Healthcare Provider Details

I. General information

NPI: 1376426197
Provider Name (Legal Business Name): ARSALAN DANESH DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20800 W DIXIE HWY
MIAMI FL
33180-1147
US

IV. Provider business mailing address

33 E CAMINO REAL APT 515
BOCA RATON FL
33432-6153
US

V. Phone/Fax

Practice location:
  • Phone: 305-931-0607
  • Fax:
Mailing address:
  • Phone: 561-212-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN30862
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: