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BEACH DENTAL SPECIALIST
NPI 1477894079
Dentist - Periodontics in Miami, FL

Active since March 06, 2013
4011 W FLAGLER ST., 505, MIAMI, FL 33134(305) 424-2705(305) 643-0447 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beach Dental Specialist NPPES

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

BEACH DENTAL SPECIALIST (NPI 1477894079) is a healthcare organization registered as a periodontics in Miami, Florida and active in the NPI registry since March 2013. The organization lists Edy Augusto Guerra, President, as its authorized official.

NPPES Registry Identity

NPI1477894079
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBEACH DENTAL SPECIALIST
Location Address4011 W FLAGLER ST., 505Miami, FL 33134
Mailing Address4011 W Flagler St., 505Miami, FL 33134 · (305) 424-2705 · Fax (305) 643-0447
Phone(305) 424-2705
Fax(305) 643-0447
Organization SubpartNo
Authorized OfficialEdy Augusto GuerraPresident · (305) 424-2705
Enumeration DateMarch 6, 2013
✔ NPI 1477894079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN18253
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License DN18777 (FL)
4011 W FLAGLER ST., Miami, FL 33134
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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 MULTIPLE 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 Beach Dental Specialist's NPI number?

The NPI number for Beach Dental Specialist is 1477894079. It was assigned to this organization in the NPPES registry on March 6, 2013.

Where is Beach Dental Specialist located?

Beach Dental Specialist is located at 4011 W Flagler St. 505, Miami, FL 33134. The listed phone number is (305) 424-2705.

What is Beach Dental Specialist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Beach Dental Specialist was last updated on March 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.