183 Dental Group, Pa

LBN: 183 Dental Group, Pa
183 Dental Group, Pa is an health care organization with primary practice located at 636 Nw 183Rd St , Miami FL 33169-4470. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 183 Dental Group, Pa can be contacted via phone (305) 652-8338, or through Smith, Todd A. via phone (305) 652-8338.

Contact Information

Primary practice address
636 Nw 183Rd St Miami FL 33169-4470
Phone: (305) 652-8338
Fax: (305) 653-5807
Website:
Map and Directions
Authorized official contact:
Name: Smith, Todd A. Doctor of Dental Medicine (DMD)
Phone: (305) 652-8338

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 12408 Florida

Profile Details

NPI number 1104969039
LBN Legal business name 183 Dental Group, Pa
DBA Doing business as
Authorized official Smith, Todd A. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 13th, 2008 - about 18 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 1104969039 NPPES
Florida MEDICAID 073388100

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