VIDAMAX DENTAL GROUP CORP
NPI 1417604166
Clinic/Center - Dental in Hollywood, FL

Active since March 02, 2022
2040 WASHINGTON ST, HOLLYWOOD, FL 33020(754) 348-5001 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidamax Dental Group Corp NPPES

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

VIDAMAX DENTAL GROUP CORP (NPI 1417604166) is a healthcare organization registered as a dental in Hollywood, Florida and active in the NPI registry since March 2022. The organization lists Raisa Cortes Fontanet, Owner, as its authorized official.

NPPES Registry Identity

NPI1417604166
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVIDAMAX DENTAL GROUP CORP
Location Address2040 WASHINGTON STHollywood, FL 33020-6930
Mailing Address2040 Washington StHollywood, FL 33020-6930 · (754) 348-5001
Organization SubpartNo
Authorized OfficialRaisa Cortes FontanetOwner · (786) 715-5571
Enumeration DateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
NPI 1417604166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2040 WASHINGTON ST, Hollywood, FL 33020

Other Providers at the Same Location NPPES 2

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

Case Management
2040 WASHINGTON ST
HOLLYWOOD, FL 33020
Clinic/Center
2040 WASHINGTON ST
HOLLYWOOD, FL 33020

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 Vidamax Dental Group Corp's NPI number?

The NPI number for Vidamax Dental Group Corp is 1417604166. It was assigned to this organization in the NPPES registry on March 2, 2022.

Where is Vidamax Dental Group Corp located?

Vidamax Dental Group Corp is located at 2040 Washington St, Hollywood, FL 33020. The listed phone number is (754) 348-5001.

What is Vidamax Dental Group Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Vidamax Dental Group Corp was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.