PHOENIX DENTAL, INC (NPI# 1780680421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780680421 |
| Entity Type | Organization |
| Organization Name | PHOENIX DENTAL, INC |
| Other Organization Name | THE FAMILY DENTAL GROUP |
| Practice Address |
2645 Sw 37th Ave Ste 303 Miami FL 33133-2754 |
| Mailing Address |
2645 Sw 37th Ave Suite 303 Miami FL 33133-2754 |
| Practice Telephone | 3054410499 |
| Practice Fax Number | 3054410114 |
| Mailing Telephone | 3054410499 |
| Mailing Fax Number | 3054410114 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAMON BANA (PRESIDENT) |
| Authorized Official Telephone | 3056449375 |
| Authorized Official Credential | D.D,S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN13031 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Family Dental Group | Doing Business As Name - Organization |
| Street Address |
2645 SW 37TH AVE STE 303 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583949 | Kristyn Alexus Sola | Physician Assistant | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2020-03-16 |
| 1750945085 | Juan J Sanchez Velasquez | Specialist/Technologist, Other | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2019-04-22 |
| 1043759749 | Sanitas Dental of Coral Gables | Clinic/Center | 2645 Sw 37th Ave, Suite 303, Miami, FL 33133-2754 | 2017-02-15 |
| 1194180166 | Dean M. Zusmer, D.c. P.a. | Chiropractor | 2645 Sw 37th Ave, Suite #503, Miami, FL 33133-2754 | 2015-12-17 |
| 1972999613 | Sal Health Group, LLC | Exclusive Provider Organization | 2645 Sw 37th Ave, Suite 601, Miami, FL 33133-2754 | 2015-04-09 |
| 1750770806 | Amaury Frias | Specialist/Technologist, Other | 2645 Sw 37th Ave, Suite 400, Miami, FL 33133-2754 | 2015-01-13 |
| 1821491358 | Coral Gables Dental Health Centre, Pa | Clinic/Center | 2645 Sw 37th Ave, #303, Miami, FL 33133-2754 | 2014-09-29 |
| 1740615418 | Dental Specialists of Coral Gables Group Co. | Dentist | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2013-09-12 |
| 1902174758 | Gary D. Small Dpm Corp | Non-Pharmacy Dispensing Site | 2645 Sw 37th Ave, Suite 704, Miami, FL 33133-2754 | 2011-12-08 |
| 1578859369 | Salubris LLC | Health Maintenance Organization | 2645 Sw 37th Ave, 6 Floor, Miami, FL 33133-2754 | 2011-06-21 |
| Find all providers in the same location | ||||
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| 1912511361 | Brickell Dentistry Pa | Clinic/Center | 444 Brickell Ave Ste 48, Miami, FL 33131-2403 | 2020-09-03 |
| 1700498466 | Tamar Justin | Clinic/Center | 261 Nw 149th St, Miami, FL 33168-4215 | 2020-08-23 |
| 1912517871 | Smiling Dental Studio Corp | Clinic/Center | 825 Sw 87th Ave Ste 2g, Miami, FL 33174-3253 | 2020-08-05 |
| 1578172763 | Flavio A Kottar Dds, P.a. | Clinic/Center | 3683 S Miami Ave Ste 305, Miami, FL 33133-4253 | 2020-07-24 |
| 1083237903 | Juan Diego Cardenas Dds Inc. | Clinic/Center | 7775 Sw 87th Ave Ste 112, Miami, FL 33173-2536 | 2020-05-27 |
| 1275181315 | Floridental Clinic | Clinic/Center | 9240 Sw 72nd St Ste 115, Miami, FL 33173-3262 | 2019-09-02 |
| 1902453756 | Smile Mission, Pllc | Clinic/Center | 9900 Sw 168th St, Miami, FL 33157-4378 | 2019-08-26 |
| 1548728223 | I & S Dental Services, Inc. | Clinic/Center | 8950 Sw 74th Ct Ste 1202, Miami, FL 33156-3170 | 2019-03-12 |
| 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.