Dental Cosmetics Of Florida, Pa

LBN: Dental Cosmetics Of Florida, Pa
Dental Cosmetics Of Florida, Pa is an health care organization with primary practice located at 9055 Sw 87 Avenue Suite 300, Miami FL 33176. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dental Cosmetics Of Florida, Pa can be contacted via phone (305) 595-5655, or through Otero, Antonio via phone (305) 595-5655.

Contact Information

Primary practice address
9055 Sw 87 Avenue Suite 300 Miami FL 33176
Fax: (305) 595-9011
Website:
Authorized official contact:
Name: Otero, Antonio Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1255543740
LBN Legal business name Dental Cosmetics Of Florida, Pa
DBA Doing business as
Authorized official Otero, Antonio Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Nov 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255543740 NPPES
Florida MEDICAID 077828108

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