AVENTURA PEDIATRIC DEBTISTRY, LLC (NPI# 1689681397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689681397 |
| Entity Type | Organization |
| Organization Name | AVENTURA PEDIATRIC DEBTISTRY, LLC |
| Practice Address |
2797 Ne 207th St Suite 201 Aventura FL 33180-1471 |
| Practice Telephone | 3059351613 |
| Practice Fax Number | 3059354258 |
| Mailing Telephone | 3059351613 |
| Mailing Fax Number | 3059354258 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICKY A MARS (PRESIDENT) |
| Authorized Official Telephone | 3059351613 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11641 | FL | Dental Providers |
| Street Address |
2797 NE 207TH ST SUITE 201 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167754 | Glicksman, Mars Dental, LLC | Dentist | 2797 Ne 207th St, Ste 100, Aventura, FL 33180-1471 | 2005-07-12 |
| 1669853305 | Amanda M Merikas | Dentist | 2797 Ne 207th St, Aventura, FL 33180-1471 | 2015-06-17 |
| 1134402563 | Transform Physical Therapy & Pilates LLC | Physical Therapist | 2797 Ne 207th St, Suite 101, Aventura, FL 33180-1471 | 2011-09-21 |
| 1578772901 | Kimberly A Ganz | Physical Therapist | 2797 Ne 207th St, Suite 101, Aventura, FL 33180-1471 | 2007-05-22 |
| 1659426369 | Daniela Modesto | Dentist | 2797 Ne 207th St, Aventura, FL 33180-1471 | 2007-01-24 |
| 1538226915 | Jack Berne | Dentist | 2797 Ne 207th St, Suite 201, Aventura, FL 33180-1471 | 2007-01-03 |
| 1467519835 | Joshua Coussa | Dentist | 2797 Ne 207th St, Aventura, FL 33180-1471 | 2007-01-03 |
| 1316002637 | Rick A Mars | Dentist | 2797 Ne 207th St, Aventura, FL 33180-1471 | 2006-12-27 |
| 1669537981 | Joel Glicksman | Dentist | 2797 Ne 207th St, Aventura, FL 33180-1471 | 2006-12-27 |
| 1659354306 | Jodi Jainchill | Physical Therapist | 2797 Ne 207th St, #101, Aventura, FL 33180-1471 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464813 | Maria A Zambrano | Dentist | 2627 Ne 203rd St Ste 112, Aventura, FL 33180-1945 | 2020-07-10 |
| 1992299101 | Julia E | Dentist | 15400 Biscayne Blvd Ste 116, Aventura, FL 33160-4616 | 2018-06-20 |
| 1427565043 | Aventura Irresistible Smiles Pa | Dentist | 20475 Biscayne Blvd # G9, Aventura, FL 33180-1550 | 2018-01-04 |
| 1982144432 | Nuria J Otero | Dentist | 18851 Ne 29th Ave Ste 301, Aventura, FL 33180-2813 | 2017-03-02 |
| 1679016588 | Randy Freedline Dds Pa | Dentist | 2627 Ne 203rd St Ste 212, Aventura, FL 33180-1946 | 2016-11-24 |
| 1649654351 | Mount Zion Dental Care | Dentist | 3027 Ne 183rd Ln, Aventura, FL 33160-4905 | 2015-07-13 |
| 1679977896 | Silvina Rajschmir | Dentist | 18021 Biscayne Blvd, 1701-2s, Aventura, FL 33160-5200 | 2014-10-17 |
| 1922447374 | Steven Allen Sutnick | Dentist | 19913 N. Biscayne Blvd Suite 3, Aventura, FL 33180 | 2013-06-19 |
| 1497199103 | Alessandra Sigillo | Dentist | 2999 Ne 191st St Ste 210, Aventura, FL 33180-3115 | 2013-04-24 |
| 1316202815 | Laura Herschdorfer | Dentist | 2999 Ne 191st St Ste 804, Aventura, FL 33180-3387 | 2012-07-10 |
| Find all providers in AVENTURA | ||||
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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.