PRIME PEDIATRIC DENTAL GROUP PA NPI 1487426482

NPI Information

PRIME PEDIATRIC DENTAL GROUP PA is a pediatric dentistry dentist in North 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. PRIME PEDIATRIC DENTAL GROUP PA NPI is 1487426482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13195 BISCAYNE BAY DR
NORTH MIAMI, FL
ZIP 33181-204
Phone: (305) 251-5390
Fax: (305) 675-3282

The provider's authorized official is Jose Mellado .
The authorized official title is President and has the following contact phone number (305) 321-3790.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.

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:

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