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MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA PA NPI 1851496236


NPI Information

NPI: 1851496236
Provider Name: MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA

Doing Business As: THE DENTAL CENTER AT AVENTURA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
19086 NE 29 AVE
AVENTURA, FL
ZIP 33180
Phone: (305) 933-4355
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MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA is a general practice dentist in Aventura, 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. MAIN STREET CHILDREN'S DENTISTRY OF AVENTURA, PA NPI is 1851496236. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Dental Center At Aventura.

The provider's business location address is:

19086 NE 29 AVE
AVENTURA, FL
ZIP 33180
Phone: (305) 933-4355

The provider's authorized official is Stephanie Gomez .
The authorized official title is Provider Relations and has the following contact phone number (305) 274-2499.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/18/2014.


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 PracticeYes

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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