Dr.Otero Dental Center, Pa

LBN: Dr.Otero Dental Center, Pa
Dr.Otero Dental Center, Pa is an health care organization with primary practice located at 1140 W 49 Street , Hialeah FL 33012-3148. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr.Otero Dental Center, Pa can be contacted via phone (305) 819-0008, or through Otero, Antonio via phone (305) 819-0008.

Contact Information

Primary practice address
1140 W 49 Street Hialeah FL 33012-3148
Fax: (786) 518-2733
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 1710199203
LBN Legal business name Dr.Otero Dental Center, 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 Feb 4th, 2020 - about 4 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 1710199203 NPPES
Florida MEDICAID 077828102

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