PINES DENTAL VILLAGE CORP.
NPI 1205706074
Dentist - General Practice in Pembroke Pines, FL
- Organization
- Dentist
- General Practice
About PINES DENTAL VILLAGE CORP.
This page provides the complete NPI Profile along with additional information for Pines Dental Village Corp., a provider established in Pembroke Pines, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1205706074 assigned on November 2025. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Liveisys Pedraza Dds (Owner)
- NPI
- 1205706074 Verify this NPI
- Provider Name
- PINES DENTAL VILLAGE CORP.
- Entity Type
- Organization
- Location Address
- 12558 PINES BLVD PEMBROKE PINES, FL 33027
- Location Phone
- (954) 639-6998
- Mailing Address
- 12558 PINES BLVD PEMBROKE PINES, FL 33027
- Mailing Phone
- (954) 639-6998
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2025
- Last Update Date
- 11-07-2025
- Code Navigator
A dentist like Pines Dental Village Corp. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PEMBROKE PINES, FL 33027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205706074, enumerated as an "organization" on November 07, 2025.
The provider is located at 12558 PINES BLVD PEMBROKE PINES, FL 33027 and the phone number is (954) 639-6998.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
