MEDICARE: SABAL PALM DENTAL ASSOCIATES

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	122300000X	Dentist	DN0011339	FL

General Provider Information

NPI Number	:	1396870705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SABAL PALM DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	5337 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2707
Country	:	US
Telephone Number	:	305-758-0815
Fax Number	:

Provider Business Practice Location Address
First Line	:	5337 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2707
Country	:	US
Telephone Number	:	305-758-0815
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROGER J. PHANORD
Credential	:	D.M.D.
Telephone Number	:	305-758-0815

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/19/2007

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1871581249 — RAQUEL M GONZALEZ M.D.
Practice Location Address:

5385 NE 2ND AVE
MIAMI, FL
33137-2707

Practice Phone: 305-756-9977
Practice Fax: 305-756-5757

1194895607 — JACQUES ANDRE VICTOR M.D.
Practice Location Address:

5331 NE 2ND AVE
MIAMI, FL
33137-2707

Practice Phone: 305-758-7894
Practice Fax: 305-758-2050

1265505515 — DR. ROGER JOSEPH PHANORD D.M.D.
Practice Location Address:

5337 NE 2ND AVE
MIAMI, FL
33137-2707

Practice Phone: 305-758-0815
Practice Fax: 305-758-5030

1871894048 — CMA MEDS
Practice Location Address:

5385 NE 2ND AVE
MIAMI, FL
33137-2707

Practice Phone: 305-756-9977
Practice Fax:

1083995336 — MEDICAL PLAZA MANAGEMENT, INC.
Practice Location Address:

5385 NE 2ND AVE
MIAMI, FL
33137-2707

Practice Phone: 305-756-9977
Practice Fax: 305-756-5757

Directions to “SABAL PALM DENTAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.