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MIRAMAR MODERN DENTISTRY, PA
NPI 1821667684
Dentist - General Practice in Miramar, FL

Active since June 24, 2021
12621 MIRAMAR PKWY BAY 102, MIRAMAR, FL 33027(954) 621-1496(954) 666-6199 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miramar Modern Dentistry, Pa NPPES

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

MIRAMAR MODERN DENTISTRY, PA (NPI 1821667684) is a healthcare organization registered as a general practice in Miramar, Florida and active in the NPI registry since June 2021. The organization lists Minh Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1821667684
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIRAMAR MODERN DENTISTRY, PA
Location Address12621 MIRAMAR PKWY BAY 102Miramar, FL 33027-2910
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(954) 621-1496
Fax(954) 666-6199
Organization SubpartNo
Authorized OfficialMinh PhamOwner · (954) 621-1496
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 25, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1821667684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
12621 MIRAMAR PKWY BAY 102, Miramar, FL 33027
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. DANIEL RIVERO DMD
Dentist (General Practice)
12621 MIRAMAR PKWY BAY 102
MIRAMAR, FL 33027
Broward County (954) 621-1496
ROCIO DE LOS ANGELES TUERO PEREZ
Dentist
12621 MIRAMAR PKWY BAY 102
MIRAMAR, FL 33027
Broward County (954) 621-1496
MICHELLE LAVANDERO DMD
Dentist
12621 MIRAMAR PKWY BAY 102
MIRAMAR, FL 33027
Broward County (954) 621-1496
DR. SANDRA BERNAZA DMD
Dentist (General Practice)
12621 MIRAMAR PKWY BAY 102
MIRAMAR, FL 33027
Broward County (954) 621-1496
WILFREDO CRUZ IBARRA DMD
Dentist (General Practice)
12621 MIRAMAR PKWY BAY 102
MIRAMAR, FL 33027
Broward County (954) 621-1496

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 Miramar Modern Dentistry, PA's NPI number?

The NPI number for Miramar Modern Dentistry, PA is 1821667684. It was assigned to this organization in the NPPES registry on June 24, 2021.

Where is Miramar Modern Dentistry, PA located?

Miramar Modern Dentistry, PA is located at 12621 Miramar Pkwy Bay 102, Miramar, FL 33027. The listed phone number is (954) 621-1496.

What is Miramar Modern Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Miramar Modern Dentistry, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Miramar Modern Dentistry, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miramar Modern Dentistry, PA was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.