Healthcare Provider Details

I. General information

NPI: 1730014093
Provider Name (Legal Business Name): LILLIAM MORALES ROSELL DDS,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8794 SW 8TH ST
MIAMI FL
33174-3201
US

IV. Provider business mailing address

8794 SW 8TH ST
MIAMI FL
33174-3201
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-5706
  • Fax:
Mailing address:
  • Phone: 305-200-5706
  • 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: DR. LILLIAM MORALES ROSELL
Title or Position: GENERAL DENTIST
Credential: DDS
Phone: 786-925-6490