| Florida Children's Dentistry, P.a. | |
|
4410 W 16th Ave #52 Hialeah FL 33012-7100 | |
| (305) 825-9899 | |
| Not Available |
| Full Name | Florida Children's Dentistry, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4410 W 16th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Howard Fetner (OWNER) |
| Authorized Official Contact | 3058259899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Children's Dentistry, P.a. 4410 W 16th Ave Ste 47 Hialeah FL 33012-7193 Ph: (305) 825-9899 | Florida Children's Dentistry, P.a. 4410 W 16th Ave #52 Hialeah FL 33012-7100 Ph: (305) 825-9899 |
| NPI Number | 1972854149 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972854149 | NPI | - | NPPES |
| 114162202 | Medicaid | FL | |
| 114162200 | Medicaid | FL | |
| 114162201 | Medicaid | FL | |
| 114162205 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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