Doral Dental

LBN: Doral Dental
Doral Dental is an health care organization with primary practice located at 10818 Nw 58Th St , Doral FL 33178-2854. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Doral Dental can be contacted via phone (305) 477-7601, or through Smith, Kerry David via phone (305) 477-7601.

Contact Information

Primary practice address
10818 Nw 58Th St Doral FL 33178-2854
Fax: (305) 471-0137
Website:
Authorized official contact:
Name: Smith, Kerry David Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN11702 Florida
Dental Providers / Dentist 122300000X DN13223 Florida
Dental Providers / Dentist 122300000X DN14811 Florida
Dental Providers / Dentist 122300000X DN 14900 Florida

Profile Details

NPI number 1881764173
LBN Legal business name Doral Dental
DBA Doing business as
Authorized official Smith, Kerry David Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 13th, 2009 - about 16 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 1881764173 NPPES
Florida Other 056546939 DENTIST
Florida Other 595303579 DENTIST
Florida Other 650561621 DENTIST

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