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DORAL PEDIATRIC DENTISTRY, LLC
NPI 1720202815
Dentist - Pediatric Dentistry in Doral, FL

Active since April 12, 2007
10717 NW 58TH ST, DORAL, FL 33178(305) 513-4058(305) 639-2931 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Doral Pediatric Dentistry, Llc NPPES

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

DORAL PEDIATRIC DENTISTRY, LLC (NPI 1720202815) is a healthcare organization registered as a pediatric dentistry in Doral, Florida and active in the NPI registry since April 2007. The organization lists Juan Luis Garrastazu, President, as its authorized official.

NPPES Registry Identity

NPI1720202815
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDORAL PEDIATRIC DENTISTRY, LLC
Location Address10717 NW 58TH STDoral, FL 33178-2801
Mailing Address10717 Nw 58th StDoral, FL 33178-2801 · (305) 513-4058 · Fax (305) 639-2931
Phone(305) 513-4058
Fax(305) 639-2931
Organization SubpartNo
Authorized OfficialJuan Luis GarrastazuPresident · (305) 513-4058
Enumeration DateApril 12, 2007
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1720202815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
10717 NW 58TH ST, Doral, FL 33178
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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 SINGLE SPECIALTY GROUP

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.

DR. JUAN LUIS GARRASTAZU D.M.D.
Dentist
10717 NW 58TH ST
DORAL, FL 33178
Miami-Dade County (305) 513-4058
PRIME PEDIATRIC DENTAL GROUP PA
Dentist (Pediatric Dentistry)
10717 NW 58TH ST
DORAL, FL 33178
Miami-Dade County (305) 513-4058

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 Doral Pediatric Dentistry, LLC's NPI number?

The NPI number for Doral Pediatric Dentistry, LLC is 1720202815. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Doral Pediatric Dentistry, LLC located?

Doral Pediatric Dentistry, LLC is located at 10717 NW 58th St, Doral, FL 33178. The listed phone number is (305) 513-4058.

What is Doral Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Doral Pediatric Dentistry, LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.