MEDICARE: DENTAL CARE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922682327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL CARE PA

Provider Business Mailing Address
First Line	:	3925 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3852
Country	:	US
Telephone Number	:	305-674-0656
Fax Number	:	877-286-3853

Provider Business Practice Location Address
First Line	:	3925 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3852
Country	:	US
Telephone Number	:	305-674-0656
Fax Number	:	877-286-3853

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANGELIKA K PEDROSO
Credential	:	DDS
Telephone Number	:	786-512-8136

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	05/11/2021

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1346744364 — MOBILE PHYSICIANS TEAM MANAGEMENT LLC
Practice Location Address:

3921 ALTON RD STE 300
MIAMI BEACH, FL
33140-3852

Practice Phone: 863-298-6717
Practice Fax: 863-298-6717

1306932223 — DR. MATTHEW ALLEN LYNCH PSY.D.
Practice Location Address:

16052 BEACH BLVD STE 212
HUNTINGTON BEACH, CA
92647-3852

Practice Phone: 714-717-2965
Practice Fax:

1225225972 — DR. DEBORAH W. SHERMAN PHD
Practice Location Address:

942 SCOTT DR
WEST PALM BEACH, FL
33415-3852

Practice Phone: 561-328-3610
Practice Fax: 844-861-3079

1073910386 — LEAH WIEDEMAMN O.D.
Practice Location Address:

716 N HALIFAX AVE APT 9
DAYTONA BEACH, FL
32118-3852

Practice Phone: 314-583-0324
Practice Fax:

1710534086 — BOYETTE ENTERPRISES LLC
Practice Location Address:

3852 VIRGINIA BEACH BLVD UNIT B
VIRGINIA BEACH, VA
23452-2489

Practice Phone: 757-567-0798
Practice Fax: 757-366-2252

Directions to “DENTAL CARE PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.