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Page 1: Options PPO 20 - fbmcbenefitscommunications.com...• Licensure, certification and other regulatory considerations • Whether or not the office is accepting new patients Alist of

Options PPO 20

Participating Providers

South Florida

April 2017

Page 2: Options PPO 20 - fbmcbenefitscommunications.com...• Licensure, certification and other regulatory considerations • Whether or not the office is accepting new patients Alist of
Page 3: Options PPO 20 - fbmcbenefitscommunications.com...• Licensure, certification and other regulatory considerations • Whether or not the office is accepting new patients Alist of

Welcome toUnitedHealthcare’s

Dental PlanPlease take a moment to review this provider directory.We want to make sure you are satisfied with your dental benefits.If you have any questions, please contact the Member Services Department.

Your dental directoryWe have included an extensive directory ofnetwork dentists located throughout thecommunity. The dentist information that can befound within this directory includes:

• Name, location and phone number• Foreign languages spoken, if any• Wheelchair accessibility• Licensure, certification and other regulatory

considerations• Whether or not the office is accepting new

patients

A list of general dentists and specialists isincluded in this directory. You do not need areferral from a general dentist to receive carefrom a specialist.

Should you have questions, please call thetoll-free number listed in your enrollmentinformation. We offer language assistanceservices if you require translations or needassistance receiving care in languages otherthan English. Contact our Member ServicesDepartment for translation support.

Meeting our quality standardsYou can have confidence knowing you arereceiving care from dentists who have beencarefully selected for participation in our network.All network dentists undergo a rigorous reviewand credentialing process prior to being acceptedinto our network, which includes the followingmajor elements:

• Dentist education, training and experience• Malpractice history

This process confirms that each dentist has therequired credentials to participate in the network.

We cannot guarantee the continuing participationof dentists currently listed in this directory. Whena provider no longer participates in the network,or has changed participation status, additionalcosts may be incurred. We recommend that youcall the Member Services Department to verifythat a dentist is currently participating in thenetwork prior to seeking care.

American Disabilities Act Notice: In accordance with the requirements of the federal Americans withDisabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full andequal access to covered services and do not discriminate against qualified individuals with disabilitieson the basis of disability in its services, programs, or activities.

Copies of our network provider directory are available at no cost by calling the Member ServicesDepartment.

If you believe there is an error in this directory, please call us at 1-800-445-9090 or email [email protected].

INTRO - 1

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We do not treat members differently because of sex, age, race, color, disability or national origin.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator. Online: [email protected] Mail: Civil Rights Coordinator. UnitedHealthcare Civil Rights Grievance. P.O. Box 30608 Salt Lake City, UTAH 84130

You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your identification card, Monday through Friday, 7 a.m. to 10 p.m. CST.

You can also file a complaint with the U.S. Dept. of Health and Human Services. Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your identification card, Monday through Friday, 7 a.m. to 10 p.m. CST.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.

(Chinese)

Ý: N u quý v nói ti ng Vi t (Vietnamese), quý v s c cung c p d ch v tr giúp v ngôn ng mi n phí. Vui lòng g i s i n tho i mi n phí m t sau th h i viên c a quý v .

: (Korean) . .

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

Russian)

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)Arabic(

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuillez appeler le numéro de téléphone gratuit figurant sur votre carte d’identification.

polsku (Polish)

ATENÇÃO: Se você fala português (Portuguese), contate o serviço de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartão de identificação.

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.

(Japanese)

)Farsi(

(Hindi)

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

(Khmer)

PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.

DÍÍ BAA'ÁKONÍNÍZIN: Diné (Navajo)

biká'ígíí bee hodíilnih.

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.

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BROWARD COUNTY

Coconut Creek

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121601825463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120968465463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000125505055463 Lyons Rd Ste CCoconut Creek, FL 33073Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)AYESH, KarimaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000007136325463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004350515463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122102385463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)BERQUIST, Michael R.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120629685463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000039200945463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121122485463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)BRODY, Robert A.Dental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000002087934660 W Hillsboro Blvd SteCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122489685463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124716425463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

1GENERAL DENTISTS

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)CASEY, Barbara L.Great Expressions DentalCenters(954) 428-1803Prov. No.: 0000124911874660 W Hillsboro Blvd SteCoconut Creek, FL 33073Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121516335463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121529855463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)CLINE, Jack A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004271995463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124250585463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121122495463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)CORONADO, EfrainSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004350595463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000039163625463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

CRUCES, Manuel I.Healthy Family Dentistry Pa(954) 478-0858Prov. No.: 0000007077335350 W Hillsboro Blvd Ste �Coconut Creek, FL 33073Gender: MaleNPI: 1750511762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)CRUZ, Antonio R.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000017716295463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000024525505463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000045900165463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

2 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)DEAN, Craig J.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120053755463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124453925463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124353665463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)DOUGHERTY, CleydesRaul Lizaso(954) 933-7340Prov. No.: 0000122124173850 Coconut Creek Pkwy SCoconut Creek, FL 33066Gender: FemaleNPI: 1649587064License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 532-6490Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000119946955463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120946715463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)DURKAN, Marcia A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000017722685463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000006962975463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000115515825463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)FIELDS-HELLER, Rita A.Dental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000002426864660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1265518807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004252795463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Armando L.Healthy Family Dentistry Pa(954) 478-0858Prov. No.: 0000007024605350 W Hillsboro Blvd Ste �Coconut Creek, FL 33073Gender: MaleNPI: 1760601264License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

3GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)GARCIA-PORRAS, MarcelaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000011375535463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004271965463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122000265463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)GILBERT, MarkSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121164415463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, Luis Fernando F.Luis F Gomez Dds(954) 510-4300Prov. No.: 0000004330414651 N State Road 7 Ste 4Coconut Creek, FL 33073Language: EnglishGender: Not ReportedNPI: 1689899452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121954135463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)GREEN, BeverlySage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122044155463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000012161185463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120492645463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)GULTZ, Jerrold P.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124353705463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120734535463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120479355463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

4 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)HEDSTROM, Brien D.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124519215463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004271835463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Bruce E.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000013201965463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)HOFFMAN, Tara L.Dental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000122491964660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1487882379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

HOGAN, HelenaDental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000004684144660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1851520456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120989735463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)HUTCHISON, Manon B.Beautiful Smiles FamilyDentistryProv. No.: 0000124257395359 Lyons Rd �Coconut Creek, FL 33073Gender: FemaleNPI: 1144370818License: DN13436License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000125101175463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120066945463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)ITURRALDE, Ignacio J.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122510805463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: NHospital Affiliation: N/A*

JOHN, Eliane A.John Orthodontics(954) 575-3313Prov. No.: 0000042498844651 N State Road 7 Ste 1Coconut Creek, FL 33073Language: EnglishGender: FemaleNPI: 1205907003License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000111164715463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

5GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)KELLOGG, David A.Dental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000121423554660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121005355463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124447945463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)LEPORE, KrystinaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121769305463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

LIZASO, RaulRaul Lizaso(954) 933-7340Prov. No.: 0000120750433850 Coconut Creek Pkwy SCoconut Creek, FL 33066Gender: MaleNPI: 1912005778License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 532-6490Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004350625463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)LOVETERE, Thomas L.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124376715463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000115511005463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122095835463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)MARCOS, Juan C.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000102149685463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124735785463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000115521245463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

6 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121182445463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

MYERS, Amy L.Dental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000121048484660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1124382866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000012796115463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)NAPOLI, Marisa M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004271725463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

NEUWIRTH, S EdwardRaul Lizaso(954) 933-7340Prov. No.: 0000125547913850 Coconut Creek Pkwy SCoconut Creek, FL 33066Gender: Not ReportedNPI: 1710993746License: 022882License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121935585463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)ORTEGA, Laura O.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121738065463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000011457945463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122419855463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)PARE, Elizabeth A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120046885463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000121357934660 W Hillsboro Blvd SteCoconut Creek, FL 33073Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000026186755463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

7GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)PERKINS, Lindsay B.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000040296685463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121285475463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000123381455463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)PRICE, DanaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121921955463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000020237485463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000102149695463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)RANGEL, RaulDental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000002118564660 W Hillsboro Blvd SteCoconut Creek, FL 33073Language: EnglishGender: Not ReportedNPI: 1629154216License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121728075463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121021905463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)RIEGER, Eric R.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120666745463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000004350735463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000122419865463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

8 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)RODRIGUEZ, Ramon A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000117736355463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000125239355463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121018045463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)ROSSEN, Peter A.Peter A Rossen Dds(954) 975-0123Prov. No.: 0000000188534825 Coconut Creek PkwyCoconut Creek, FL 33063Gender: MaleNPI: 1003224643License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 975-0123Accepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000012975715463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121753265463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)SHOFNOS, Charles I.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000007070715463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121185245463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121737505463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)SNIDER, Erica M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000007046825463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121635035463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124542915463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

9GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)SUTNICK, Steven A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124716435463 Lyons Rd Ste CCoconut Creek, FL 33073Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124476005463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

TORRES, DianaDental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000121101274660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1083016257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)TORRES, Lina T.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000125478545463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120005675463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124353715463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)URQUIZA, YeneirSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000117742265463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121306485463 Lyons Rd Ste CCoconut Creek, FL 33073Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

VASILAROS, Marina E.Great Expressions DentalCenters(954) 428-1803Prov. No.: 0000125604244660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1588042758License: DN21452License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)VAZANA, Todd A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000121402045463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaDental Health Group- CoconutCreek(954) 428-1803Prov. No.: 0000121832084660 W Hillsboro Blvd SteCoconut Creek, FL 33073Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-8105Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000021561795463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

10 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)YOUNG, SummerSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120479635463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000120193585463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000124542705463 Lyons Rd Ste CCoconut Creek, FL 33073Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coconut Creek (Cont.)ZYLBERING, Jason M.Sage Dental of Coconut CreekPllc(954) 571-7123Prov. No.: 0000012634415463 Lyons Rd Ste CCoconut Creek, FL 33073Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 571-7122Accepts New Patients: YHospital Affiliation: N/A*

Cooper City

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121601899870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120968499870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)ALVAREZ-RODRIGUEZ, DianeSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000109048899870 Griffin RdCooper City, FL 33328Language: EnglishGender: FemaleNPI: 1407141393License: Not ReportedLicense Type: Not ReportedBoard Certified: NoEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125505099870 Griffin RdCooper City, FL 33328Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979349870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)BENGOCHEA, ArmandoSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122102419870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120627389870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BIRNS, Bradley M.Birns & Birns Pa(954) 680-2237Prov. No.: 0000000182285121 SW 90th Ave �Cooper City, FL 33328Language: EnglishGender: MaleNPI: 1588788046License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

11GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)BOCKIAN, Joshua A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979359870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRADLEY, AlijahSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121301549870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1003224148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979379870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)BRETON, Luis F.Luis Breton(954) 434-3229Prov. No.: 0000012119725810 S Flamingo Rd �Cooper City, FL 33330Language: EnglishGender: MaleNPI: 1538396791License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 680-6251Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122489709870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124716489870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)CASTILLO, Juan I.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121516369870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121529889870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124250559870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)CONTESTABLE, Clement J.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121127759870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979409870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979439870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000109048849870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

12 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)DADACIU, CorneliaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122450139870 Griffin RdCooper City, FL 33328Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979449870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979459870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)DEAN, Craig J.Dean Israel & Associates Dds(954) 434-2700Prov. No.: 0000001269889870 Griffin Rd �Cooper City, FL 33328Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-2703Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124454289870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122450149870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124353809870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)DRAIZIN, Claudia A.Dean Israel & Associates Dds(954) 434-2700Prov. No.: 0000004017579870 Griffin Rd �Cooper City, FL 33328Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-2703Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121105099870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979499870 Griffin RdCooper City, FL 33328Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979549870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119971599870 Griffin RdCooper City, FL 33328Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979569870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979589870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

13GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)GARRISON, Harvey B.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979599870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122000299870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121179509870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILSON, Seth A.Dean Israel & Associates Dds(954) 434-2700Prov. No.: 0000018225309870 Griffin Rd �Cooper City, FL 33328Gender: MaleNPI: 1386916211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-2703Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)GONZALES, AngelicaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121953669870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122044189870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GREENSPAN-BIRNS, Robin L.Birns & Birns Pa(954) 680-2237Prov. No.: 0000000182295121 SW 90th Ave �Cooper City, FL 33328Language: EnglishGender: Not ReportedNPI: 1861516320License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979649870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)GUL, Yousaf A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120492669870 Griffin RdCooper City, FL 33328Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124353829870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUPTA, ShailySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125042929870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1144658360License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120734569870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)HAMED, ShirinSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120479399870 Griffin RdCooper City, FL 33328Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124519319870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979689870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

14 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)HERMANNSSON, Steingrimur N.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122179699870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Bruce E.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979709870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120991129870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125101219870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)ISRAEL, ElieSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000001269879870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122510959870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979759870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KOCHER, MichaelDean Israel & Associates Dds(954) 434-2700Prov. No.: 0000004101779870 Griffin Rd �Cooper City, FL 33328Gender: MaleNPI: 1336302587License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-2703Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)KOSSAK, Elizabeth A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122449239870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121007049870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124447979870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121769339870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)LONDONO, Jennifer D.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979789870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124376749870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979799870 Griffin RdCooper City, FL 33328Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122095859870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

15GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)MARTIN, Alfredo D.Cooper City Family Dentistry(954) 252-8257Prov. No.: 0000003265585900 Hiatus Rd Ste 300 �Cooper City, FL 33330Gender: MaleNPI: 1588680292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (866) 435-3499Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124735819870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MINJARES, Monica D.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124838969870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1174602015License: DN20871License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Dean Israel & Associates Dds(954) 434-2700Prov. No.: 0000002414489870 Griffin Rd �Cooper City, FL 33328Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-2703Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121182629870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122450169870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979849870 Griffin RdCooper City, FL 33328Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)NAPOLI, Marisa M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120897779870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121934999870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NUNEZ, Jenny V.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125031669870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1144376542License: DN13321License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121738099870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)ORTIZ, Ana M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979869870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122420319870 Griffin RdCooper City, FL 33328Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979899870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

16 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)PEARSON, Glenn A.Stirling Palm Family Dentistry(954) 434-5440Prov. No.: 00000018615510225 Stirling Rd �Cooper City, FL 33328Gender: MaleNPI: 1407985757License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-5434Accepts New Patients: YHospital Affiliation: N/A*

PEARSON, Sharon G.Stirling Palm Family Dentistry(954) 434-5440Prov. No.: 00000019572310225 Stirling Rd �Cooper City, FL 33328Gender: FemaleNPI: 1518096866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-5434Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, David R.David R Perez Dds(954) 680-2224Prov. No.: 0000003835668799 Stirling RdCooper City, FL 33328Gender: FemaleNPI: 1942427323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979959870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)PERKINS, Lindsay B.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119979989870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121285499870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000123381489870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121918079870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)QUICK, James R.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980019870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121728219870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121022189870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120666779870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)RING, Stephen G.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980049870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122420329870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125239239870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121018079870 Griffin RdCooper City, FL 33328Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

17GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)SANCHES, MelanieSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121753249870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980129870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121185269870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121737399870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)SNIDER, Erica M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980149870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SPECTOR, Edward A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980169870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1972791366License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121635119870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124542949870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)SUAREZ, HenrySage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980209870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124716499870 Griffin RdCooper City, FL 33328Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124476039870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125478479870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)TREVISANI, Ronald J.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000122337739870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121298899870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124353839870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

