Healthcare Provider Details

I. General information

NPI: 1497199103
Provider Name (Legal Business Name): ALESSANDRA SIGILLO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 06/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 NE 191ST ST STE 210
AVENTURA FL
33180-3115
US

IV. Provider business mailing address

7910 HARBOR ISLAND DR #702
NORTH BAY VILLAGE FL
33141-3394
US

V. Phone/Fax

Practice location:
  • Phone: 305-935-4991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN 21555
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: