Provider Type Icon

BEACH DENTAL SPECIALIST NPI 1477894079


NPI Information

NPI: 1477894079
Provider Name: BEACH DENTAL SPECIALIST
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
4011 W FLAGLER ST.
505
MIAMI, FL
ZIP 33134
Phone: (305) 424-2705
Get Directions

BEACH DENTAL SPECIALIST is a periodontics dentist in Miami, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BEACH DENTAL SPECIALIST NPI is 1477894079. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4011 W FLAGLER ST.
505
MIAMI, FL
ZIP 33134
Phone: (305) 424-2705
Fax: (305) 643-0447

The provider's authorized official is Edy Augusto Guerra .
The authorized official title is President and has the following contact phone number (305) 424-2705.

The enumeration date for this NPI number is 3/6/2013 and was last updated on 3/6/2013.


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
11223E0200XDentistEndodonticsDN18777FLORIDANo
21223P0300XDentistPeriodonticsDN18253FLORIDAYes

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

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.