Floridian Dental Care in Hialeah - Dentist
Floridian Dental Care - NPI 1124120241
Floridian Dental Care is a Dentist in Hialeah, Florida. Floridian Dental Care practices all healthcare services and medical treatments related to Dentist. The NPI Number for Floridian Dental Care is 1124120241. The last update date is 2023-03-07.
Floridian Dental Care's current location address is 158 W 12th St, Hialeah, Florida. You can contact this provider via phone number 3058877179 and fax number 3058877179. The mailing address for Floridian Dental Care is 158 W 12th St, Hialeah, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Floridian Dental Care |
|---|---|
| Address | 158 W 12th St, Hialeah, Florida |
| Phone Number | 3058877179 |
| Fax Number | 3058877179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Egusquiza Antonio Ricardo |
| Credentials | DDS |
| Telephone Number | 3056938888 |
NPI Number Detail
| NPI Number | 1124120241 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 158 W 12th St |
|---|---|
| City | Hialeah |
| State | Florida (FL) |
| Post Code | 330103991 |
| Phone Number | 3058877179 |
| Fax Number | 3058877179 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN11915 | FL | DENTIST LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Floridian Dental Care by the Centers for Medicare & Medicaid Services?
The Floridian Dental Care has been assigned the NPI (National Provider Identifier) 1124120241. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Floridian Dental Care is located?
The Floridian Dental Care is situated at the following address: 158 W 12Th St, Hialeah, FL, 330103991.
What is Floridian Dental Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Floridian Dental Care's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124120241 to Floridian Dental Care?
The Centers for Medicare & Medicaid Services originally issued the 1124120241 to Floridian Dental Care on 2006-09-01.
When was the Floridian Dental Care's information last updated?
The Floridian Dental Care's information was last updated on 2023-03-07.