18 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Cooper City (Cont.)UDDIN, FarzanaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000125034649870 Griffin RdCooper City, FL 33328Language: Romania, RussianGender: MaleNPI: 1699878769License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980239870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121306509870 Griffin RdCooper City, FL 33328Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)VAZANA, Todd A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000121461839870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980259870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120479409870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000120193619870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Cooper City (Cont.)ZASLAVSKY, JuliaSage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000124542739870 Griffin RdCooper City, FL 33328Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000117713269870 Griffin RdCooper City, FL 33328Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of Davie Pplc(954) 434-2700Prov. No.: 0000119980279870 Griffin RdCooper City, FL 33328Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs

AHMADI, Ahmad K.Randall C Shults Dds(954) 753-4005Prov. No.: 000000724684987 N University Dr Ste 1Coral Springs, FL 33071Gender: MaleNPI: 1538275292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AKPAKA, Wisdom D.Wisdom Dental(954) 346-0010Prov. No.: 0000122314679750 NW 33rd St Ste 217Coral Springs, FL 33065Gender: MaleNPI: 1114338738License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 346-1967Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012160184987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121728145810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

19GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ALVAREZ, Eric I.Heron Dentistry(954) 753-1160Prov. No.: 0000003810496240 Coral Ridge Dr Ste 1 �Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1326237454License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-1161Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120968335810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012096848987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ANAND, Payal M.Payal M Anand Dds(954) 757-5341Prov. No.: 0000124371382929 N University Dr SteCoral Springs, FL 33065Gender: FemaleNPI: 1801088919License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARDESHANA, Mehulkumar B.Aegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001251522710220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1457791626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARON, Robert S.Abc Dental(954) 757-5353Prov. No.: 0000035888182410 N University Dr �Coral Springs, FL 33065Gender: MaleNPI: 1811160641License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 757-5559Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ASERIEL, HaimAegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001214986610220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1538561337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

ASSEFF, AndreaSage Dental of Jupiter(954) 753-4005Prov. No.: 000000859933987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: Not ReportedNPI: 1063558096License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ASSI, TarekAlpha Dental Practice(954) 575-0033Prov. No.: 0000012466246268 W Sample Rd Ste 401 �Coral Springs, FL 33067Gender: MaleNPI: 1033313291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)AVILES, Ana V.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000125504985810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012550508987 N University Dr Ste 1 �Coral Springs, FL 33071Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaSagedental Ofparkland(561) 999-9650Prov. No.: 0000007136335810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

20 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)AYESH, KarimaSage Dental of Jupiter(954) 753-4005Prov. No.: 000001364354987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

AZAR, Diego M.Coral Springs DentalAssociates(954) 575-9800Prov. No.: 000000303700730 Riverside Dr �Coral Springs, FL 33071Gender: Not ReportedNPI: 1841207065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 575-1868Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096455810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001956168987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)BARBAG, Adam C.Adam C Barbag Dmd Pa(954) 345-2264Prov. No.: 0000013022411720 N University Dr SteCoral Springs, FL 33071Gender: MaleNPI: 1972701209License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-2625Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSagedental Ofparkland(561) 999-9650Prov. No.: 0000122099945810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Jupiter(954) 753-4005Prov. No.: 000012210240987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)BENHAMU, Michael M.Abc Dental(954) 757-5353Prov. No.: 0000002257142410 N University Dr �Coral Springs, FL 33065Gender: MaleNPI: 1528184082License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 757-5559Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012062946987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120629635810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)BOCKIAN, Joshua A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000004029476987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000040294795810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRADY, TiffanyAmerican Pediatric DentalCoral Springs Inc(804) 304-5437Prov. No.: 0000121808553353 N University DrCoral Springs, FL 33065Gender: FemaleNPI: 1407292824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 417-1338Accepts New Patients: YHospital Affiliation: N/A*

21GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)BRATMAN, JerrySage Dental of Jupiter(954) 753-4005Prov. No.: 000000018930987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySagedental Ofparkland(561) 999-9650Prov. No.: 0000121297505810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRETOS, Alexander L.Magnolia Dental(954) 227-1417Prov. No.: 0000000398799625 Westview Dr �Coral Springs, FL 33076Language: EnglishGender: Not ReportedNPI: 1790893030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)BRODY, Robert A.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000015512181881 N University Dr SteCoral Springs, FL 33071Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

BUI, Anthony T.Anthony Bui(954) 255-3500Prov. No.: 0000002172457426 Wiles Rd �Coral Springs, FL 33067Language: EnglishGender: MaleNPI: 1568479905License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 255-3515Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012248953987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)BUITRAGO, Renan L.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122489625810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Advanced Dentistry of CoralSprings Pa(954) 997-5147Prov. No.: 0000122491872232 N University Dr SteCoral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (917) 210-4392Accepts New Patients: YHospital Affiliation: N/A*

CALABRESE, Richard M.Imbriale & Calabrese Dds Pa(954) 753-1600Prov. No.: 000000088857961 N University DrCoral Springs, FL 33071Gender: MaleNPI: 1316061401License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-6609Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CAMEJO, JoaquinSage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012471646987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSagedental Ofparkland(561) 999-9650Prov. No.: 0000124716965810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMPOS, FernandoFernando Campos Dds(954) 344-4949Prov. No.: 0000000168941833 N University DrCoral Springs, FL 33071Language: EnglishGender: Not ReportedNPI: 1649202458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 341-5271Accepts New Patients: YHospital Affiliation: N/A*

22 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CARDENAS SARRACINO, Astrid H.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000124255271881 N University Dr SteCoral Springs, FL 33071Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

CARDENAS SARRACINO, Astrid H.American Pediatric DentalCoral Springs Inc(804) 304-5437Prov. No.: 0000125109743353 N University DrCoral Springs, FL 33065Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARVALHO, Sandra E.Smile Dental Design(954) 906-8177Prov. No.: 0000122463459955 NW 31st St Ste 201Coral Springs, FL 33065Gender: FemaleNPI: 1578792552License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CASTILLO, Elzebir M.Coral Dental Care Inc(954) 344-6266Prov. No.: 0000000206382123 N University Dr �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Elzebir M.Coral Dental Care Inc(954) 344-6266Prov. No.: 0000003081571881 N University Dr Ste �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Ingrid C.Casttillo Roman Dental Inc(954) 752-7874Prov. No.: 0000003229311390 Coral Ridge DrCoral Springs, FL 33071Gender: FemaleNPI: 1689747123License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-3383Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CASTILLO, Juan I.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121516275810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012151635987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

CHENG, XiaofangXiaofang Cheng Dds(954) 341-1888Prov. No.: 00000041943212434 W Atlantic Blvd �Coral Springs, FL 33071Language: EnglishGender: Not ReportedNPI: 1104945807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CHILDERS, Carmen D.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121529765810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012152987987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

CLINE, Jack A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096505810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

23GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CLINE, Jack A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001656682987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

COHEN, JohnathanJonathan H Cohen Dds(954) 341-0500Prov. No.: 0000002422829375 W Sample RdCoral Springs, FL 33065Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-9970Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Jonathan H.Jonathan H Cohen Dds(954) 341-0500Prov. No.: 0000020859249375 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1144387804License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-9970Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)COHEN, Michael A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000124250495810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012425056987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

COLLAZO, Ralph C.Magnolia Dental(954) 227-1417Prov. No.: 0000000398809625 Westview Dr �Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1720155955License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CONTE, EugenioE C Dentistry(954) 344-0615Prov. No.: 0000000491382801 N University Dr Ste �Coral Springs, FL 33065Language: EnglishGender: Not ReportedNPI: 1134228810License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONTE, EugenioCoral Dental Care Inc(954) 344-6266Prov. No.: 0000003253031881 N University Dr Ste �Coral Springs, FL 33071Language: EnglishGender: Not ReportedNPI: 1134228810License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONTE, Nivia E.Coral Dental Care Inc(954) 344-6266Prov. No.: 0000000206372123 N University Dr �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1538268297License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CONTE, Nivia E.E C Dentistry(954) 344-0615Prov. No.: 0000000491392801 N University Dr Ste �Coral Springs, FL 33065Language: EnglishGender: FemaleNPI: 1538268297License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONTE, Nivia E.Coral Dental Care Inc(954) 344-6266Prov. No.: 0000003093821881 N University Dr Ste �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1538268297License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012112736987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

24 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CONTESTABLE, Clement J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121424705810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSagedental Ofparkland(561) 999-9650Prov. No.: 0000004096525810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainCoronado Dental Care(954) 255-3300Prov. No.: 0000011954235521 N University Dr SteCoral Springs, FL 33067Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 255-3350Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CORONADO, EfrainSage Dental of Jupiter(954) 753-4005Prov. No.: 000001540176987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122513965810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COUSSA, Joshua J.Joshua Coussa Dmd Pa(954) 753-6100Prov. No.: 0000122037148235 W Atlantic BlvdCoral Springs, FL 33071Gender: MaleNPI: 1467519835License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COUTRAS, ElevteriaTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000016571208214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1689798431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)COWAN, Marc A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000003916235987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000039163555810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000017716265810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001771638987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)CUNHA, Renata F.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000122531398214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSagedental Ofparkland(561) 999-9650Prov. No.: 0000122442335810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012244407987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

25GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DANESHPAJOUH, SaraSagedental Ofparkland(561) 999-9650Prov. No.: 0000024525525810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Jupiter(954) 753-4005Prov. No.: 000002452561987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000004589931987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DAROJAT, Zuhdiyah M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000045899505810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012005383987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120053955810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DELEON, Ennio A.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000018211418214 Wiles Rd �Coral Springs, FL 33067Gender: MaleNPI: 1073834206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DENIS, Tamisha M.Coral Springs Dental Care(954) 752-4450Prov. No.: 00000108979510220 W Sample Rd �Coral Springs, FL 33065Gender: FemaleNPI: 1184889917License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-2903Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Jupiter(954) 753-4005Prov. No.: 000012445394987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySagedental Ofparkland(561) 999-9650Prov. No.: 0000124454065810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ, Stephanie L.Stephanie L Diaz Dmd Pa(954) 755-1222Prov. No.: 000000339116833 Coral Ridge Dr �Coral Springs, FL 33071Gender: FemaleNPI: 1437260148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-9800Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DIRE, AnthonySagedental Ofparkland(561) 999-9650Prov. No.: 0000122442345810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Jupiter(954) 753-4005Prov. No.: 000012244408987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012435376987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Parkland Pllc(954) 905-1290Prov. No.: 0000124364125810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-8606Accepts New Patients: YHospital Affiliation: N/A*

26 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DOUGHERTY, CleydesDental Health and Beauty(954) 575-0804Prov. No.: 0000012416655481 N University Dr Ste �Coral Springs, FL 33067Gender: FemaleNPI: 1649587064License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 575-0890Accepts New Patients: YHospital Affiliation: N/A*

DOUGHERTY, CleydesCleydes Dougherty(954) 575-0880Prov. No.: 0000125361952801 N University Dr SteCoral Springs, FL 33065Gender: FemaleNPI: 1649587064License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000119946975810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000011994702987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DUARTE, BeatrizSage Dental of Jupiter(954) 753-4005Prov. No.: 000012110508987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSagedental Ofparkland(561) 999-9650Prov. No.: 0000121105435810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DURAN, FeliciaFelicia Duran Dds(954) 575-3433Prov. No.: 0000020882269565 W Atlantic Blvd �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1881959211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 575-1313Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)DURKAN, Marcia A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000017722675810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001772288987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ELEFANT, Jacob I.Union Dental(954) 344-8800Prov. No.: 0000122318761700 N University Dr SteCoral Springs, FL 33071Language: EnglishGender: MaleNPI: 1154511376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-4489Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ELKIND, Jaime L.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000121979358214 Wiles Rd �Coral Springs, FL 33067Gender: MaleNPI: 1437567146License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

ELLIOT, Jeffrey F.Jeffrey F Elliot Dds(954) 340-6550Prov. No.: 0000021588919600 W Sample Rd Ste 504Coral Springs, FL 33065Gender: Not ReportedNPI: 1821118795License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000006963075810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012112737987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

27GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)FERGUSON, Caitlin B.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000121035448214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1912331356License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

FERGUSON, Rick H.Ramblewood Dental(954) 753-6100Prov. No.: 0000000223538235 W Atlantic Blvd �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1811036098License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Jupiter(954) 753-4005Prov. No.: 000011551567987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)FERNANDEZ-MARTINEZ, MariangelSagedental Ofparkland(561) 999-9650Prov. No.: 0000115515695810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FINDER, TammyListopad and Finder Dds Pa(954) 752-2970Prov. No.: 00000016436310161 W Sample Rd Ste A �Coral Springs, FL 33065Gender: Not ReportedNPI: 1629159660License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FISTEL, Alan T.Alan Fistal Dmd and FranneBelgard(954) 755-7971Prov. No.: 0000000190477522 Wiles Rd Ste 104 �Coral Springs, FL 33067Gender: Not ReportedNPI: 1427271717License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)FOX, Jeffrey M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004252785810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001593132987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

FREEMAN, Christopher S.Freeman Orthodontics Pa(954) 753-6677Prov. No.: 0000125632051712 N University DrCoral Springs, FL 33071Gender: MaleNPI: 1720183932License: DN15971License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)FRIEDMAN, Alan G.Ramblewood Dental(954) 753-6100Prov. No.: 0000000223548235 W Atlantic Blvd �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1467571208License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCES, SabrinaCoral Springs DentalAssociates(954) 575-9800Prov. No.: 000012485322730 Riverside Dr �Coral Springs, FL 33071Gender: FemaleNPI: 1811314297License: DN21827License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, MalinallyCoral Dental Care Inc(954) 344-6266Prov. No.: 0000003505141881 N University Dr Ste �Coral Springs, FL 33071Gender: FemaleNPI: 1013101427License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

28 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GARCIA-PORRAS, MarcelaSage Dental of Jupiter(954) 753-4005Prov. No.: 000000197574987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSagedental Ofparkland(561) 999-9650Prov. No.: 0000011375485810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004175545810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012104287987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GARTNER, Judith L.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000016571248214 Wiles Rd �Coral Springs, FL 33067Language: EnglishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

GEIGER, Michael J.Tdc Parkland(954) 379-8777Prov. No.: 0000121884026069 Coral Ridge DrCoral Springs, FL 33076Gender: MaleNPI: 1336402130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 379-8778Accepts New Patients: YHospital Affiliation: N/A*

GEORGE, SherylCoral Springs DentalAssociates(954) 575-9800Prov. No.: 000000419672730 Riverside Dr �Coral Springs, FL 33071Gender: FemaleNPI: 1154597342License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 575-1868Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GEORGES ASSI, MayaAlpha Dental Practice(954) 575-0033Prov. No.: 0000012482186268 W Sample Rd Ste 401 �Coral Springs, FL 33067Gender: FemaleNPI: 1831393099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012200028987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSagedental Ofparkland(561) 999-9650Prov. No.: 0000122000355810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GHODSI, ShayanShayan Ghodsi Dmd(954) 341-0500Prov. No.: 0000003025609375 W Sample RdCoral Springs, FL 33065Language: EnglishGender: MaleNPI: 1144384793License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-9970Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GILBERT, MarkMark B Gilbert Dds(954) 752-4450Prov. No.: 00000015940010220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-2903Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Jupiter(954) 753-4005Prov. No.: 000012116460987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSagedental Ofparkland(561) 999-9650Prov. No.: 0000121180655810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GINZLER, Bradley M.Bradley M Ginzler Dds(954) 752-7200Prov. No.: 0000013247182929 N University Dr SteCoral Springs, FL 33065Gender: MaleNPI: 1982709671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

29GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GOLDBERG, Benjamin M.Benjamin M Goldberg Dmd(954) 255-5166Prov. No.: 0000001225755770 Wiles RdCoral Springs, FL 33067Gender: MaleNPI: 1609002369License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDBERG, Douglas A.Douglas Goldberg DentalClinic Pa(954) 346-1075Prov. No.: 0000000215812706 N University DrCoral Springs, FL 33065Gender: MaleNPI: 1275757452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 346-2200Accepts New Patients: YHospital Affiliation: N/A*

GOLDBERG, Howard A.Howard A Goldberg Dds(954) 752-7220Prov. No.: 0000007247389825 W Sample Rd Ste 100Coral Springs, FL 33065Language: EnglishGender: MaleNPI: 1225123763License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GOLDENBERG, SandyAegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001218560210220 W Sample RdCoral Springs, FL 33065Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

GOLDENBERG, SandyTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000122047678214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

GOLLOB, Harrison W.Aegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001216452910220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1891134441License: DN20164License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GONZALES, AngelicaSagedental Ofparkland(561) 999-9650Prov. No.: 0000121951605810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012195365987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Jupiter(954) 753-4005Prov. No.: 000012204417987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySagedental Ofparkland(561) 999-9650Prov. No.: 0000122044525810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GREEN, George D.Union Dental(954) 344-8800Prov. No.: 0000000264181700 N University Dr SteCoral Springs, FL 33071Gender: MaleNPI: 1609094580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-4489Accepts New Patients: YHospital Affiliation: N/A*

GREENSTEIN, Daniel J.Aegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001218560010220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1457571564License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000012161105810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001216115987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

30 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GUL, Yousaf A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120492595810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012049682987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012435378987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GULTZ, Jerrold P.Sage Dental of Parkland Pllc(954) 905-1290Prov. No.: 0000124364145810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-8606Accepts New Patients: YHospital Affiliation: N/A*

GUPTA, ShailySage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012503639987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1144658360License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySagedental Ofparkland(561) 999-9650Prov. No.: 0000120734265810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Jupiter(954) 753-4005Prov. No.: 000012073455987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)GUTHRIE, KellyTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000121752428214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

GUTSIN, SidneyMark B Gilbert Dds(954) 752-4450Prov. No.: 00000041566010220 W Sample RdCoral Springs, FL 33065Language: EnglishGender: Not ReportedNPI: 1669691663License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-2903Accepts New Patients: YHospital Affiliation: N/A*

HALLER, DustinDntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000021563831881 N University Dr SteCoral Springs, FL 33071Gender: MaleNPI: 1346502705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

HALLER, DustinDntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000125500732365 N University DrCoral Springs, FL 33065Gender: MaleNPI: 1346502705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)HAMED, ShirinSagedental Ofparkland(561) 999-9650Prov. No.: 0000120478935810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinSage Dental of Jupiter(954) 753-4005Prov. No.: 000012047937987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

HAMILTON, Todd A.Tlc Dental Coral Springs(954) 344-1999Prov. No.: 0000125616578214 Wiles Rd �Coral Springs, FL 33067Gender: MaleNPI: 1093075681License: DN19617License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

31GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)HEDSTROM, Brien D.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012451932987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000124519405810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HELFANT, JaredTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000016571198214 Wiles Rd �Coral Springs, FL 33067Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096585810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)HELMY, James M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000005483772987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122175795810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012217955987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Bruce E.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000013201955810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)HOFFMAN, Bruce E.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001320201987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

HOGHOOGHI, ShahriarGoldent Inc(954) 255-5858Prov. No.: 0000121269798100 Royal Palm Blvd SteCoral Springs, FL 33065Gender: MaleNPI: 1942447461License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 255-9393Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Jupiter(954) 753-4005Prov. No.: 000012098975987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSagedental Ofparkland(561) 999-9650Prov. No.: 0000120989775810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)IMBRIALE, Joseph M.Imbriale & Calabrese Dds Pa(954) 753-1600Prov. No.: 000000088856961 N University DrCoral Springs, FL 33071Gender: MaleNPI: 1720125941License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-6609Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012510120987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000125101515810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRVING, Bizu N.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000122061258214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1245588664License: DN20237License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

32 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ISRAEL, ElieSage Dental of Jupiter(954) 753-4005Prov. No.: 000012006700987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSagedental Ofparkland(561) 999-9650Prov. No.: 0000120067235810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Parkland Pllc(954) 905-1290Prov. No.: 0000122510625810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-8606Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ITURRALDE, Ignacio J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012251093987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: NHospital Affiliation: N/A*

JACOBSOHN, Henry D.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000124260538214 Wiles Rd �Coral Springs, FL 33067Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

JAQUEZ, Karla S.Sandra L Angel Dds Pa(954) 752-9065Prov. No.: 0000032746102123 N University Dr �Coral Springs, FL 33071Gender: FemaleNPI: 1548504632License: DN19796License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-9215Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Jupiter(954) 753-4005Prov. No.: 000011116480987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)JUMA, ZaileenSagedental Ofparkland(561) 999-9650Prov. No.: 0000113317605810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KASHLAN, Rania R.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000121790492365 N University DrCoral Springs, FL 33065Language: EnglishGender: FemaleNPI: 1932260403License: DN18607License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000121423661881 N University Dr SteCoral Springs, FL 33071Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

KOCHER, JenniferMenchel & Menchel Dmd Pa(954) 345-2264Prov. No.: 0000003398151720 N University Dr SteCoral Springs, FL 33071Gender: FemaleNPI: 1942478953License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-2625Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)KOSSAK, Elizabeth A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122442365810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012244398987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

KRAMER, Richard W.Richard W Kramer Dds(954) 755-8877Prov. No.: 0000001100084673 N University DrCoral Springs, FL 33067Gender: MaleNPI: 1760607386License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 755-8817Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Jupiter(954) 753-4005Prov. No.: 000012100537987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

33GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)LAMB, NicoleSagedental Ofparkland(561) 999-9650Prov. No.: 0000121007005810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEE, Raymond S.Coral Springs Smiles Dentistry(954) 757-5353Prov. No.: 0000026183642410 N University DrCoral Springs, FL 33065Gender: MaleNPI: 1851454193License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012444796987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000124449595810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)LEONARD, Thomas P.Dr Nilesh Dalal Pa(954) 341-1000Prov. No.: 0000123128225521 N University Dr SteCoral Springs, FL 33067Gender: MaleNPI: 1831468735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 361-0030Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSagedental Ofparkland(561) 999-9650Prov. No.: 0000121766525810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012176932987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

LIENDO, FabiolaLiendo Fabiola M(954) 757-6644Prov. No.: 0000120832415693 Coral Ridge DrCoral Springs, FL 33076Gender: FemaleNPI: 1780811554License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 757-6999Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)LISTOPAD, HowardListopad and Finder Dds Pa(954) 752-2970Prov. No.: 00000016436210161 W Sample Rd Ste A �Coral Springs, FL 33065Gender: Not ReportedNPI: 1366523052License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096635810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012112739987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Arnaldo A.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000121223338214 Wiles Rd �Coral Springs, FL 33067Language: English, SpanishGender: MaleNPI: 1023421104License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)LOPEZ, Arnaldo A.Shapiro Dds Pa(954) 753-0520Prov. No.: 0000124284801500 N University Dr Ste �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1023421104License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012437673987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Parkland Pllc(954) 905-1290Prov. No.: 0000124399265810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-8606Accepts New Patients: YHospital Affiliation: N/A*

34 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MA, RobertSage Dental of Jupiter(954) 753-4005Prov. No.: 000011551122987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSagedental Ofparkland(561) 999-9650Prov. No.: 0000115511305810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MACO, CarmenDr Nilesh Dalal Pa(954) 341-1000Prov. No.: 0000123309455521 N University Dr SteCoral Springs, FL 33067Language: English, Hebrew,SpanishGender: FemaleNPI: 1851668065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 361-0030Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MANCUSO, RichardSagedental Ofparkland(561) 999-9650Prov. No.: 0000122093965810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Jupiter(954) 753-4005Prov. No.: 000012209584987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

MANDEL, Jonathan O.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000122539708214 Wiles Rd �Coral Springs, FL 33067Gender: MaleNPI: 1689088148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

MANGAN, Stephen J.Goldent Inc(954) 255-5858Prov. No.: 0000122022568100 Royal Palm Blvd SteCoral Springs, FL 33065Gender: MaleNPI: 1316260854License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 255-9393Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MANKAME, Dipak M.Dipak M Mankame Dds(954) 752-4484Prov. No.: 0000102128085401 N University Dr SteCoral Springs, FL 33067Gender: MaleNPI: 1609047596License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-9577Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000010120735987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000102149735810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MCINTOSH FALCON, KatiuskaSagedental Ofparkland(561) 999-9650Prov. No.: 0000124735645810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012473580987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCKENZIE-LEWIS, Andrea A.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000124157658214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1972910537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

35GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MINJARES, Monica D.Sage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012476565987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1174602015License: DN20871License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000117711335810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000011771141987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MONCRIEFFE, Tiffany I.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121182405810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012118261987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

MONTENEGRO, PatriciaSandra L Angel Dds Pa(954) 752-9065Prov. No.: 0000121102472123 N University Dr �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1598010209License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-9215Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MORALES, Alexis O.Sandra L Angel Dds Pa(954) 752-9065Prov. No.: 0000085138892123 N University Dr �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1336498476License: 19924License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-9215Accepts New Patients: YHospital Affiliation: N/A*

MORALES, Rafael D.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000000282727987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1356494330License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

MUCKEY, Steven D.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000016571258214 Wiles Rd �Coral Springs, FL 33067Gender: MaleNPI: 1386032803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122442375810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)MUNOZ, Numa F.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012244410987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

MYERS, Amy L.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000120870711881 N University Dr SteCoral Springs, FL 33071Gender: FemaleNPI: 1124382866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000012796095810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

36 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)NAGUIB, Michelle A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001279617987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096645810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012112740987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySagedental Ofparkland(561) 999-9650Prov. No.: 0000121931315810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)NEWTON, EmilySage Dental of Jupiter(954) 753-4005Prov. No.: 000012193498987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

NOCE, Virginia M.Dr Virginia M Noce(954) 345-5330Prov. No.: 0000039179488214 Wiles RdCoral Springs, FL 33067Gender: FemaleNPI: 1134154529License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NORDMAN, Julie P.Julie P Nordman Dmd(954) 341-0232Prov. No.: 00000017822310649 W Atlantic Blvd �Coral Springs, FL 33071Gender: FemaleNPI: 1417360900License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 667-0325Accepts New Patients: YHospital Affiliation: N/A*

OCHOA, LuisSmile Dental Design(954) 906-8177Prov. No.: 0000121605449955 NW 31st St Ste 201Coral Springs, FL 33065Gender: Not ReportedNPI: 1528262052License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ORTEGA, Laura O.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012173808987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121738215810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Tdc Parkland(954) 379-8777Prov. No.: 0000125333666069 Coral Ridge DrCoral Springs, FL 33076Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000000739716987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ORTIZ, Ana M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000011457815810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSagedental Ofparkland(561) 999-9650Prov. No.: 0000122415525810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012242027987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

37GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)PANAHI, HarryGoldent Inc(954) 255-5858Prov. No.: 0000007068358100 Royal Palm Blvd SteCoral Springs, FL 33065Gender: MaleNPI: 1932300688License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 255-9393Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120002365810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012000513987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000121359151881 N University Dr SteCoral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)PEREZ-ALAMO, JenniferSagedental Ofparkland(561) 999-9650Prov. No.: 0000026186795810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Jupiter(954) 753-4005Prov. No.: 000002618685987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000005483376987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000054834165810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)PETERSON, Douglas D.Aegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001216454210220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1952520710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

PETRUK, MarielWisdom Dental(954) 346-0010Prov. No.: 0000122354869750 NW 33rd St Ste 217Coral Springs, FL 33065Gender: FemaleNPI: 1518373018License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 346-1967Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012128412987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121285365810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)POPOVICH, Brent R.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000124858032365 N University DrCoral Springs, FL 33065Gender: MaleNPI: 1225417249License: DN22281License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental(954) 753-4005Prov. No.: 000012338147987 N University Dr Ste 1Coral Springs, FL 33071Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSagedental Ofparkland(561) 999-9650Prov. No.: 0000121918065810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012192197987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

38 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)QUICK, James R.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000020237515810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000002023761987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RAMPERTAAP, Maheswar V.Maheswar Rampertaap Pa(954) 752-3140Prov. No.: 0000008592612929 N University Dr Ste �Coral Springs, FL 33065Gender: MaleNPI: 1235290602License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-0601Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)RAND, Matthew K.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000102149745810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000010215058987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Union Dental(954) 344-8800Prov. No.: 0000122464031700 N University Dr SteCoral Springs, FL 33071Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-4489Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)RAND, Matthew K.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000122516408214 Wiles Rd �Coral Springs, FL 33067Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121616985810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012172809987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)REZVANI, Caroline S.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121022105810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012102358987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012066676987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120667315810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

39GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)RING, Stephen G.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096665810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001549136987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RIOS KU HOP, Milagritos C.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000122531388214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)RIPA, AnatolyAnatoly Ripa(954) 755-3337Prov. No.: 0000004399551314 N University DrCoral Springs, FL 33071Language: EnglishGender: MaleNPI: 1740457183License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROBERTI, SabrinaAmerican Pediatric DentalCoral Springs Inc(804) 304-5437Prov. No.: 0000123292683353 N University DrCoral Springs, FL 33065Gender: FemaleNPI: 1841632924License: DN20024License Type: DBP DentistBoard Certified: NoEmail: Not ReportedFax: (954) 417-1338Accepts New Patients: YHospital Affiliation: N/A*

ROBISON, Walter G.Aegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001217563610220 W Sample RdCoral Springs, FL 33065Gender: MaleNPI: 1144492935License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ROCA, Ana L.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122415535810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012242028987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000011773680987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000117737165810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ROQUE-RUANO, MaikelSage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012523922987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSagedental Ofparkland(561) 999-9650Prov. No.: 0000125239375810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSE, AdrianAdrian Rose Dds(954) 755-8100Prov. No.: 00001177074410233 W Sample RdCoral Springs, FL 33065Gender: Not ReportedNPI: 1497734438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 475-8039Accepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012101806987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

40 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ROSHKIND, David M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121018155810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Tlc Dental Coral Springs(954) 344-1999Prov. No.: 0000125305808214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1871704742License: DN16579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROTHBERG, Melanie R.South Florida Dentistry ForChildren & Ortho Pa(954) 752-7651Prov. No.: 00000719336210188 NW 31st St �Coral Springs, FL 33065Gender: FemaleNPI: 1073680161License: DN17768License Type: DBP DentistBoard Certified: YesEmail: Not ReportedFax: (954) 345-4188Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SALAZAR, Cecilia I.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000012975685810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001297581987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

