MEDICARE: NEXTGEN DENTAL AND ORTHODONTICS OF FL P

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1639053838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTGEN DENTAL AND ORTHODONTICS OF FL P

Provider Business Mailing Address
First Line	:	3363 NE 163RD ST STE 807
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3363 NE 163RD ST STE 807
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4438
Country	:	US
Telephone Number	:	305-974-4785
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NERITA STRACHAN
Credential	:
Telephone Number	:	847-947-2651

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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