Healthcare Provider Details

I. General information

NPI: 1326973256
Provider Name (Legal Business Name): GIL DENTAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 W 56TH ST STE 15
HIALEAH FL
33016-2684
US

IV. Provider business mailing address

2050 W 56TH ST STE 15
HIALEAH FL
33016-2684
US

V. Phone/Fax

Practice location:
  • Phone: 786-239-1416
  • Fax:
Mailing address:
  • Phone: 786-239-1416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YEENDY GIL
Title or Position: DENTIST
Credential: DMD
Phone: 786-239-1416