Miami International Mall Dental, Pa in Doral - General Practice
Miami International Mall Dental, Pa - NPI 1528247533
Miami International Mall Dental, Pa is a General Practice in Doral, Florida. Miami International Mall Dental, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Miami International Mall Dental, Pa is 1528247533. The last update date is 2018-12-03.
Miami International Mall Dental, Pa's current location address is 1455 Nw 107th Ave Ste 584, Doral, Florida. You can contact this provider via phone number 3055978787 and fax number 3055978617. The mailing address for Miami International Mall Dental, Pa is 1455 Nw 107th Ave Ste 584, Doral, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Miami International Mall Dental, Pa |
|---|---|
| Address | 1455 Nw 107th Ave Ste 584, Doral, Florida |
| Phone Number | 3055978787 |
| Fax Number | 3055978617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Krasnov Rostislav |
| Credentials | DDS |
| Telephone Number | 3055978787 |
NPI Number Detail
| NPI Number | 1528247533 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2018-12-03 |
Provider Mailing Address Detail
| Address | 1455 Nw 107th Ave Ste 584 |
|---|---|
| City | Doral |
| State | Florida (FL) |
| Post Code | 331722768 |
| Phone Number | 3055978787 |
| Fax Number | 3055978617 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Miami International Mall Dental, Pa?
The Miami International Mall Dental, Pa has been issued the NPI (National Provider Identifier) 1528247533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Miami International Mall Dental, Pa's physical address?
The Miami International Mall Dental, Pa is physically located at 1455 Nw 107Th Ave Ste 584, in the city of Doral, FL, with the postal code 331722768.
What is Miami International Mall Dental, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Miami International Mall Dental, Pa's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528247533 to Miami International Mall Dental, Pa?
The Miami International Mall Dental, Pa received its 1528247533 assignment from the Centers for Medicare & Medicaid Services on 2007-10-25.
As of what date were the details related to Miami International Mall Dental, Pa most recently updated or revised?
The information pertaining to Miami International Mall Dental, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2018-12-03.
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