Healthcare Provider Details

I. General information

NPI: 1992853584
Provider Name (Legal Business Name): MAUTNER, DDS AND OPPENHEIMER, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 ARTHUR GODFREY RD SUITE 207
MIAMI BEACH FL
33140-3325
US

IV. Provider business mailing address

925 ARTHUR GODFREY RD SUITE 207
MIAMI BEACH FL
33140-3325
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-0841
  • Fax: 305-531-2808
Mailing address:
  • Phone: 305-531-0841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number7383
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN OPPENHEIMER
Title or Position: VP
Credential: DMD
Phone: 305-531-0841