Healthcare Provider Details

I. General information

NPI: 1437080264
Provider Name (Legal Business Name): OLYMPIA DENTAL STUDIO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8372 SW 40TH ST
MIAMI FL
33155-3355
US

IV. Provider business mailing address

8372 SW 40TH ST
MIAMI FL
33155-3355
US

V. Phone/Fax

Practice location:
  • Phone: 305-553-3683
  • Fax: 305-553-3694
Mailing address:
  • Phone: 305-553-3683
  • Fax: 305-553-3694

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: DR. ANABEL MARCHANTE
Title or Position: OWNER
Credential: DMD
Phone: 786-413-0639