MEDICARE: DR. LUCA SFOGLIANO DDS, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	2901601670	MI
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN29888	FL
3	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	35717	TX

General Provider Information

NPI Number	:	1205471497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCA SFOGLIANO DDS, MS

Provider Business Mailing Address
First Line	:	3360 SW 22ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3112
Country	:	US
Telephone Number	:	310-623-7530
Fax Number	:

Provider Business Practice Location Address
First Line	:	12741 MIRAMAR PKWY STE 203
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-2905
Country	:	US
Telephone Number	:	954-236-5273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2019
Last Update Date	:	02/11/2026

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