| 183 Dental Group, Pa | |
|
636 Nw 183rd St Miami FL 33169-4470 | |
| (305) 652-8338 | |
| (305) 653-5807 |
| Full Name | 183 Dental Group, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 636 Nw 183rd St, Miami, Florida |
| Authorized Official Name and Position | Todd A. Smith (DENTIST) |
| Authorized Official Contact | 3056528338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 183 Dental Group, Pa 636 Nw 183rd St Miami FL 33169-4470 Ph: (305) 652-8338 | 183 Dental Group, Pa 636 Nw 183rd St Miami FL 33169-4470 Ph: (305) 652-8338 |
| NPI Number | 1104969039 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104969039 | NPI | - | NPPES |
| 073388100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 12408 (Florida) | Primary |
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