MEDICARE: MIAMI BEACH DENTAL SPECIALTY CENTER LLC

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	DN0011082	FL

General Provider Information

NPI Number	:	1417183013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI BEACH DENTAL SPECIALTY CENTER LLC

Provider Business Mailing Address
First Line	:	900 71ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2916
Country	:	US
Telephone Number	:	305-761-1178
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 71ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2916
Country	:	US
Telephone Number	:	305-761-1178
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. JEFFREY H GORDON
Credential	:	D.M.D.
Telephone Number	:	305-761-1178

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	06/09/2009

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

1790990208 — LUIS QUINONES DMD
Practice Location Address:

900 71ST ST
MIAMI BEACH, FL
33141-2916

Practice Phone: 305-861-7222
Practice Fax: 305-861-2300

1871704742 — DR. JENNIFER LYNN ROSTOCK D.D.S.
Practice Location Address:

900 71ST ST
MIAMI BEACH, FL
33141-2916

Practice Phone: 305-861-7222
Practice Fax: 305-861-2300

1336093426 — RISA BERKOWITZ
Practice Location Address:

4425 N MICHIGAN AVE
MIAMI BEACH, FL
33140-2916

Practice Phone: 786-422-4057
Practice Fax:

1891206363 — MR. DANIEL MUNIZ-RIVERA NP-C
Practice Location Address:

1585 NE 169TH ST
NORTH MIAMI BEACH, FL
33162-2916

Practice Phone: 786-709-0676
Practice Fax: 786-709-0676

1750861464 — YANELIS ACUNA VERDECIA ARNP
Practice Location Address:

1585 NE 169TH ST
NORTH MIAMI BEACH, FL
33162-2916

Practice Phone: 717-278-6290
Practice Fax:

Directions to “MIAMI BEACH DENTAL SPECIALTY CENTER LLC ” 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.