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ESTELA DENTAL INC. NPI 1861765141


NPI Information

NPI: 1861765141
Provider Name: ESTELA DENTAL INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6336 FOREST HILL BLVD
GREENACRES, FL
ZIP 33415
Phone: (561) 642-1177
Get Directions

ESTELA DENTAL INC. is a general practice dentist in Greenacres, 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. ESTELA DENTAL INC. NPI is 1861765141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6336 FOREST HILL BLVD
GREENACRES, FL
ZIP 33415-104
Phone: (561) 642-1177
Fax: (561) 642-1143

The provider's authorized official is Hildebrando Barreto .
The authorized official title is Dentist and has the following contact phone number (561) 642-1177.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 2/16/2012.


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 PracticeDN12654FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1075325400MEDICAIDFLORIDA

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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