SALDANA, Ramon E.Maheswar Rampertaap Pa(954) 752-3140Prov. No.: 0000016560942929 N University Dr Ste �Coral Springs, FL 33065Language: EnglishGender: MaleNPI: 1639465735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-0601Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SALDARRIAGA, LisaSandra L Angel Dds Pa(954) 752-9065Prov. No.: 0000120578942123 N University Dr �Coral Springs, FL 33071Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-9215Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSagedental Ofparkland(561) 999-9650Prov. No.: 0000121753125810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Jupiter(954) 753-4005Prov. No.: 000012175323987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

SANDER, Marc A.Marc A Sander Dds(954) 782-3334Prov. No.: 0000004530845103 NW 57th TerCoral Springs, FL 33067Gender: MaleNPI: 1275539314License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SANTANA, DavidMain Street Children’sDentistry & Orthodontics(954) 906-9756Prov. No.: 0000123777567663 W Sample RdCoral Springs, FL 33065Language: English, SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 757-0392Accepts New Patients: YHospital Affiliation: N/A*

SANTANA, DavidUnion Dental(954) 344-8800Prov. No.: 0000124595001700 N University Dr SteCoral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-4489Accepts New Patients: YHospital Affiliation: N/A*

SARRIA, Paulo A.Innovation Dental(954) 227-2718Prov. No.: 0000095746886180 W Sample Rd # 109Coral Springs, FL 33067Language: English, SpanishGender: MaleNPI: 1598067407License: DN19057License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 227-7421Accepts New Patients: YHospital Affiliation: N/A*

41GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SEECHARAN, Ronik S.Union Dental(954) 344-8800Prov. No.: 0000122435341700 N University Dr SteCoral Springs, FL 33071Gender: MaleNPI: 1043420235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-4489Accepts New Patients: YHospital Affiliation: N/A*

SEMPRUN-ARRIVLLAGA, Maria A.Dental Health and Beauty(954) 575-0804Prov. No.: 0000012416625481 N University Dr Ste �Coral Springs, FL 33067Gender: FemaleNPI: 1124320718License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 575-0890Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000007070865810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SHOFNOS, Charles I.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012112741987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

SHULMAN, JaredUnion Dental(954) 344-8800Prov. No.: 0000124344601700 N University Dr SteCoral Springs, FL 33071Gender: Not ReportedNPI: 1033537162License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-4489Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSagedental Ofparkland(561) 999-9650Prov. No.: 0000121185145810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Jupiter(954) 753-4005Prov. No.: 000012118527987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SINGH ROY, AnurupaChandy Samuel(954) 344-3932Prov. No.: 0000125623195521 N University Dr SteCoral Springs, FL 33067Gender: FemaleNPI: 1073956447License: DN20537License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012173738987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121737675810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SLATER, MicalMaheswar Rampertaap Pa(954) 752-3140Prov. No.: 0000003519102929 N University Dr Ste �Coral Springs, FL 33065Gender: Not ReportedNPI: 1043401458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 752-0601Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SNIDER, Erica M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000007046885810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001956226987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

SNYDER, Brian H.Brian H Snyder Dds Pa(954) 753-4101Prov. No.: 00000002039010347 Royal Palm BlvdCoral Springs, FL 33065Gender: MaleNPI: 1992854871License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7133Accepts New Patients: YHospital Affiliation: N/A*

SORROZA, JenniferTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000016571228214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

42 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)STEINER, Samantha L.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012163505987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121635105810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Jupiter(954) 753-4005Prov. No.: 000012454293987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSagedental Ofparkland(561) 999-9650Prov. No.: 0000124543115810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SUAREZ, HenrySagedental Ofparkland(561) 999-9650Prov. No.: 0000019585975810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUAREZ, HenrySage Dental of Jupiter(954) 753-4005Prov. No.: 000001958619987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012471647987 N University Dr Ste 1 �Coral Springs, FL 33071Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)SUTNICK, Steven A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000124716975810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TALCHIK JR, Paul S.Tlc Dental Coral Springs(954) 346-1999Prov. No.: 0000016571218214 Wiles Rd �Coral Springs, FL 33067Gender: MaleNPI: 1619144979License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

TASKONAK, BurakAcademia Dental of CoralSprings(954) 227-8133Prov. No.: 0000023743992801 N University Dr Ste �Coral Springs, FL 33065Gender: MaleNPI: 1225293244License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 227-8132Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)TAVERAS, MyriamTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000121035748214 Wiles Rd �Coral Springs, FL 33067Language: English, SpanishGender: FemaleNPI: 1598190852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

TCHOU, LuisaSegelnick Specialists Llc MiniMouths(954) 575-5488Prov. No.: 0000032746305481 N University Dr SteCoral Springs, FL 33067Gender: FemaleNPI: 1124315270License: DN19419License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 575-1859Accepts New Patients: YHospital Affiliation: N/A*

THOMAS, AntonyAmerican Pediatric DentalCoral Springs Inc(804) 304-5437Prov. No.: 0000125165373353 N University DrCoral Springs, FL 33065Gender: MaleNPI: 1477808186License: DN22248License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

43GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)TIJERINO, DavidPediatric Dental Center ofBroward(954) 341-0002Prov. No.: 0000121908588351 W Atlantic Blvd �Coral Springs, FL 33071Language: English, SpanishGender: MaleNPI: 1538397492License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012447602987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSagedental Ofparkland(561) 999-9650Prov. No.: 0000124476175810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)TOMALTY, JordanTdc Parkland(954) 379-8777Prov. No.: 0000121716726069 Coral Ridge DrCoral Springs, FL 33076Gender: MaleNPI: 1265603732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 379-8778Accepts New Patients: YHospital Affiliation: N/A*

TOMALTY, Sean A.Tomalty Dental Care(954) 379-8777Prov. No.: 0000121713126069 Coral Ridge DrCoral Springs, FL 33076Gender: MaleNPI: 1033559281License: DN20153License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000125478415810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012547846987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)TREVISANI, Ronald J.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000122442385810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012244406987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120005745810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)TRUONG, Xen T.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012000586987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Jupiter(954) 753-4005Prov. No.: 000012435379987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Parkland Pllc(954) 905-1290Prov. No.: 0000124364155810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-8606Accepts New Patients: YHospital Affiliation: N/A*

44 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)UDDIN, FarzanaSage Dental of Coral SpringsPllc(954) 753-4005Prov. No.: 000012503117987 N University Dr Ste 1 �Coral Springs, FL 33071Language: Romania, RussianGender: MaleNPI: 1699878769License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Jupiter(954) 753-4005Prov. No.: 000011774229987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSagedental Ofparkland(561) 999-9650Prov. No.: 0000117742445810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)VALIENTE, LizetteAmerican Pediatric DentalCoral Springs Inc(804) 304-5437Prov. No.: 0000121830523353 N University DrCoral Springs, FL 33065Language: EnglishGender: FemaleNPI: 1851547863License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 417-1338Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012130614987 N University Dr Ste 1 �Coral Springs, FL 33071Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121306405810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)VATHIELIL, Jelena M.Rosemeen Daood(954) 344-3932Prov. No.: 0000124236845521 N University Dr SteCoral Springs, FL 33067Gender: FemaleNPI: 1699184150License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012110835987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000121461305810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VEGAS, GabrielaAmerican Pediatric DentalCoral Springs Inc(804) 304-5437Prov. No.: 0000125189103353 N University DrCoral Springs, FL 33065Gender: FemaleNPI: 1407273881License: DN21826License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)VIEGO, RebecaDntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000121831491881 N University Dr SteCoral Springs, FL 33071Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Dntl Hlth Grp @ Coral Spr(954) 755-1014Prov. No.: 0000015388591881 N University Dr SteCoral Springs, FL 33071Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 340-7418Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000021561815810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000002156187987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

45GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Coral Springs (Cont.)VILK-SHAPIRO, DoraTlc Dental Coral Springs(954) 346-1999Prov. No.: 0000120340528214 Wiles Rd �Coral Springs, FL 33067Gender: FemaleNPI: 1003919879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

VULTAGGIO, Francesco P.Vultaggio Dentistry of CoralSprings Llc(954) 840-1940Prov. No.: 00000113417110339 W Sample Rd �Coral Springs, FL 33065Gender: MaleNPI: 1861645038License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WILHELM, Susana M.Aegean Dental of CoralSprings(954) 227-5921Prov. No.: 00001217564710220 W Sample RdCoral Springs, FL 33065Gender: FemaleNPI: 1811245194License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 320-1835Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)YOUNG, SummerSagedental Ofparkland(561) 999-9650Prov. No.: 0000120477955810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Jupiter(954) 753-4005Prov. No.: 000012047938987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000012019360987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000120193685810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ZASLAVSKY, JuliaSage Dental of Jupiter(954) 753-4005Prov. No.: 000012454272987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Parkland Pllc(954) 905-1290Prov. No.: 0000124544875810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 345-8606Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000004096755810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000001212444987 N University Dr Ste 1 �Coral Springs, FL 33071Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Coral Springs (Cont.)ZYLBERING, Jason M.Sage Dental of Jupiter(954) 753-4005Prov. No.: 000000723587987 N University Dr Ste 1 �Coral Springs, FL 33071Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-7191Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sagedental Ofparkland(561) 999-9650Prov. No.: 0000011941595810 Coral Ridge Dr Ste 1Coral Springs, FL 33076Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Dania

GUPTA, Chander L.Chander Gupta(954) 922-4633Prov. No.: 000000018220129 E Dania Beach Blvd �Dania, FL 33004Language: EnglishGender: MaleNPI: 1184775363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 921-5999Accepts New Patients: YHospital Affiliation: N/A*

46 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Dania (Cont.)LOBAINA, Yoan E.Yoan Lobaina(954) 925-2977Prov. No.: 000012508817801 S Federal Hwy �Ste 829Dania, FL 33004Gender: MaleNPI: 1245468131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SCHOPLER, Thomas A.Atlantic Florida Dntl Inc(954) 922-1947Prov. No.: 000000019066250 E Dania Beach Blvd �Dania, FL 33004Language: EnglishGender: MaleNPI: 1982807012License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Dania Beach

BLOCK, Michael J.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000002619152435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1104999267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Dania Beach (Cont.)COUTRAS, ElevteriaTlc Dental Dania Lc(954) 926-5888Prov. No.: 000000306536435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1689798431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

CUNHA, Renata F.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012253147435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

ELKIND, Jaime L.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012202833435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1437567146License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

FINNK, HowardTlc Dental Dania Lc(954) 926-5888Prov. No.: 000000212536435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1609906957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Dania Beach (Cont.)GARTNER, Judith L.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000000725235435 E Sheridan St �Dania Beach, FL 33004Language: EnglishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

GERENA, Dorene M.Dorene Gerena(954) 925-2977Prov. No.: 000012512057801 S Federal HwyDania Beach, FL 33004Gender: FemaleNPI: 1508282252License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDENBERG, SandyTlc Dental Dania Lc(954) 926-5888Prov. No.: 000012204985435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellyTlc Dental Dania Lc(954) 926-5888Prov. No.: 000012175236435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Dania Beach (Cont.)HAMILTON, Todd A.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012563040435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1093075681License: DN19617License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HARATZ, ZinaTlc Dental Dania Lc(954) 926-5888Prov. No.: 000012152899435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1972747608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

HELFANT, JaredTlc Dental Dania Lc(954) 926-5888Prov. No.: 000001657128435 E Sheridan St �Dania Beach, FL 33004Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

JACOBSOHN, Henry D.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012426233435 E Sheridan St �Dania Beach, FL 33004Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

47GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Dania Beach (Cont.)LAMB, NicoleTlc Dental Dania Lc(954) 926-5888Prov. No.: 000012129098435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Arnaldo A.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012122193435 E Sheridan St �Dania Beach, FL 33004Language: English, SpanishGender: MaleNPI: 1023421104License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

MANDEL, Jonathan O.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012253971435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1689088148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

MCKENZIE-LEWIS, Andrea A.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012415766435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1972910537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Dania Beach (Cont.)MORALES, Ronald J.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012563041435 E Sheridan St �Dania Beach, FL 33004Language: SpanishGender: Not ReportedNPI: 1215156260License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUCKEY, Steven D.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000000211845435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1386032803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012251620435 E Sheridan St �Dania Beach, FL 33004Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Dania Beach (Cont.)RIOS KU HOP, Milagritos C.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000012253146435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Jared Helfant Dds(954) 491-7100Prov. No.: 000012530583435 E Sheridan StDania Beach, FL 33004Gender: FemaleNPI: 1871704742License: DN16579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SORROZA, JenniferTlc Dental Dania Lc(954) 926-5888Prov. No.: 000000417493435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

TALCHIK JR, Paul S.Tlc Dental Dania Lc(954) 926-5888Prov. No.: 000000395135435 E Sheridan St �Dania Beach, FL 33004Gender: MaleNPI: 1619144979License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Dania Beach (Cont.)VILK-SHAPIRO, DoraTlc Dental Dania Lc(954) 926-5888Prov. No.: 000012036828435 E Sheridan St �Dania Beach, FL 33004Gender: FemaleNPI: 1003919879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 926-7913Accepts New Patients: YHospital Affiliation: N/A*

Davie

ABBO, BillDavie Advanced Dentistry Inc(954) 434-3331Prov. No.: 0000013676324757 S University Dr �Davie, FL 33328Gender: MaleNPI: 1720147853License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-4933Accepts New Patients: YHospital Affiliation: N/A*

AKEL, BassilUniversity Dental Health CtrInc(954) 474-2422Prov. No.: 0000007248952879 S University Dr �Davie, FL 33328Gender: MaleNPI: 1700040557License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-1966Accepts New Patients: YHospital Affiliation: N/A*

48 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Davie (Cont.)ALEMPOUR, SamiraSamira Alempour Dmd(954) 680-4443Prov. No.: 0000007122214725 Volunteer Rd Ste 203Davie, FL 33330Gender: FemaleNPI: 1982853586License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARENAS, Jorge A.Yolanda P Salarte Dds(954) 370-1235Prov. No.: 0000003100932561 S University Dr �Davie, FL 33324Gender: MaleNPI: 1528151131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASSI, TarekTarek Assi Dmd(954) 885-9560Prov. No.: 0000039165313001 W Rolling Hills CirDavie, FL 33328Gender: MaleNPI: 1033313291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARNES, Curtis W.Nova Southeastern University(954) 262-7500Prov. No.: 0000004405133200 S University Dr Bldg �Davie, FL 33328Gender: MaleNPI: 1689798936License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)BEAUFILS, Lloyd E.Lloyd Beaufils(954) 252-1390Prov. No.: 00000041639510640 Griffin Rd Ste 101Davie, FL 33328Gender: Not ReportedNPI: 1053430751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BELLO, Jenny E.Jenny Bello(954) 905-6633Prov. No.: 0000122697805810 S University Dr SteDavie, FL 33328Gender: FemaleNPI: 1134416258License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 302-6898Accepts New Patients: YHospital Affiliation: N/A*

BENJAMIN, ReenuPristine Dental Care(954) 680-2047Prov. No.: 0000121504178218 Griffin RdDavie, FL 33328Gender: FemaleNPI: 1992832653License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 212-2846Accepts New Patients: YHospital Affiliation: N/A*

