Healthcare Provider Details

I. General information

NPI: 1639966161
Provider Name (Legal Business Name): STEPHANO MILIANO MAJOR DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 N BAYSHORE DR STE 235
MIAMI FL
33132-1195
US

IV. Provider business mailing address

1717 N BAYSHORE DR STE 235
MIAMI FL
33132-1195
US

V. Phone/Fax

Practice location:
  • Phone: 954-510-9743
  • Fax:
Mailing address:
  • Phone: 954-510-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number31318
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: