Healthcare Provider Details

I. General information

NPI: 1033021779
Provider Name (Legal Business Name): ROGER NACHAR DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 WASHINGTON AVE STE 601
MIAMI BEACH FL
33139-7232
US

IV. Provider business mailing address

119 WASHINGTON AVE STE 601
MIAMI BEACH FL
33139-7232
US

V. Phone/Fax

Practice location:
  • Phone: 305-534-4440
  • Fax: 305-534-0444
Mailing address:
  • Phone: 305-534-4440
  • Fax: 305-534-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32427
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: