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PRIME PEDIATRIC DENTAL GROUP PA
NPI 1730906124
Dentist - Pediatric Dentistry in Hialeah, FL

Active since September 25, 2024
4410 W 16TH AVE STE 52, HIALEAH, FL 33012(305) 251-5390 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2024, Sep 25, 2024 (2 updates tracked since 2024).

About Prime Pediatric Dental Group Pa NPPES

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

PRIME PEDIATRIC DENTAL GROUP PA (NPI 1730906124) is a healthcare organization registered as a pediatric dentistry in Hialeah, Florida and active in the NPI registry since September 2024. The organization lists Jose Mellado, President, as its authorized official.

NPPES Registry Identity

NPI1730906124
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePRIME PEDIATRIC DENTAL GROUP PA
Location Address4410 W 16TH AVE STE 52Hialeah, FL 33012-7193
Mailing Address4410 W 16th Ave Ste 52Hialeah, FL 33012-7193
Phone(305) 251-5390
Organization SubpartYesParent: Prime Pediatric Dental Group
Authorized OfficialJose MelladoPresident · (305) 321-3790
Enumeration DateSeptember 25, 2024
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1730906124 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.
4410 W 16TH AVE STE 52, Hialeah, FL 33012
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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 18

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

ANGELA ROSA GARCIA I DDS
Dentist (General Practice)
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899
GERARDO ROJAS
Dental Assistant
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899
MARIA SOFIA LOZADA LEIDENZ
Dentist (General Practice)
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 321-3790
LEYDIS DE LOS REYES
Dental Assistant
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899
DR. MICHAEL W. BAILEY DMD
Dentist (General Practice)
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899
JESSICA GONZALEZ
Dentist (Pediatric Dentistry)
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899
ADRIANA VELEZ
Dentist (General Practice)
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899
CYNTHIA ESPINOSA
Dental Assistant
4410 W 16TH AVE STE 52
HIALEAH, FL 33012
Miami-Dade County (305) 825-9899

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 Prime Pediatric Dental Group PA's NPI number?

The NPI number for Prime Pediatric Dental Group PA is 1730906124. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Prime Pediatric Dental Group PA located?

Prime Pediatric Dental Group PA is located at 4410 W 16th Ave Ste 52, Hialeah, FL 33012. The listed phone number is (305) 251-5390.

What is Prime Pediatric Dental Group PA'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 Prime Pediatric Dental Group PA was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.