ELITE SMILES PEDIATRIC DENTISTRY NPI 1215648969

NPI Information

  • NPI: 1215648969
  • Provider Name: ELITE SMILES PEDIATRIC DENTISTRY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 18240 SW 147TH AVE
    MIAMI, FL
    ZIP 33187
  • Phone: (305) 570-1833

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NPI Details

ELITE SMILES PEDIATRIC DENTISTRY 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. ELITE SMILES PEDIATRIC DENTISTRY NPI is 1215648969. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18240 SW 147TH AVE
MIAMI, FL
ZIP 33187-813
Phone: (305) 570-1833

The provider's authorized official is Fabiola Ortega .
The authorized official title is Owner and has the following contact phone number (305) 586-2328.

The enumeration date for this NPI number is 12/13/2022 and was last updated on 12/13/2022.

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
11223P0221XDentistPediatric DentistryYes

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: 11/21/2025

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