MODERNA SMILE OF GALLOWAY CORP
NPI 1104417153
Clinic/Center - Dental in Miami, FL

Q: What is Moderna Smile Of Galloway Corp's NPI number?

The NPI number for Moderna Smile Of Galloway Corp is 1104417153. It was assigned to this organization in the NPPES registry on February 2, 2021.

Q: What is Moderna Smile Of Galloway Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since February 02, 2021

8718 SW 72ND ST, MIAMI, FL 33173(305) 273-9330 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Moderna Smile Of Galloway Corp NPPES

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

MODERNA SMILE OF GALLOWAY CORP (NPI 1104417153) is a healthcare organization registered as a dental in Miami, Florida and active in the NPI registry since February 2021. The organization lists Juan Carlos Izquierdo, President, as its authorized official.

NPPES Registry Identity

NPI1104417153

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMODERNA SMILE OF GALLOWAY CORP

Location Address8718 SW 72ND STMiami, FL 33173-3512

Mailing Address5246 Sw 8th StCoral Gables, FL 33134-2375

Phone(305) 273-9330

Organization SubpartNo

Authorized OfficialJuan Carlos IzquierdoPresident · (305) 273-9330

Enumeration DateFebruary 2, 2021

NPPES CertifiedFebruary 2, 2021

✔ NPI 1104417153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

8718 SW 72ND ST, Miami, FL 33173

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIXIE DENTAL CORP

Dentist (General Practice)

8718 SW 72ND ST
MIAMI, FL 33173

Miami-Dade County (305) 273-9330

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 Moderna Smile Of Galloway Corp's NPI number?

The NPI number for Moderna Smile Of Galloway Corp is 1104417153. It was assigned to this organization in the NPPES registry on February 2, 2021.

Where is Moderna Smile Of Galloway Corp located?

Moderna Smile Of Galloway Corp is located at 8718 SW 72nd St, Miami, FL 33173. The listed phone number is (305) 273-9330.

What is Moderna Smile Of Galloway Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Moderna Smile Of Galloway Corp accept?

Health plans from Ambetter Health and Ambetter of Alabama list Moderna Smile Of Galloway Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moderna Smile Of Galloway Corp was last updated on February 2, 2021. 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.