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MIAMI CHILDREN'S HOSPITAL NPI 1972545879


NPI Information

NPI: 1972545879
Provider Name: MIAMI CHILDREN'S HOSPITAL

Doing Business As: MCH TOOTHTOWN

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 10D2046481

Address:
3601 NW 107TH AVE
DORAL, FL
ZIP 33178
Phone: (305) 663-8538
Get Directions

MIAMI CHILDREN'S HOSPITAL is a pediatric dentistry dentist in Doral, 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. MIAMI CHILDREN'S HOSPITAL NPI is 1972545879. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mch Toothtown.

The provider's business location address is:

3601 NW 107TH AVE
DORAL, FL
ZIP 33178-377
Phone: (305) 663-8538
Fax: (305) 662-8314

The provider's authorized official is Pedro Alfaro .
The authorized official title is Cfo & Senior Vp and has the following contact phone number (305) 666-6511.

The CLIA number assigned to this NPI record is 10D2046481 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/22/2011.


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
11223P0221XDentistPediatric Dentistry574498-3FLORIDAYes

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
1074560000MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.