Healthcare Provider Details

I. General information

NPI: 1295609428
Provider Name (Legal Business Name): FLORIDA ENDODONTIC INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ARTHUR GODFREY RD STE 404
MIAMI BEACH FL
33140-3524
US

IV. Provider business mailing address

400 ARTHUR GODFREY RD STE 404
MIAMI BEACH FL
33140-3524
US

V. Phone/Fax

Practice location:
  • Phone: 305-535-1714
  • Fax: 305-535-8190
Mailing address:
  • Phone: 305-535-1714
  • Fax: 305-535-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JAY JOSEPH KOPF
Title or Position: ENDODONTIST/OWNER
Credential: DDS
Phone: 305-535-1714