Healthcare Provider Details

I. General information

NPI: 1598675985
Provider Name (Legal Business Name): CLUB DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2555 COLLINS AVE STE C3
MIAMI BEACH FL
33140-4723
US

IV. Provider business mailing address

2555 COLLINS AVE STE C3
MIAMI BEACH FL
33140-4723
US

V. Phone/Fax

Practice location:
  • Phone: 305-672-9698
  • Fax:
Mailing address:
  • Phone: 305-672-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DEAN ORR YARON
Title or Position: OWNER
Credential: DMD
Phone: 954-806-3422