1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Dentist
  6. NPI Profile

FAMILY DENTISTRY OF FLORIDA, COUNTYLINE
NPI 1063620789
Dentist - General Practice in Miami, FL

Active since May 18, 2007
21457 NW 2ND AVE, MIAMI, FL 33169(305) 654-1234(484) 348-0322 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Dentistry Of Florida, Countyline NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY DENTISTRY OF FLORIDA, COUNTYLINE (NPI 1063620789) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since May 2007. The organization lists Igor Pasisnitchenko, Member, as its authorized official.

NPPES Registry Identity

NPI1063620789
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUNTYLINE DENTAL, LLP
Location Address21457 NW 2ND AVEMiami, FL 33169-2120
Mailing Address21457 Nw 2nd AveMiami, FL 33169-2120 · (305) 654-1234 · Fax (484) 348-0322
Phone(305) 654-1234
Fax(484) 348-0322
Organization SubpartNo
Authorized OfficialIgor PasisnitchenkoMember · (305) 654-1234
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063620789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN15470
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
21457 NW 2ND AVE, Miami, FL 33169
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Dentistry Of Florida, Countyline

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countyline Dental, LLP's NPI number?

The NPI number for Countyline Dental, LLP is 1063620789. It was assigned to this organization in the NPPES registry on May 18, 2007. The provider is doing business as Family Dentistry Of Florida, Countyline.

Where is Countyline Dental, LLP located?

Countyline Dental, LLP is located at 21457 NW 2nd Ave, Miami, FL 33169. The listed phone number is (305) 654-1234.

What is Countyline Dental, LLP's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Countyline Dental, LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.