Healthcare Provider Details

I. General information

NPI: 1073427373
Provider Name (Legal Business Name): ACC DENTAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 SW 88TH ST STE 171
MIAMI FL
33186-1528
US

IV. Provider business mailing address

13500 SW 88TH ST STE 171
MIAMI FL
33186-1528
US

V. Phone/Fax

Practice location:
  • Phone: 305-748-4008
  • Fax: 786-232-8598
Mailing address:
  • Phone: 305-748-4008
  • Fax: 786-232-8598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARIAN MELGAREJO
Title or Position: CEO/DENTIST
Credential: DMD
Phone: 786-512-5315