DENTAL GROUP OF SOUTH FLORIDA IV – NPI #1477085983
Clinic/Center

DENTAL GROUP OF SOUTH FLORIDA IV is an AHC clinic located in MIAMI, FL. NPPES has assigned the NPI number 1477085983 to DENTAL GROUP OF SOUTH FLORIDA IV on April 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENTAL GROUP OF SOUTH FLORIDA IV below.

NPI Profile for
DENTAL GROUP OF SOUTH FLORIDA IV

NPI Number
1477085983
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DENTAL GROUP OF SOUTH FLORIDA IV
Primary location
11373 SW 211TH ST STE 10-11
MIAMI, FL 33189-2245
Phone: (305) 542-3197 Fax: (786) 713-0959
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROLANDO BELLO
VP
Phone: (305) 542-3197
Updated
Identifiers

Identifiers for DENTAL GROUP OF SOUTH FLORIDA IV

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL076710700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 FL DN17638

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.