SERVIDENT MIAMI PA NPI 1528739448

NPI Information

  • NPI: 1528739448
  • Provider Name: SERVIDENT MIAMI PA
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3850 SW 87TH AVE STE 204
    MIAMI, FL
    ZIP 33165
  • Phone: (786) 784-4056

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NPI Details

SERVIDENT MIAMI PA is a dental clinic center in Miami, FL. SERVIDENT MIAMI PA NPI is 1528739448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3850 SW 87TH AVE STE 204
MIAMI, FL
ZIP 33165-473
Phone: (786) 784-4056

The provider's authorized official is Maylan M Rodriguez Orraca .
The authorized official title is President and has the following contact phone number (786) 486-7172.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 9/21/2021.

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
11223G0001XDentistGeneral PracticeNo
2261QD0000XClinic/CenterDentalYes

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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