NPI 1356618474 · live from the CMS NPI Registry
Academia Dental PA
Dentist, General Practice in Sunny Isles Beach, FL. National Provider Identifier 1356618474, active.
NPI record
| NPI | 1356618474 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 17395 N Bay Rd, Suite 201, Sunny Isles Beach, FL 33160 |
| Practice phone | 305-792-5001 |
| Enumerated | November 17, 2011 |
| Last updated | November 17, 2011 |
| Authorized official | Taskonak Burak, Owner/ Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN18452 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.