AMBIANCE SURGICAL ARTS CENTER (NPI# 1437703535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437703535 |
| Entity Type | Organization |
| Organization Name | AMBIANCE SURGICAL ARTS CENTER |
| Practice Address |
8501 Sw 124th Ave Ste 208 Miami FL 33183-4633 |
| Practice Telephone | 7863774344 |
| Practice Fax Number | 7863774364 |
| Mailing Telephone | 7863774344 |
| Mailing Fax Number | 7863774364 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | JERRI D HINES (OWNER) |
| Authorized Official Telephone | 7863774344 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TPVP162861-09 | 05 |
| Street Address |
8501 SW 124TH AVE STE 208 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| 1346653466 | Lina Alsad | Dentist | 936 Sw 82nd Ave, Miami, FL 33144-4240 | 2014-06-05 |
| 1033544010 | Fawaz Alotaibi | Dentist | 1161 Nw 12 Ave, Miami, FL 33136 | 2013-09-09 |
| 1770824971 | Omsa Satellite Services | Dentist | 12001 Sw 128th Ct Ste 204, Miami, FL 33186-4666 | 2013-03-13 |
| 1649567918 | Lawrence Anthony Armentano Jr. | Dentist | 540 Brickell Key Dr Apt 205, Miami, FL 33131-2635 | 2011-07-06 |
| 1295986990 | Ernesto M Ganaim | Dentist | 434 Sw 12th Ave Ste 204, Miami, FL 33130-2432 | 2008-10-01 |
| 1942326855 | Richard Alan Mufson | Dentist | 20480 W Dixie Hwy, Miami, FL 33180-1128 | 2007-03-22 |
| 1336233964 | Francisco M. Granda | Dentist | 8000 S.w. 117 Avenue, Suite 100, Miami, FL 33183-4803 | 2006-10-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.