MEDICARE: DR. PETER H EPSTEIN DMD

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	8505	FL

General Provider Information

NPI Number	:	1952441198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER H EPSTEIN DMD

Provider Business Mailing Address
First Line	:	1058 NE 98TH ST
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2506
Country	:	US
Telephone Number	:	305-757-1775
Fax Number	:

Provider Business Practice Location Address
First Line	:	2242 NE 123RD ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2904
Country	:	US
Telephone Number	:	305-866-9998
Fax Number	:	305-867-2593

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/21/2022

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