SOUTHEASTRERN DENTAL ASSOC, VII, PA (NPI# 1669703443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669703443 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTRERN DENTAL ASSOC, VII, PA |
| Practice Address |
2482 Sw 27th Ter Miami FL 33133-3119 |
| Practice Telephone | 3058597949 |
| Practice Fax Number | 3058667127 |
| Mailing Telephone | 3058597949 |
| Mailing Fax Number | 3058667127 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | DR. KENNETH D RUBINSTEIN (PRESIDENT) |
| Authorized Official Telephone | 3058667127 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN DENTAL ASSOC. I, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN 14485 | FL | Dental Providers |
| Street Address |
2482 SW 27TH TER |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429038 | Lorena Marie Corzo | Dentist | 14201 Sw 66th St, Apt 508-a, Miami, FL 33183 | 2015-02-16 |
| 1851730477 | Vivian Sara Morad | Dentist | 8950 Sw 74th Ct Ste 1910, Miami, FL 33156-3178 | 2013-06-17 |
| 1578857454 | Zulema Pappaterra | Dentist | 8501 Sw 124th Ave Ste 106, Miami, FL 33183-4631 | 2011-06-08 |
| 1609187434 | Flavia Goncalves | Dentist | 13876 Sw 88th St, Miami, FL 33186-1304 | 2010-06-25 |
| 1184870149 | Adriana M Castano | Dentist | 1401 Ne Miami Gardens Dr, #889e, Miami, FL 33179-4825 | 2008-08-11 |
| 1104086354 | Katherine Rodriguez | Dentist | 1330 Coral Way Ste 406, Miami, FL 33145-2945 | 2008-06-11 |
| 1750578134 | Lawrence Richard Imber | Dentist | 8861 Sw 69th Court, Miami, FL 33156 | 2007-09-28 |
| 1194938209 | Bernardo Antonio Villela | Dentist | 8500 W Flagler St Ste 108a, Miami, FL 33144-2054 | 2007-05-07 |
| 1134250020 | John Paul Gallardo | Dentist | 2020 Sw 27th Ave, Miami, FL 33145-2541 | 2007-03-09 |
| 1336276039 | Beatriz Elena Terry | Dentist | 6361 Sunset Dr, Miami, FL 33143-4842 | 2007-02-28 |
| 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.