PEMBROKE PINES PEDIATRIC DENTISTRY
NPI 1942424700
Dentist - Pediatric Dentistry in Pembroke Pines, FL

Active since April 12, 2007
12311 TAFT ST STE 3, PEMBROKE PINES, FL 33026(954) 431-7199(954) 431-9102 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pembroke Pines Pediatric Dentistry NPPES

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

PEMBROKE PINES PEDIATRIC DENTISTRY (NPI 1942424700) is a healthcare organization registered as a pediatric dentistry in Pembroke Pines, Florida and active in the NPI registry since April 2007. The organization lists Juan Luis Garrastazu, President, as its authorized official.

NPPES Registry Identity

NPI1942424700
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEMBROKE PINES PEDIATRIC DENTISTRY
Location Address12311 TAFT ST STE 3Pembroke Pines, FL 33026-4384
Mailing Address12311 Taft St Ste 3Pembroke Pines, FL 33026-4384 · (954) 431-7199 · Fax (954) 431-9102
Fax(954) 431-9102
Organization SubpartNo
Authorized OfficialJuan Luis GarrastazuPresident · (954) 431-7199
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 18, 2010
NPI 1942424700 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.
12311 TAFT ST STE 3, Pembroke Pines, FL 33026

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
12311 TAFT ST STE 3
PEMBROKE PINES, FL 33026

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 Pembroke Pines Pediatric Dentistry's NPI number?

The NPI number for Pembroke Pines Pediatric Dentistry is 1942424700. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Pembroke Pines Pediatric Dentistry located?

Pembroke Pines Pediatric Dentistry is located at 12311 Taft St Ste 3, Pembroke Pines, FL 33026. The listed phone number is (954) 431-7199.

What is Pembroke Pines Pediatric Dentistry's specialty?

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

What insurance does Pembroke Pines Pediatric Dentistry accept?

Health plans from Ambetter Health and Ambetter of Alabama list Pembroke Pines Pediatric Dentistry 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 Pembroke Pines Pediatric Dentistry was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.