Gateway Dental Inc

LBN: Gateway Dental Inc
Gateway Dental Inc is an health care organization with primary practice located at 11880 Sw 40Th St Suite 215, Miami FL 33175-3584. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Gateway Dental Inc can be contacted via phone (305) 552-1553, or through Miranda, Pablo via phone (305) 552-1553.

Contact Information

Primary practice address
11880 Sw 40Th St Suite 215 Miami FL 33175-3584
Phone: (305) 552-1553
Fax: (305) 325-0935
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Pablo Doctor of Dental Medicine (DMD)
Phone: (305) 552-1553

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN15212 Florida

Profile Details

NPI number 1760868863
LBN Legal business name Gateway Dental Inc
DBA Doing business as
Authorized official Miranda, Pablo Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2015
Last updated Jul 23rd, 2019 - about 7 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 1760868863 NPPES
Florida MEDICAID 101379200

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