NPI 1104969039 · live from the CMS NPI Registry
183 Dental Group, PA
Dentist, General Practice in Miami, FL. National Provider Identifier 1104969039, active.
NPI record
| NPI | 1104969039 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 636 Nw 183rd St, Miami, FL 33169 |
| Practice phone | 305-652-8338 |
| Enumerated | February 14, 2007 |
| Last updated | June 13, 2008 |
| Authorized official | Todd Smith, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN 12408 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.