PEDIATRIC DENTAL CENTER OF BISCAYNE INC is a pediatric dentistry dentist in Miami, 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. PEDIATRIC DENTAL CENTER OF BISCAYNE INC NPI is 1154853927. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

557 NE 81ST ST
MIAMI, FL
ZIP 33138-519
Phone: (786) 368-6212

The provider's authorized official is Enrique Acosta .
The authorized official title is President and has the following contact phone number (786) 368-6212.

The enumeration date for this NPI number is 3/31/2017 and was last updated on 4/20/2017.


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
1122300000XDentistDN17284FLORIDANo
21223P0221XDentistPediatric DentistryDN17284FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDFLORIDA

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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