BEACH DENTAL SPECIALIST NPI 1477894079

NPI Information

  • NPI: 1477894079
  • Provider Name: BEACH DENTAL SPECIALIST
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 4011 W FLAGLER ST.
    505
    MIAMI, FL
    ZIP 33134
  • Phone: (305) 424-2705

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsDN18777FLORIDANo
21223P0300XDentistPeriodonticsDN18253FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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