| Prosthodontic Dentistry Of S Fl | |
|
2601 S Bayshore Dr Suite 760 Coconut Grove FL 33133-5417 | |
| (305) 857-0990 | |
| (305) 857-9180 |
| Full Name | Prosthodontic Dentistry Of S Fl |
|---|---|
| Speciality | Dentist |
| Location | 2601 S Bayshore Dr, Coconut Grove, Florida |
| Authorized Official Name and Position | Ivonne Faine (OFFICE MANAGER) |
| Authorized Official Contact | 3058570990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosthodontic Dentistry Of S Fl 2601 S Bayshore Dr Suite 760 Coconut Grove FL 33133-5417 Ph: (305) 857-0990 | Prosthodontic Dentistry Of S Fl 2601 S Bayshore Dr Suite 760 Coconut Grove FL 33133-5417 Ph: (305) 857-0990 |
| NPI Number | 1609171339 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 1850579517 |
|---|---|
| Medicare Enrollment ID | O20110628000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609171339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN13965 (Florida) | Primary |
| Provider Name | Bruno Sharp |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1801987656 PECOS PAC ID: 9931387693 Enrollment ID: I20110628000404 |
| Provider Name | Bernard W Segall |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265560148 PECOS PAC ID: 9032375290 Enrollment ID: I20120717000152 |
Goldenberg Candid Florida, Professional Association Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 S Bayshore Dr Ste 220, Coconut Grove, FL 33133 Phone: 860-481-7631 |