| Premium Healthcare Dental, Llc | |
|
6850 Coral Way # 500a Miami FL 33155-1758 | |
| (305) 767-7693 | |
| (305) 709-1456 |
| Full Name | Premium Healthcare Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 6850 Coral Way # 500a, Miami, Florida |
| Authorized Official Name and Position | Claudia Barakat (PRESIDENT) |
| Authorized Official Contact | 3057461414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Healthcare Dental, Llc 6850 Coral Way # 500a Miami FL 33155-1758 Ph: (305) 746-1414 | Premium Healthcare Dental, Llc 6850 Coral Way # 500a Miami FL 33155-1758 Ph: (305) 767-7693 |
| NPI Number | 1679275812 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 9537518501 |
|---|---|
| Medicare Enrollment ID | O20231215002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679275812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Claudia Barakat |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194175794 PECOS PAC ID: 8325499627 Enrollment ID: I20240111001506 |
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