MEDICARE: DAYSY PINERO, D.M.D., P.A.

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	DN 16420	FL

General Provider Information

NPI Number	:	1881706406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYSY PINERO, D.M.D., P.A.

Provider Business Mailing Address
First Line	:	10212 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3940
Country	:	US
Telephone Number	:	954-796-3355
Fax Number	:	954-796-8855

Provider Business Practice Location Address
First Line	:	10212 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3940
Country	:	US
Telephone Number	:	954-796-3355
Fax Number	:	954-796-8855

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAYSY EMILIA PINERO
Credential	:	D.M.D.
Telephone Number	:	954-796-3355

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/06/2016

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