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UNIVERSAL DENTAL GROUP NPI 1265709554


NPI Information

NPI: 1265709554
Provider Name: UNIVERSAL DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 10D2073934

Address:
1935 WEST 60 STREET
HIALEAH, FL
ZIP 33012
Phone: (305) 821-3344
Get Directions

UNIVERSAL DENTAL GROUP is a general practice dentist in Hialeah, 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. UNIVERSAL DENTAL GROUP NPI is 1265709554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1935 WEST 60 STREET
HIALEAH, FL
ZIP 33012
Phone: (305) 821-3344
Fax: (305) 821-3311

The provider's authorized official is Juan Gonzalez .
The authorized official title is President and has the following contact phone number (305) 903-1161.

The CLIA number assigned to this NPI record is 10D2073934 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.


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
11223G0001XDentistGeneral PracticeDN13222FLORIDAYes

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: 11/14/2023

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