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DENTAL HEAVEN P.A. NPI 1871861443


NPI Information

NPI: 1871861443
Provider Name: DENTAL HEAVEN P.A.

Doing Business As: HEAVENLY SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
135 S US HIGHWAY 27
SOUTH BAY, FL
ZIP 33493
Phone: (561) 996-0033
Get Directions

DENTAL HEAVEN P.A. is a general practice dentist in South Bay, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL HEAVEN P.A. NPI is 1871861443. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heavenly Smiles.

The provider's business location address is:

135 S US HIGHWAY 27
SOUTH BAY, FL
ZIP 33493-213
Phone: (561) 996-0033
Fax: (561) 996-0044

The provider's authorized official is Silvia Menendez .
The authorized official title is Administrator and has the following contact phone number (561) 996-0033.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 12/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN12108FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1071862900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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