BLOCK, Robert E.Nova Southeastern University(954) 262-7500Prov. No.: 0000121365253200 S University DrDavie, FL 33328Gender: MaleNPI: 1245362516License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 262-7164Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)BLUTH, BarryBluth Family Dental(954) 792-3800Prov. No.: 0000000452124175 SW 64th Ave �Davie, FL 33314Gender: MaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BLUTH, Sherri J.Bluth Family Dental(954) 792-3800Prov. No.: 0000000452134175 SW 64th Ave �Davie, FL 33314Gender: FemaleNPI: 1114907839License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CANIZALES, JacquelineJacqueline Canizales Dmd(954) 515-1473Prov. No.: 00000042828510640 Griffin Rd Ste 107Davie, FL 33328Language: EnglishGender: Not ReportedNPI: 1861614216License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 515-1474Accepts New Patients: YHospital Affiliation: N/A*

CHIANG, Eva A.Nova Southeastern University(954) 262-7500Prov. No.: 0000018229993200 S University Dr Bldg �Davie, FL 33328Gender: FemaleNPI: 1235401506License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)COHEN SASSON, KennethUniversity Dental Health CtrInc(954) 474-2422Prov. No.: 0000004410722879 S University Dr �Davie, FL 33328Gender: MaleNPI: 1619004496License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-1966Accepts New Patients: YHospital Affiliation: N/A*

CORPAS, Alfredo D.Alfredo D Corpas Dds(954) 474-2422Prov. No.: 0000013240502879 S University DrDavie, FL 33328Language: EnglishGender: MaleNPI: 1124115837License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-1966Accepts New Patients: YHospital Affiliation: N/A*

CUARTAS, Sandra P.Cuartas Advanced Dentistry(954) 424-3220Prov. No.: 00000358919910650 W State Road 84 SteDavie, FL 33324Gender: FemaleNPI: 1003008418License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 424-3223Accepts New Patients: YHospital Affiliation: N/A*

49GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Davie (Cont.)DE LA IGLESIA, Martha E.Martha De La Iglesia(954) 252-5911Prov. No.: 0000120411104789 Volunteer Rd Ste 205Davie, FL 33330Gender: Not ReportedNPI: 1578626453License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIBELLA, Joann N.Joann N Dibella Dds Pa(954) 434-3331Prov. No.: 0000000837994757 S University DrDavie, FL 33328Gender: Not ReportedNPI: 1225188469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Davie Advanced Dentistry Inc(954) 434-3331Prov. No.: 0000015465734757 S University Dr �Davie, FL 33328Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-4933Accepts New Patients: YHospital Affiliation: N/A*

DRUKTEINIS, Saulius E.Frederick J Nin Dds(305) 758-8755Prov. No.: 0000121586643981 E Lake Estates DrDavie, FL 33328Language: English, SpanishGender: MaleNPI: 1528251824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)EDE-NICHOLS, DianeNova Southeastern University(954) 262-7500Prov. No.: 0000004297823200 S University Dr Bldg �Davie, FL 33328Language: EnglishGender: FemaleNPI: 1225145683License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ELLEN, Steven A.Nova Southeastern University(954) 262-7500Prov. No.: 0000004194763200 S University Dr Bldg �Davie, FL 33328Gender: MaleNPI: 1417087099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FEINER, Jaymie B.Sachs Dental Center(954) 475-0700Prov. No.: 0000002306592263 S University Dr �Davie, FL 33324Gender: FemaleNPI: 1740404912License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)FERGUSON, Rick H.Rich H Ferguson Dmd Pa(354) 530-5164Prov. No.: 0000000189744745 Volunteer Rd Ste 303 �Davie, FL 33330Language: EnglishGender: MaleNPI: 1811036098License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

FERGUSON, Rick H.Ferguson Dental Pa(954) 530-5164Prov. No.: 0000125004634745 Volunteer Rd Ste 302Davie, FL 33330Language: SpanishGender: MaleNPI: 1811036098License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRANCO, Jaime Fernando F.Davie Advanced Dentistry Inc(954) 434-3331Prov. No.: 0000123162844757 S University Dr �Davie, FL 33328Gender: MaleNPI: 1831571744License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-4933Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)FRIEDMAN, Craig A.Craig A Friedman Dmd Pa(954) 349-3449Prov. No.: 0000002905744745 Volunteer Rd Ste 303 �Davie, FL 33330Language: EnglishGender: Not ReportedNPI: 1013939586License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 349-4462Accepts New Patients: NHospital Affiliation: N/A*

GAINES, RashondiaNova Southeastern University(954) 262-7500Prov. No.: 0000120488543200 S University Dr Bldg �Davie, FL 33328Gender: FemaleNPI: 1497864078License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, John M.John M Garcia Dds(954) 217-1411Prov. No.: 0000000426954450 Weston RdDavie, FL 33331Gender: Not ReportedNPI: 1508966656License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 217-7714Accepts New Patients: YHospital Affiliation: N/A*

GOLBERG, Marvin B.Nova Southeastern University(954) 262-7500Prov. No.: 0000004298693200 S University Dr Bldg �Davie, FL 33328Gender: Not ReportedNPI: 1801891676License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

50 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Davie (Cont.)GONZALEZ, MonicaDavie Modern Dentistry(954) 248-2742Prov. No.: 0000124601245796 S University Dr SteDavie, FL 33328Gender: FemaleNPI: 1699115741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, MonicaDavie Modern Dentistry(954) 248-2742Prov. No.: 0000124607225796 S University Dr SteDavie, FL 33328Gender: FemaleNPI: 1699115741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 251-4141Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Reinol A.Reinol A Gonzalez Dmd Pa(954) 252-5911Prov. No.: 0000002406724789 Volunteer Rd Ste 205Davie, FL 33330Gender: MaleNPI: 1093878043License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-8075Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Florida Dental Board Preps Inc(954) 316-0001Prov. No.: 0000003010504931 S State Road 7Davie, FL 33314Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)HSU, Chiu JenNova Southeastern University(954) 262-7500Prov. No.: 0000120704163200 S University Dr Bldg �Davie, FL 33328Gender: FemaleNPI: 1023141090License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HSU, Chiu JenNova Southeastern University(954) 262-7500Prov. No.: 0000120704843200 S University DrDavie, FL 33328Gender: FemaleNPI: 1023141090License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 262-7164Accepts New Patients: YHospital Affiliation: N/A*

KOCHER, JenniferKocher & Kocher Dentistry Pa(954) 434-0600Prov. No.: 0000004528364801 S University Dr Ste �Davie, FL 33328Gender: FemaleNPI: 1942478953License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 424-0143Accepts New Patients: YHospital Affiliation: N/A*

KOCHER, MichaelKocher & Kocher Dentistry Pa(954) 434-0600Prov. No.: 0000004565334801 S University Dr Ste �Davie, FL 33328Gender: MaleNPI: 1336302587License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 424-0143Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)KUTSENKO, EvgeniaUniversity Dental Health CtrInc(954) 474-2422Prov. No.: 0000002088452879 S University Dr �Davie, FL 33328Gender: Not ReportedNPI: 1306047212License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-1966Accepts New Patients: YHospital Affiliation: N/A*

LARA, ElaineNova Southeastern University(954) 262-7500Prov. No.: 0000120542863200 S University Dr Bldg �Davie, FL 33328Gender: FemaleNPI: 1508926619License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LASKA, Mario L.Mario Laska(954) 248-2742Prov. No.: 0000124340295796 S University Dr # 10Davie, FL 33328Gender: MaleNPI: 1629151196License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LI, HaitaoNova Southeastern University(954) 262-7500Prov. No.: 0000017233313200 S University Dr Bldg �Davie, FL 33328Gender: FemaleNPI: 1386932655License: 019.029177License Type: DBP DentistBoard Certified: YesEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)LIPOVETSKIY, BorisJenny Bello(954) 905-6633Prov. No.: 0000125406165810 S University Dr SteDavie, FL 33328Gender: MaleNPI: 1629113808License: DN21039License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCCANN, Katie L.Davie Modern Dentistry(954) 248-2742Prov. No.: 0000123381145796 S University Dr SteDavie, FL 33328Gender: FemaleNPI: 1447571245License: DN014713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 251-4141Accepts New Patients: YHospital Affiliation: N/A*

MEHTA, Ravindra S.Lauderhill Dental Center(954) 680-2047Prov. No.: 0000003495658218 Griffin RdDavie, FL 33328Gender: Not ReportedNPI: 1609055532License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 318-1931Accepts New Patients: YHospital Affiliation: N/A*

NOTZER-GUELMAN, ArielaNova Southeastern University(954) 262-7500Prov. No.: 0000120482033200 S University Dr Bldg �Davie, FL 33328Gender: FemaleNPI: 1972569101License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

51GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Davie (Cont.)PAESANI, Michael J.Bluth Family Dental(954) 792-3800Prov. No.: 0000011211574175 SW 64th Ave �Davie, FL 33314Gender: MaleNPI: 1356506471License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PALACIN, Matilde A.Palacin Dental Group Pa(954) 472-4656Prov. No.: 00000030888213728 W State Road 84Davie, FL 33325Gender: Not ReportedNPI: 1962586164License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

QUINTON, HarveyNova Southeastern University(954) 262-7500Prov. No.: 0000004416693200 S University Dr Bldg �Davie, FL 33328Language: EnglishGender: MaleNPI: 1982611752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)RAND, Matthew K.Matthew K Rand Dmd(954) 791-3277Prov. No.: 0000056077376115 Stirling Rd Ste 213 �Davie, FL 33314Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 379-4424Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, JorgelinNova Southeastern University(954) 262-7500Prov. No.: 0000120477413200 S University Dr Bldg �Davie, FL 33328Language: English, SpanishGender: MaleNPI: 1396973301License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RUIZ MARTINEZ, Isabel B.Isabel B Ruiz-Martinez Dds(954) 252-0667Prov. No.: 0000000463514789 S W 148 AveDavie, FL 33330Language: EnglishGender: FemaleNPI: 1477616373License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)RUIZ MARTINEZ, Isabel B.Isabel B Ruiz Dds Pa(954) 252-0667Prov. No.: 0000123250524789 Volunteer Rd Ste 205Davie, FL 33330Language: EnglishGender: FemaleNPI: 1477616373License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 434-8075Accepts New Patients: YHospital Affiliation: N/A*

SACHS, David A.Sachs Dental Center(954) 475-0700Prov. No.: 0000000189022263 S University Dr �Davie, FL 33324Language: EnglishGender: Not ReportedNPI: 1588790430License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SACHS, Randy J.Sachs Dental Center(954) 475-0700Prov. No.: 0000000610102263 S University Dr �Davie, FL 33324Gender: Not ReportedNPI: 1417080490License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)SANDS, James D.James D Sands Dds(954) 587-9737Prov. No.: 0000002585575651 SW 64th Ave Ste ADavie, FL 33314Language: EnglishGender: MaleNPI: 1326162918License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SEMIDEY, AlejandroAlejandro Semidey Dmd Pa(954) 581-0120Prov. No.: 0000013209074800 SW 64th Ave Ste 101Davie, FL 33314Gender: MaleNPI: 1033420005License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 581-4253Accepts New Patients: YHospital Affiliation: N/A*

SHEHADEH, EyadNova Southeastern University(954) 262-7500Prov. No.: 0000004299393200 S University Dr Bldg �Davie, FL 33328Gender: MaleNPI: 1750496261License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

52 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Davie (Cont.)SOLARTE, Yolanda P.Yolanda P Salarte Dds(954) 370-1235Prov. No.: 0000000285992561 S University Dr �Davie, FL 33324Language: EnglishGender: FemaleNPI: 1063579548License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneFortune Smiles Inc(954) 474-2499Prov. No.: 0000123143862879 S University DrDavie, FL 33328Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VARDAR-SENGUL, SaynurMalid Meeste Dds(954) 262-7500Prov. No.: 0000034839783200 S University DrDavie, FL 33328Gender: MaleNPI: 1932350436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Davie (Cont.)VO, Jossette T.Orthodontic Specialists ofFlorida(954) 680-2886Prov. No.: 0000007355745810 S University Dr SteDavie, FL 33328Language: English, SpanishGender: FemaleNPI: 1699821074License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 680-2885Accepts New Patients: YHospital Affiliation: N/A*

WHITE, George E.Nova Southeastern University(954) 262-7500Prov. No.: 0000120595053200 S University DrDavie, FL 33328Gender: MaleNPI: 1234500930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 262-7164Accepts New Patients: YHospital Affiliation: N/A*

ZURFLUH, Thomas Aquinas A.Pine Island Dental(954) 476-1163Prov. No.: 0000000196128850 W State Road 84 �Davie, FL 33324Gender: MaleNPI: 1457400665License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach

AHMADI, Ahmad K.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000008590772265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1538275292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121601902265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120968502265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)ARDILA VELOSA, LeonardoLeonardo Ardila Velosa(954) 418-7970Prov. No.: 0000125529103656 W Hillsboro Blvd SteDeerfield Beach, FL 33442Language: SpanishGender: MaleNPI: 1851683759License: DN20109License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARON, Robert S.Deerfield Dental Llc(954) 428-4575Prov. No.: 0000004481601874 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: MaleNPI: 1811160641License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASSEFF, AndreaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000008590732265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: Not ReportedNPI: 1063558096License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

53GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)ATLURI, SuneethaSmiles Dental Pllc(754) 264-7264Prov. No.: 000012280919700 W Hillsboro Blvd SteDeerfield Beach, FL 33441Gender: FemaleNPI: 1063525731License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 248-2484Accepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000125505152265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000013643512265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)AZARI, Scott J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000019561692265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122102422265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BENHAMU, Michael M.Deerfield Dental Llc(954) 428-4575Prov. No.: 0000122637401874 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: MaleNPI: 1528184082License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)BERQUIST, Michael R.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120629882265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000039200982265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BOUKZAM, Mark A.Mark A Boukzam Dds(954) 429-8506Prov. No.: 0000001210074048 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1205264348License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-9480Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)BRATMAN, JerrySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000008590652265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122489712265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124716502265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

54 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)CANOLA, Zulma C.Life Dental Care(954) 429-8840Prov. No.: 000012061475123 N Powerline Rd �Deerfield Beach, FL 33442Gender: FemaleNPI: 1487942918License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-8842Accepts New Patients: YHospital Affiliation: N/A*

CARDOSO, AndreaAtlantic Coast Dentistry(954) 360-2909Prov. No.: 000000455045434 W Hillsboro Blvd �Deerfield Beach, FL 33441Language: EnglishGender: FemaleNPI: 1083765713License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121516372265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)CHEN, DannitDeerfield Dental Services(954) 427-6361Prov. No.: 0000124850371800 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Language: HebrewGender: FemaleNPI: 1003218306License: DN20682License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121529892265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

CLINE, Jack A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000016566832265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)COHEN, Michael A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124250542265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121129272265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000015401742265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)COWAN, Marc A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000039163682265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000017716352265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122450432265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

55GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)DANESHPAJOUH, SaraSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000024525422265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000045899322265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120053842265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)DEBARROS, CassiaCassia Barros(754) 227-5359Prov. No.: 000012042250824 SE 8th AveDeerfield Beach, FL 33441Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124454292265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DIMITRIU, SorinSorin Dimitriu Dds(954) 420-0551Prov. No.: 0000000268291500 E Hillsboro Blvd SteDeerfield Beach, FL 33441Language: EnglishGender: Not ReportedNPI: 1144637133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 420-0073Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)DIRE, AnthonySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122450442265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124353842265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000119946892265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)DUARTE, BeatrizSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121105102265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000017722722265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121129282265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

56 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000115515722265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

FESTA, AntonioDeerfield Family Dental(954) 725-3717Prov. No.: 000000019207100 S Military Trl Ste 4 �Deerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1710106315License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 725-0627Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000015931332265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)GARCIA-PORRAS, MarcelaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000008590842265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121042862265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GEGERSON, Albert R.A R Gegerson Dds(954) 428-1991Prov. No.: 0000000377431644 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: Not ReportedNPI: 1336275767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 428-1249Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)GHANDOUR, DimaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122000632265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121180732265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GOBER, Frank L.Deerfield Dental Services(954) 427-6361Prov. No.: 0000000186461800 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: MaleNPI: 1356690127License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 427-2385Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)GOLDSCHEIN, Harry J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124791162265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1306188040License: DN8342License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121953672265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122044192265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

57GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)GUERRERO, Luis A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000012161122265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120492772265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124353862265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)GUPTA, ShailySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000125029262265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1144658360License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120734572265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

HABIB, Mary Helen H.Deerfield Dental Services(954) 427-6361Prov. No.: 0000003805651800 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: FemaleNPI: 1881899631License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 427-2385Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)HAMED, ShirinSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120479412265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124519302265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000054837732265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)HERMANNSSON, Steingrimur N.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122179712265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ-BARCELO, OdalisDeerfield Dental Llc(954) 428-4575Prov. No.: 0000102162121874 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: Not ReportedNPI: 1295943694License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Bruce E.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000013201992265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

58 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)HORWITZ, StevenSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120989762265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000125101222265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120067042265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)ITURRALDE, Ignacio J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122510962265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: NHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000113316602265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

KIANIMANESH, AnitaDeerfield Dental Services(954) 427-6361Prov. No.: 0000013192991800 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: FemaleNPI: 1629273164License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 427-2385Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)KOSSAK, Elizabeth A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122447452265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121007052265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

LASKA, Mario L.101(954) 427-4321Prov. No.: 0000121295021800 W Hillsboro Blvd SteDeerfield Beach, FL 33442Gender: MaleNPI: 1629151196License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)LEMINH, Chau J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124447982265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121769342265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121129292265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

59GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)LOVETERE, Thomas L.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124376752265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000115511232265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122095472265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)MARCOS, Juan C.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000101207202265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

MARQUES, Nelson R.Oceanside Dental Llc(954) 531-0809Prov. No.: 000001334376823 SE 9th StDeerfield Beach, FL 33441Gender: MaleNPI: 1730480195License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 531-6019Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124735872265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)MINJARES, Monica D.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124814012265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1174602015License: DN20871License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000115520532265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

MOLDOVAN, Dorina M.Dorina Moldovan Dds(954) 426-2298Prov. No.: 000000022305901 SE 8th Ave �Deerfield Beach, FL 33441Language: EnglishGender: Not ReportedNPI: 1437179298License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121182632265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

MORALES, Alexis O.Dentistry of South Florida(954) 427-3000Prov. No.: 0000120696361348 E Hillsboro Blvd AptDeerfield Beach, FL 33441Language: English, SpanishGender: MaleNPI: 1336498476License: 19924License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000012796132265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

60 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)NAPOLI, Marisa M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000013990552265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

NARANJO, Hector H.Life Dental Care(954) 429-8840Prov. No.: 000002019713123 N Powerline Rd �Deerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1316174634License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-8842Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121935002265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)NUNEZ, Jenny V.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000125043292265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1144376542License: DN13321License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

O’FLANAGAN, Maureen L.Maureen O’Flanagan Dds Pa(954) 427-3755Prov. No.: 000012126292201 SE 15th Ter Ste 105Deerfield Beach, FL 33441Gender: FemaleNPI: 1588871784License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 427-8952Accepts New Patients: NHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121738102265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)ORTIZ, Ana M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000007396992265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

ORTLIEB, Joseph A.Deerfield Beach Partners InDentistry Pa(954) 427-7513Prov. No.: 000000110604313 SE 15th Ter �Deerfield Beach, FL 33441Gender: MaleNPI: 1649494949License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 427-7676Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122420252265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)PARE, Elizabeth A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120005142265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000026186682265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ROSICH, Ramon A.Juan C Arroyo Dmd(954) 427-4321Prov. No.: 0000021591861800 W Hillsboro Blvd SteDeerfield Beach, FL 33442Gender: MaleNPI: 1114138617License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

61GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)PERKINS, Lindsay B.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000054833782265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

PETRUK, MarielDorina Moldovan Dds(954) 426-2298Prov. No.: 000012122524901 SE 8th Ave �Deerfield Beach, FL 33441Gender: FemaleNPI: 1518373018License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121285502265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)POPPER, Drew C.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000123381492265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

POULERIGUEN, AlainDeerfield Family Dental(954) 725-3717Prov. No.: 000000019208100 S Military Trl Ste 4 �Deerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1710106307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 725-0627Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121918082265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)QUICK, James R.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000020237402265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000102149462265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121728222265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)REZVANI, Caroline S.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121022192265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120666782265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000015491432265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

62 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)RIVERA-DEER, Michelle L.Deerfield Beach Partners InDentistry Pa(954) 427-7513Prov. No.: 000000388552313 SE 15th Ter �Deerfield Beach, FL 33441Language: EnglishGender: FemaleNPI: 1306944996License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 427-7676Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122420262265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000117736872265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)ROQUE-RUANO, MaikelSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000125260422265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121020482265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000012975742265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)SANCHES, MelanieSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121752922265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121129312265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121185292265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)SIRAGE, Ahmed R.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121737462265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Larysa K.Deerfield Dental Llc(954) 428-4575Prov. No.: 0000016558911874 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: FemaleNPI: 1710036819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000019562582265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

63GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)STEIN, IlyaIlya Stein(954) 480-9488Prov. No.: 0000122472941369 S Military TrlDeerfield Beach, FL 33442Gender: MaleNPI: 1235260407License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121635122265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124542952265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)SUAREZ, HenrySage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000019585862265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124716512265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124475952265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)TORRES, Lina T.Sage Dental of Deerfield BeachPllcProv. No.: 0000125286552265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TOWSKY, Lewis M.Lewis M Towsky Dds(954) 421-1982Prov. No.: 000004474203313 SE 15th TerDeerfield Beach, FL 33441Gender: Not ReportedNPI: 1639476245License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000122450462265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)TRUONG, Xen T.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120005682265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124353872265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

UDDIN, FarzanaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000125032982265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: Romania, RussianGender: MaleNPI: 1699878769License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

64 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)URQUIZA, YeneirSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000117742312265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121306512265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000121461352265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)VIGNOLA, Jennifer A.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000021561762265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

VULTAGGIO, Francesco P.Francesco P Vultaggio DmdLlc(954) 421-2122Prov. No.: 000000459739841 SE 8th Ave �Deerfield Beach, FL 33441Gender: MaleNPI: 1861645038License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 421-2820Accepts New Patients: YHospital Affiliation: N/A*

WEICK, Monica B.My Dental Office(954) 418-7970Prov. No.: 0000001553373656 W Hillsboro Blvd Ste �Deerfield Beach, FL 33442Gender: Not ReportedNPI: 1932116704License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)YOUNG, SummerSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120479662265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000120193622265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000124543322265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Deerfield Beach (Cont.)ZAWADAZKY, Javier M.Life Dental Care(954) 429-8840Prov. No.: 000012061473123 N Powerline Rd �Deerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1245541507License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-8842Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000012124322265 W Hillsboro BlvdDeerfield Beach, FL 33442Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of Deerfield BeachPllc(954) 427-2436Prov. No.: 0000004319792265 W Hillsboro BlvdDeerfield Beach, FL 33442Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 429-0900Accepts New Patients: YHospital Affiliation: N/A*

65GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale

ABBO, BillTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000004290673012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1720147853License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

AKPAKA, Wisdom D.American Dental of Florida /Ft. Lauderdale(954) 938-2447Prov. No.: 0000125416622740 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1114338738License: DN21551License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALEXANDER, AllisonA A Dental(954) 463-7972Prov. No.: 000001281572113 SW 11th Ct �Fort Lauderdale, FL 33315Gender: FemaleNPI: 1265661144License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ALLEN, HermanHerman Allen Dds(954) 484-8780Prov. No.: 0000000188542323 NW 19th St Ste 1Fort Lauderdale, FL 33311Language: EnglishGender: MaleNPI: 1821283847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 484-8780Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012160191551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121601936171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ALVAREZ, Jonathan A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120968276171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130486551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AMADOR, Fabrizio K.Carlos Escobar Dmd(954) 563-5535Prov. No.: 0000042497502330 NE 9th St �Fort Lauderdale, FL 33304Gender: MaleNPI: 1205087897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 563-8888Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)AROCHA, AriannyA A Dental(954) 463-7972Prov. No.: 000000197334113 SW 11th Ct �Fort Lauderdale, FL 33315Language: EnglishGender: FemaleNPI: 1184982258License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012550517551 N Federal Hwy Ste 900 �Fort Lauderdale, FL 33301Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000125505206171 N Federal HwyFort Lauderdale, FL 33308Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

66 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)AYESH, KarimaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300276171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300286171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130492551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)BARNARD, Michael R.Michael R Barnard Dds(954) 763-3358Prov. No.: 0000000192841209 W Broward Blvd �Fort Lauderdale, FL 33312Language: EnglishGender: MaleNPI: 1487752861License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 728-9999Accepts New Patients: YHospital Affiliation: N/A*

BELOTTO, Joseph C.Joseph C Belotto Dds(954) 771-1901Prov. No.: 0000000264172440 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1275756710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012210243551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)BENGOCHEA, ArmandoSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122102466171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120630796171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130487551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)BERTNOLLI, Andrew E.Andrew E Bertnolli Dds(954) 771-7100Prov. No.: 0000000189701507 E Commercial BlvdFort Lauderdale, FL 33334Gender: MaleNPI: 1073604393License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BETANCUR, Alvaro L.Towncare Dental of FortLauderdale Pllc(954) 563-1362Prov. No.: 0000124727393343 NE 33rd St �Fort Lauderdale, FL 33308Gender: MaleNPI: 1750586079License: DN12267License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BLOCK, MichaelMichael Block Dds(954) 566-7569Prov. No.: 0000020857692655 E Oakland Park BlvdFort Lauderdale, FL 33306Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-7036Accepts New Patients: YHospital Affiliation: N/A*

BLUM, Michael R.Michael Blum(954) 463-4999Prov. No.: 000000634091648 NE 3rd AveFort Lauderdale, FL 33304Gender: MaleNPI: 1184810376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 463-6364Accepts New Patients: YHospital Affiliation: N/A*

67GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)BOCKIAN, Joshua A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300296171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130488551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BOVE, Alfred G.Alfred G Bove Dds(954) 564-0181Prov. No.: 0000045880932500 E Oakland Park BlvdFort Lauderdale, FL 33306Gender: MaleNPI: 1598909475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 564-0182Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)BRACCO, Brent J.Brent J Bracco Dds(954) 771-5303Prov. No.: 0000000184812467 E Commercial BlvdFort Lauderdale, FL 33308Language: EnglishGender: Not ReportedNPI: 1073721981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-2032Accepts New Patients: YHospital Affiliation: N/A*

BRADLEY, AlijahSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121301656171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1003224148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120470976171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)BRATMAN, JerrySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130489551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012248972551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122489746171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CALVO, Jose R.East Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125182734358 N Federal HwyFort Lauderdale, FL 33308Language: SpanishGender: Not ReportedNPI: 1831100452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMACHO, DiegoFt Lauderdale Perio & ImplantDentistryProv. No.: 0000124933783037 E Commercial Blvd St �Fort Lauderdale, FL 33308Gender: Not ReportedNPI: 1497197271License: DN22236License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012471654551 N Federal Hwy Ste 900 �Fort Lauderdale, FL 33301Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

68 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CAMEJO, JoaquinSage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000124716766171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAPPELEN, Dipa S.Coast Dental - Plantation(954) 584-5031Prov. No.: 0000003381973937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1841392099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 584-5303Accepts New Patients: YHospital Affiliation: N/A*

CARDOUNEL, AlexPhilip Pine(954) 776-4720Prov. No.: 0000122561172826 E Oakland Park BlvdFort Lauderdale, FL 33306Language: EnglishGender: MaleNPI: 1477572246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 489-0004Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CARVALHO, Sandra E.Broward Dental Spa(954) 351-0406Prov. No.: 0000004612962161 E Commercial Blvd FlFort Lauderdale, FL 33308Gender: FemaleNPI: 1578792552License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-0708Accepts New Patients: YHospital Affiliation: N/A*

CARVALHO, Sandra E.Smile Dental Design(954) 524-3117Prov. No.: 000012465664114 SW 10th St Ste A �Fort Lauderdale, FL 33315Gender: FemaleNPI: 1578792552License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121516216171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012151638551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CHAMI, MonaMona H Chami Dds(954) 581-3645Prov. No.: 0000000200333190 Davie Blvd �Fort Lauderdale, FL 33312Language: EnglishGender: FemaleNPI: 1922178607License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152960551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121530036171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CIPORKIN, Peter D.Bayview Dental & AssociatesPa(954) 776-4720Prov. No.: 0000121756622826 E Oakland Park BlvdFort Lauderdale, FL 33306Language: EnglishGender: MaleNPI: 1295898278License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 489-0004Accepts New Patients: YHospital Affiliation: N/A*

CLINE, Jack A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120475506171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124250686171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

69GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)COHEN, Michael A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012425070551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COLIN, Mark R.Mark R Colin Dd(954) 563-9722Prov. No.: 0000001286023015 Bayview Dr Ste AFort Lauderdale, FL 33306Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 563-1912Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121131986171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CONTESTABLE, Clement J.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130499551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COOK, Jonathan H.Jj Detal Inc(954) 463-7626Prov. No.: 00000337915030 NE 3rd St Ste AFort Lauderdale, FL 33301Gender: MaleNPI: 1568626117License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainBayview Dental andAssociates Pa(954) 776-4720Prov. No.: 0000000197202633 E Commercial Blvd �Fort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 772-0282Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CORONADO, EfrainSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120470986171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130500551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COUTRAS, ElevteriaTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000003065393012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1689798431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)COUTRAS, ElevteriaTlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121640673001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1689798431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300316171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130501551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

70 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CROSBY, Mary C.M Cecilia Crosby Dds(954) 584-5031Prov. No.: 0000002495393937 W Broward Blvd # BFort Lauderdale, FL 33312Language: EnglishGender: FemaleNPI: 1194761213License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300326171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012181423551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CRUZ, JazrielHoward R Cunningham DdsPa(954) 566-9812Prov. No.: 0000026181993047 N Federal Hwy �Fort Lauderdale, FL 33306Language: English, SpanishGender: MaleNPI: 1982897609License: 0401411926License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, YarelieEast Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125343804358 N Federal HwyFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1124433305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUNHA, Renata F.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000122531403001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)CUNNINGHAM, Howard R.Howard R Cunningham DdsPa(954) 566-9812Prov. No.: 0000000196993047 N Federal Hwy �Fort Lauderdale, FL 33306Gender: MaleNPI: 1669720967License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUTINO, JavierEast Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125328244358 N Federal HwyFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1588111207License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122441956171 N Federal HwyFort Lauderdale, FL 33308Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DADACIU, CorneliaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012244784551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DALLAS, Michele A.Dr Michele A Dallas Dds Pa(951) 525-5055Prov. No.: 000000271182620 NE 3rd StFort Lauderdale, FL 33301Gender: FemaleNPI: 1003172156License: DN13265License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 525-5059Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120301016171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

71GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DANESHPAJOUH, SaraSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130502551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120301026171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152159551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DEAN, Craig J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120301036171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012178802551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DELEON, Ennio A.Tlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000011443613012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1073834206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

DELEON, Ennio A.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121757373001 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1073834206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DELEON, SapnaJj Detal Inc(954) 463-7626Prov. No.: 00000390881530 NE 3rd StFort Lauderdale, FL 33301Gender: FemaleNPI: 1629144704License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DHAM, Uttma S.Donna L Dicrescento Dds(954) 565-3353Prov. No.: 0000004273594144 N Federal Hwy �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1578719423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012445431551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124454346171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DICRESCENTO, Donna L.Donna L Dicrescento Dds(954) 565-3353Prov. No.: 0000004270934144 N Federal Hwy �Fort Lauderdale, FL 33308Language: EnglishGender: Not ReportedNPI: 1063531879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122441966171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012244785551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

72 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DOOLEY, Jill C.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012436434551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124364466171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120301046171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DRAIZIN, Claudia A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130503551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121105376171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130505551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)DURKAN, Marcia A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120470996171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130506551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ELKIND, Jaime L.Tlc Dental Coral Springs(954) 344-1999Prov. No.: 0000121779153001 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1437567146License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ENGELSBERG, David J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120471006171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012178812551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Carlos Escobar Dmd(954) 563-5535Prov. No.: 0000011930792330 NE 9th St �Fort Lauderdale, FL 33304Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 563-8888Accepts New Patients: YHospital Affiliation: N/A*

FAHEY, Dana A.Sunrise Intracoastal Dental(954) 566-4208Prov. No.: 000000061040900 NE 26th Ave �Fort Lauderdale, FL 33304Gender: Not ReportedNPI: 1265617617License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-5346Accepts New Patients: YHospital Affiliation: N/A*

73GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)FERGUSON, Caitlin B.Tlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000121040483012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1912331356License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300826171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130547551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)FINNK, HowardTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000002368623012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1609906957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300836171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130548551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)FRIEDLAND, Bryan J.Dynamic Dental Care(954) 771-7636Prov. No.: 0000012123914800 NE 20th Ter Ste 215 �Fort Lauderdale, FL 33308Gender: MaleNPI: 1346561784License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-7637Accepts New Patients: YHospital Affiliation: N/A*

GAERTNER, TommyGaertner Tommy(954) 523-6525Prov. No.: 000012230199255 SE 14th St Ste 1AFort Lauderdale, FL 33316Gender: MaleNPI: 1033463328License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300846171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130549551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GARRISON, Harvey B.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120435256171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130550551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARTNER, Judith L.Tlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000007252223012 E Commercial Blvd �Fort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

74 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GARTNER, Judith L.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121757313001 E Commercial BlvdFort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

GERBER, JeremyJeremy Gerber Dmd(954) 763-4403Prov. No.: 0000012430561332 SE 17th StFort Lauderdale, FL 33316Gender: MaleNPI: 1568588580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 263-0989Accepts New Patients: YHospital Affiliation: N/A*

GHABBOUR, Diaa G.Coast Dental - Plantation(954) 584-5031Prov. No.: 0000121072193937 W Broward Blvd # B �Fort Lauderdale, FL 33312Language: EnglishGender: MaleNPI: 1962504209License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 584-5303Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GHANDOUR, DimaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012200061551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122000656171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121180766171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GILBERT, MarkSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130509551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GIRALDO, AndreaSmile Dental Design Inc(954) 524-3117Prov. No.: 000000319585114 SW 10th StFort Lauderdale, FL 33315Language: EnglishGender: Not ReportedNPI: 1467516286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDENBERG, SandyTlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000122048303001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GONZALES, AngelicaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121951956171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012195368551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, DarlenDr Michael Barnard(954) 763-3358Prov. No.: 0000125397201209 W Broward Blvd �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1649623034License: DN22185License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

75GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GOTTARDI, DavideHoward R Cunningham DdsPa(954) 566-9812Prov. No.: 0000120849443047 N Federal Hwy �Fort Lauderdale, FL 33306Language: English, ItalianGender: MaleNPI: 1346654100License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GRAFF, Brad W.Dr Brad W Graff(954) 963-3706Prov. No.: 0000000190673107 Stirling Rd Ste 108 �Fort Lauderdale, FL 33312Gender: MaleNPI: 1992099550License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 963-1223Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012204420551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GREEN, BeverlySage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122044456171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300886171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130512551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUILARTE, Rhona E.Guilco Family Dental(954) 771-7007Prov. No.: 0000004458036550 N Federal Hwy Ste 55 �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1619956323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-7008Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GUL, Yousaf A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120492696171 N Federal HwyFort Lauderdale, FL 33308Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130513551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012436439551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GULTZ, Jerrold P.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124364486171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUO, YonghuaHoward R Cunningham DdsPa(954) 566-9812Prov. No.: 0000123333103047 N Federal Hwy �Fort Lauderdale, FL 33306Gender: FemaleNPI: 1760899918License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120734206171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

76 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)GUTHRIE, KellySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130514551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellyApril N Patterson Dds PaProv. No.: 000012461205646 N Federal Hwy �Fort Lauderdale, FL 33304Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellyCoast Dental at Plantation(954) 584-5031Prov. No.: 0000125435203937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HAGEN, William E.Dr William E Hagen(954) 522-2025Prov. No.: 000000019854255 SE 14th St Ste 1AFort Lauderdale, FL 33316Gender: MaleNPI: 1144435199License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)HALEY, James A.James Haley(954) 581-3645Prov. No.: 0000000194273190 Davie BlvdFort Lauderdale, FL 33312Gender: MaleNPI: 1538274188License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 581-4387Accepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120479456171 N Federal HwyFort Lauderdale, FL 33308Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HAMILTON, Todd A.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000125616593001 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1093075681License: DN19617License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)HARATZ, ZinaTlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121072853001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1972747608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: NHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124519246171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012451928551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)HELFANT, JaredTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000016571293012 E Commercial Blvd �Fort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

HELFANT, JaredTlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121572193001 E Commercial BlvdFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300896171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

77GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)HENNINGER, RosalbaRosalba R Henninger Dds(954) 776-3320Prov. No.: 0000002438284358 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1598842668License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 776-4536Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012217972551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122179756171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)HERNANDEZ, Liliana J.Liliana J Hernandez Dds Pa(954) 523-0566Prov. No.: 0000000188581330 SE 4th Ave Ste K �Fort Lauderdale, FL 33316Language: English, SpanishGender: Not ReportedNPI: 1902927452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 532-3013Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ BONNET, Christina S.Frontany Ruiz Dmd(954) 621-7959Prov. No.: 00001220481919551 Sheridan StFort Lauderdale, FL 33332Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HINDER, Paul R.Dr William E Hagen(954) 522-2025Prov. No.: 000000019855255 SE 14th St Ste 1AFort Lauderdale, FL 33316Gender: MaleNPI: 1760553283License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HINES, JerriWest Sunrise DentistryProv. No.: 0000124712279310 W Commercial Blvd �Fort Lauderdale, FL 33351Gender: Not ReportedNPI: 1861552770License: DN21773License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)HORST, Nadja A.Harmony Dental & FacialCenter(954) 772-6675Prov. No.: 0000003393732161 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1811314131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 525-5251Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120989866171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130516551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)IRAVANI, Mina F.Sage Dental(954) 358-2772Prov. No.: 000012510124551 N Federal HwyFort Lauderdale, FL 33301Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000125101986171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRVING, Bizu N.Tlc Dental Coral Springs(954) 344-1999Prov. No.: 0000122061243001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1245588664License: DN20237License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 344-1994Accepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300916171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

78 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ISRAEL, ElieSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130525551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012251081551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122510916171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)JACOBSOHN, Henry D.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000124259393001 E Commercial BlvdFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

JAFFE, Danielle L.Danielle Jaffe(954) 463-3636Prov. No.: 0000120263821312 E Broward BlvdFort Lauderdale, FL 33301Gender: FemaleNPI: 1649436056License: DN20270License Type: DBP DentistBoard Certified: YesEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300926171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130524551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)KALAFATIC, Frank K.Frank Kalafatic Dds Pllc(954) 916-7646Prov. No.: 0000121276466230 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1932262581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KALTMAN, Steven I.Nsu - Bgmc Oral &Maxillofacial Surgery(954) 355-5703Prov. No.: 0000120378541600 S Andrews AveFort Lauderdale, FL 33316Gender: MaleNPI: 1790870046License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (951) 355-5490Accepts New Patients: YHospital Affiliation: N/A*

KERNS, James M.American Dental of Fl-FortLauderdale(954) 938-2447Prov. No.: 0000068118062740 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1659584209License: 17150License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 938-3527Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)KIANI, KamranDr Michael Barnard(954) 763-3358Prov. No.: 0000124977731209 W Broward Blvd �Fort Lauderdale, FL 33312Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KLAIB, Charbel A.Coast Dental - Plantation(954) 584-5031Prov. No.: 0000121062763937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: MaleNPI: 1134390396License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 584-5303Accepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012311190551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1851739262License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000123136026171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

79GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)KRIKORIAN, Charles R.Dental Specialists of Broward(954) 588-4671Prov. No.: 0000053005699 SW 17th StFort Lauderdale, FL 33315Gender: MaleNPI: 1720272081License: DN15836License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (954) 206-4284Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121007156171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000121290973012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)LAMB, NicoleSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130526551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleTlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121756103001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012444748551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)LEMINH, Chau J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124447516171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEMUS, AnalidysEast Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125371274358 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1710431234License: DN22160License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEONARD, Thomas P.Miguel F Borda Dmd(954) 938-2447Prov. No.: 0000121302132740 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1831468735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 938-3527Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121769376171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)LEPORE, KrystinaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012202222551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LICINA, ZeljkaMichael R Barnard Dds(954) 763-3358Prov. No.: 0000089782761209 W Broward Blvd �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1013263292License: DN20101License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 728-9999Accepts New Patients: YHospital Affiliation: N/A*

LLERA, Antonio J.J A Llera Dds Pa(954) 587-7111Prov. No.: 0000015358712607 Davie BlvdFort Lauderdale, FL 33312Gender: MaleNPI: 1013213784License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 791-2314Accepts New Patients: YHospital Affiliation: N/A*

80 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)LLERA, Julio A.J A Llera Dds Pa(954) 587-7111Prov. No.: 0000001557022607 Davie BlvdFort Lauderdale, FL 33312Language: EnglishGender: Not ReportedNPI: 1619122876License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 791-2314Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300946171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130528551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)LOPEZ, Arnaldo A.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121046103001 E Commercial BlvdFort Lauderdale, FL 33308Language: English, SpanishGender: MaleNPI: 1023421104License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: NHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012439933551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124399366171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MA, RobertSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300956171 N Federal HwyFort Lauderdale, FL 33308Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130529551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012209548551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MANCUSO, RichardSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122095516171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANDEL, Jonathan O.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000122539683001 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1689088148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300966171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

81GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MARRO, BlancaEast Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125325444358 N Federal HwyFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1043620099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ-MARINO, AnelisseMichael R Barnard Dds(954) 763-3358Prov. No.: 0000121303031209 W Broward Blvd �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1932530128License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 728-9999Accepts New Patients: YHospital Affiliation: N/A*

MAZZUCCO, Maria O.North Broward HospitalDistrict(954) 459-6600Prov. No.: 000012199601200 NW 7th AveFort Lauderdale, FL 33311Gender: FemaleNPI: 1003941022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 759-6635Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MCINTOSH FALCON, KatiuskaSage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000124735856171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012473589551 N Federal Hwy Ste 900 �Fort Lauderdale, FL 33301Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCKENZIE-LEWIS, Andrea A.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000124157633001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1972910537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MEHTA, Ravindra S.Ravin Mehta Dds(954) 739-1430Prov. No.: 0000001269123796 NW 19th StFort Lauderdale, FL 33311Gender: Not ReportedNPI: 1609055532License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MINGEL, Marc A.Tlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000120404873012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1831402957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

MINGEL, Marc A.Marc A Mingel(954) 566-1548Prov. No.: 0000121258183015 Bayview Dr Ste CFort Lauderdale, FL 33306Gender: MaleNPI: 1831402957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-8055Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MIRANDA, Atila C.Rosalba R Henninger Dds(954) 776-3320Prov. No.: 0000121302914358 N Federal HwyFort Lauderdale, FL 33308Language: English,Portuguese, SpanishGender: FemaleNPI: 1861533911License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 776-4536Accepts New Patients: YHospital Affiliation: N/A*

MIRESMAILI, MandanaMandana Mir Esmaili Dds(954) 990-6543Prov. No.: 0000015496872324 NE 53rd St �Fort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 990-6543Accepts New Patients: YHospital Affiliation: N/A*

MODESTO, Daniela O.Daniela Modesto Gran DentalInc(954) 990-6278Prov. No.: 0000061052992500 E Commercial Blvd StFort Lauderdale, FL 33308Language: English,Portuguese, SpanishGender: FemaleNPI: 1659426369License: 17097License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 990-6293Accepts New Patients: YHospital Affiliation: N/A*

82 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MOHR, Eric E.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300986171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130531551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121182286171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130518551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MOULINOS, Sotirios S.Dr Brad W Graff(954) 963-3706Prov. No.: 0000000190683107 Stirling Rd Ste 108 �Fort Lauderdale, FL 33312Gender: MaleNPI: 1760601520License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 963-1223Accepts New Patients: YHospital Affiliation: N/A*

MOUSHATI, JohnJohn Moushati Dds(954) 564-3244Prov. No.: 0000000333553015 Bayview Dr Ste BFort Lauderdale, FL 33306Language: EnglishGender: Not ReportedNPI: 1679993992License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 564-3245Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MUCKEY, Steven D.Tlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000002292763012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1386032803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

MUCKEY, Steven D.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000123323413001 E Commercial BlvdFort Lauderdale, FL 33308Gender: MaleNPI: 1386032803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

MUJTABA, MoneezeLaguna Isle Dental Assoc(954) 680-5552Prov. No.: 00000028498419551 Sheridan StFort Lauderdale, FL 33332Gender: Not ReportedNPI: 1609926310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122441986171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)MUNOZ, Numa F.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012244788551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MURCIA, MarcelaGreat Smiles Dental of FortLauderdale(954) 530-5352Prov. No.: 0000121342752633 E Commercial Blvd StFort Lauderdale, FL 33308Gender: FemaleNPI: 1588952261License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (754) 216-2973Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300996171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

83GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)NAGUIB, Michelle A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130517551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAIERMAN, Eric H.Dental Specialists of Broward(786) 355-4401Prov. No.: 0000069624169 SW 17th StFort Lauderdale, FL 33315Gender: MaleNPI: 1982981643License: 19906License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120903926171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)NAPOLI, Marisa M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130519551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121931776171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012193501551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)NORENA, Ana M.Comfortable Care DentalHealthProv. No.: 0000125544001831 NE 45th St Ste BFort Lauderdale, FL 33308Language: SpanishGender: FemaleNPI: 1326101973License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012173811551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121738146171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ORTEGA, Laura O.East Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125183184358 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300366171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130521551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

84 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)OSPINA, CarolinaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122420126171 N Federal HwyFort Lauderdale, FL 33308Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012242043551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300396171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)PARE, Elizabeth A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152473551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PASTURA, Joseph C.Contemporale Inc(954) 563-5800Prov. No.: 0000000193083051 N Federal Hwy �Fort Lauderdale, FL 33306Language: EnglishGender: Not ReportedNPI: 1952703308License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PATTERSON, April N.April N Patterson Dds Pa(954) 524-2300Prov. No.: 000001769305646 N Federal HwyFort Lauderdale, FL 33304Gender: FemaleNPI: 1811124241License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 279-2262Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)PEREZ-ALAMO, JenniferSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120475516171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152474551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300406171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PIKE, Darren R.Comfortable Care DentalHealthProv. No.: 0000125544011831 NE 45th St Ste BFort Lauderdale, FL 33308Gender: MaleNPI: 1588831069License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)PLANES, Alex A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121285526171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152160551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

POLASKY, Dawn L.Dawn Polasky(954) 229-2424Prov. No.: 0000003185856231 N Federal Hwy Ste 10Fort Lauderdale, FL 33308Gender: FemaleNPI: 1144366220License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 229-2427Accepts New Patients: YHospital Affiliation: N/A*

POMERANTZ, Seth D.Seth PomerantzProv. No.: 0000124981008201 B North Pine Island �Fort Lauderdale, FL 33321Gender: MaleNPI: 1992983175License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

85GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)POPPER, Drew C.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000123381306171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012338151551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PORTNOF, JasonNsu - Bgmc Oral &Maxillofacial Surgery(954) 355-5703Prov. No.: 0000120375201600 S Andrews AveFort Lauderdale, FL 33316Gender: MaleNPI: 1760613426License: DN 16048License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (951) 355-5490Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)PRICE, DanaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012191809551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121918126171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PURUSHOTHAMAN, UmamageshwariCoast Dental at Plantation(954) 584-5031Prov. No.: 0000124835753937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1518367945License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)PYSER, Douglas N.Towncare Dental of FortLauderdale Pllc(954) 563-1368Prov. No.: 0000000201213343 NE 33rd St �Fort Lauderdale, FL 33308Gender: Not ReportedNPI: 1194728162License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 563-5352Accepts New Patients: YHospital Affiliation: N/A*

QUESADA, Robert E.Robert E Quesada Dmd(954) 463-1077Prov. No.: 0000000007881500 E Broward Blvd �Fort Lauderdale, FL 33301Language: English, SpanishGender: MaleNPI: 1871629220License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 463-0905Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300426171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)QUICK, James R.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152477551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

QUILICHINI, Carlos A.Dental Specialists of Broward(954) 588-4671Prov. No.: 0000097554469 SW 17th StFort Lauderdale, FL 33315Language: EnglishGender: MaleNPI: 1700079399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000122516033001 E Commercial BlvdFort Lauderdale, FL 33308Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

86 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)RAPPAPORT, David B.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012172823551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121853096171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121023176171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)REZVANI, Caroline S.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152479551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RICADEZ, JorgeJorge Ricadez(954) 563-5535Prov. No.: 0000122612492330 NE 9th StFort Lauderdale, FL 33304Gender: Not ReportedNPI: 1164728200License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120666506171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)RIEGER, Eric R.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152480551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300456171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012152481551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)RIOS KU HOP, Milagritos C.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000122531413001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

RIVAS, Miguel A.Dental Specialists of Broward(954) 588-4671Prov. No.: 0000120090129 SW 17th StFort Lauderdale, FL 33315Gender: MaleNPI: 1194895011License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROANE, Christopher S.Dental Excellence By the Sea(954) 938-2447Prov. No.: 0000006302562740 E Commercial Blvd �Fort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1184790719License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROBERTS, Paula S.Paula S Roberts Dds(954) 491-4876Prov. No.: 0000002516232324 NE 53rd StFort Lauderdale, FL 33308Gender: FemaleNPI: 1780893842License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

87GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ROCA, Ana L.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122420136171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012242044551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROCA-GODINEZ, Lilian R.Donna L Dicrescento Dds(954) 565-3353Prov. No.: 0000022982574144 N Federal Hwy �Fort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1639261563License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ROMAN, CeliaEast Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125340924358 N Federal HwyFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1356570303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental(954) 358-2772Prov. No.: 000012523925551 N Federal HwyFort Lauderdale, FL 33301Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000125239286171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ROSHKIND, David M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121020526171 N Federal HwyFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131000551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Tlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000125305903001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1871704742License: DN16579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROTROFF, NancyNancy Rotroff Dds(954) 928-1666Prov. No.: 0000001415912480 E Commercial Blvd StFort Lauderdale, FL 33308Gender: Not ReportedNPI: 1124138797License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 928-1895Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)RUIZ FRONTARY, YarimarFrontany Ruiz Dmd(954) 621-7959Prov. No.: 00000585519019551 Sheridan StFort Lauderdale, FL 33332Language: English, SpanishGender: FemaleNPI: 1134429251License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300496171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121752886171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

88 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SANCHES, MelanieSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012175293551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, JairoCoast Dental at Plantation(954) 584-5031Prov. No.: 0000124806283937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: MaleNPI: 1376994236License: DN22032License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANTIAGO-HERZOG, Tatiana E.Towncare Dental of FortLauderdale Pllc(954) 563-1368Prov. No.: 0000033797393343 NE 33rd St �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1396041703License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 563-5352Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SCERBO, Peter M.Florida Smiles Dental Inc(954) 523-6525Prov. No.: 000000344244255 SE 14th St Ste 1A �Fort Lauderdale, FL 33316Gender: Not ReportedNPI: 1033248554License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 522-2025Accepts New Patients: YHospital Affiliation: N/A*

SCHMID HIDALGO, Federico J.Federico Schmid Hidalgo(954) 563-9722Prov. No.: 0000022291343015 Bayview Dr Ste A �Fort Lauderdale, FL 33306Gender: MaleNPI: 1407178247License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 563-1912Accepts New Patients: YHospital Affiliation: N/A*

SCHOPLER, Thomas A.Atlantic Florida Dntl Inc(954) 763-4403Prov. No.: 0000000190631332 SE 17th StFort Lauderdale, FL 33316Language: EnglishGender: MaleNPI: 1982807012License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SELMIC, Nadezda S.Dental Las Olas Pa(954) 524-6595Prov. No.: 000010903035401 E Las Olas Blvd Ste 1Fort Lauderdale, FL 33301Language: English, Italian,SerbianGender: FemaleNPI: 1861608218License: DN20436License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120471016171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131006551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SHUMPERT, William O.William O Shumpert Jr Dds Pa(954) 467-0318Prov. No.: 0000001078541800 SE 3rd AveFort Lauderdale, FL 33316Gender: MaleNPI: 1043355035License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121185326171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131005551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

89GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SIPKIN, Lloyd A.Lloyd A Sipkin Dds Pa(954) 565-7555Prov. No.: 0000000223852655 E Oakland Park Blvd �Fort Lauderdale, FL 33306Language: EnglishGender: MaleNPI: 1104046176License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121737366171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012173747551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SLATKOFF, Joshua M.Joshua M Slatkoff Dmd Pa(954) 522-4900Prov. No.: 0000002645311400 E Broward Blvd �Fort Lauderdale, FL 33301Gender: MaleNPI: 1427172337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 522-4751Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300516171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131160551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SOLLEE, ArthurSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012178790551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1649585878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SORGEN, MichaelBayview Dental & AssociatesPa(954) 776-4720Prov. No.: 0000120086452826 E Oakland Park BlvdFort Lauderdale, FL 33306Gender: Not ReportedNPI: 1134232978License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 489-0004Accepts New Patients: YHospital Affiliation: N/A*

SORROZA, JenniferTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000004234303012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SORROZA, JenniferTlc Dental Ft Lauderdale(954) 491-7100Prov. No.: 0000121753753001 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6434Accepts New Patients: YHospital Affiliation: N/A*

STANTON, Robert B.Stanton Dental Excellence(954) 568-9788Prov. No.: 0000002293813038 N Federal Hwy Ste HFort Lauderdale, FL 33306Gender: MaleNPI: 1356540736License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STANTON, Robert B.Robert Stanton(954) 568-9788Prov. No.: 0000121614515400 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1356540736License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STEFANCZYK, BarbaraCoast Dental at Plantation(954) 584-5031Prov. No.: 0000125035653937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1699061432License: DN20551License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

90 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)STEINER, Samantha L.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012163513551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121635156171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STREITER, Edwin H.Comfortable Care DentalHealthProv. No.: 0000125544041831 NE 45th St Ste BFort Lauderdale, FL 33308Gender: MaleNPI: 1598967192License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)STRONG, ShaniceSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012454297551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124543006171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, HenryThe Dental Team of FortLauderdale(954) 564-0446Prov. No.: 0000003494202500 E Oakland Park Blvd �Fort Lauderdale, FL 33306Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SUAREZ, HenryTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000004491993012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, HenrySage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131163551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012471655551 N Federal Hwy Ste 900 �Fort Lauderdale, FL 33301Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)SUTNICK, Steven A.Sage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000124716776171 N Federal HwyFort Lauderdale, FL 33308Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SZPOGANICZ, TadeuAmerican Dental of Fl-FortLauderdale(954) 938-2447Prov. No.: 0000121155452740 E Commercial BlvdFort Lauderdale, FL 33308Language: English,Portuguese, SpanishGender: MaleNPI: 1871870659License: DN20043License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 938-3527Accepts New Patients: YHospital Affiliation: N/A*

TALCHIK JR, Paul S.Tlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000001111183012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: MaleNPI: 1619144979License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

91GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)TASKONAK, BurakEast Broward Dental(954) 227-8133Prov. No.: 0000061052981212 E Broward Blvd Ste 2Fort Lauderdale, FL 33301Gender: MaleNPI: 1225293244License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 227-8132Accepts New Patients: YHospital Affiliation: N/A*

TAVERAS, MyriamNancy Medins Dds(954) 491-7100Prov. No.: 0000121042223012 E Commercial BlvdFort Lauderdale, FL 33308Language: English, SpanishGender: FemaleNPI: 1598190852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012447597551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)TITHERINGTON, JessicaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124476506171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TORO, Alicia M.East Coast Family FamilyDental Lauderdale Pa - Sm(954) 776-3308Prov. No.: 0000125326614358 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1659726537License: 21781License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Ft LauderdalePllc(561) 641-5610Prov. No.: 0000125478446171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)TORRES, Lina T.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012547849551 N Federal Hwy Ste 900 �Fort Lauderdale, FL 33301Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000122442316171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300566171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)TUBIO, AbigailSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012436436551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124364496171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300166171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

92 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)URQUIZA, YeneirSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131169551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121306536171 N Federal HwyFort Lauderdale, FL 33308Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131164551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)VAZANA, Todd A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131165551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000121461786171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VEGAS, GabrielaDaniela O Modesto Dds(954) 990-6278Prov. No.: 0000125017112500 E Commercial Blvd StFort Lauderdale, FL 33308Gender: FemaleNPI: 1407273881License: DN21826License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)VERA, NathalieAmerican Dental of Fl-FortLauderdale(954) 938-2447Prov. No.: 0000059799562740 E Commercial BlvdFort Lauderdale, FL 33308Language: English, SpanishGender: FemaleNPI: 1780901116License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 938-3527Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300186171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131167551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)VILK-SHAPIRO, DoraTlc Dental Ft Lauderdale Lc(954) 491-7100Prov. No.: 0000120368853012 E Commercial Blvd �Fort Lauderdale, FL 33308Gender: FemaleNPI: 1003919879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 771-6134Accepts New Patients: YHospital Affiliation: N/A*

VILLA, RodolfoBayview Dental & AssociatesPa(954) 776-4720Prov. No.: 0000121756672826 E Oakland Park BlvdFort Lauderdale, FL 33306Gender: MaleNPI: 1093899171License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 489-0004Accepts New Patients: YHospital Affiliation: N/A*

VLAHOS, Haralambos B.Dentaland Dental Centers(561) 732-6969Prov. No.: 0000003679143230 W Commercial Blvd StFort Lauderdale, FL 33309Gender: MaleNPI: 1619005337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 732-6255Accepts New Patients: YHospital Affiliation: N/A*

93GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)WALTERS, George J.George Walters Dds(954) 564-2040Prov. No.: 000000053147915 Middle River Dr Ste 5Fort Lauderdale, FL 33304Gender: MaleNPI: 1275667891License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 564-2177Accepts New Patients: YHospital Affiliation: N/A*

WEISEL, Steven S.Christopher S Roane Dmd(954) 584-5031Prov. No.: 0000125031833937 W Broward BlvdFort Lauderdale, FL 33312Gender: MaleNPI: 1003033606License: DN9926License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, Tosha R.Coast Dental - Plantation(954) 584-5031Prov. No.: 0000122515873937 W Broward Blvd # B �Fort Lauderdale, FL 33312Gender: FemaleNPI: 1609009463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 584-5303Accepts New Patients: YHospital Affiliation: N/A*

YAN, XuijunXuijun Yan Dds(954) 763-3358Prov. No.: 0000007215841209 W Broward BlvdFort Lauderdale, FL 33312Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)YOUNG, SummerSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120479466171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130463551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300206171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)YU, Cynthia W.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130462551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZAKKO, DalalAlvin J Tight Dds(954) 771-0902Prov. No.: 0000002246422626 E Commercial BlvdFort Lauderdale, FL 33308Gender: FemaleNPI: 1851454821License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZAKKO, DalalRodolfo Villa(954) 776-4720Prov. No.: 0000120070102826 E Oakland Park BlvdFort Lauderdale, FL 33306Gender: FemaleNPI: 1851454821License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 489-0004Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ZAKKO, DalalBayview Dental & AssociatesPa(954) 776-4720Prov. No.: 0000121756662826 E Oakland Park BlvdFort Lauderdale, FL 33306Gender: FemaleNPI: 1851454821License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 489-0004Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012454334551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000124543366171 N Federal HwyFort Lauderdale, FL 33308Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

94 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ZASLAVSKY, Max A.Max Zaslavsky Dmd Pa(954) 491-5544Prov. No.: 0000004344296451 N Federal Hwy Ste 12 �Fort Lauderdale, FL 33308Gender: Not ReportedNPI: 1457413304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 491-3562Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300216171 N Federal HwyFort Lauderdale, FL 33308Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012131207551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Fort Lauderdale (Cont.)ZYLBERING, Jason M.Sage Dental of Ft Lauderdale(561) 641-5610Prov. No.: 0000120300226171 N Federal HwyFort Lauderdale, FL 33308Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of DowntownFort Lauderdale(954) 358-2772Prov. No.: 000012130460551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

Ft Lauderdale

ALDER, Ernest S.Broward County HealthDepartment(954) 467-4820Prov. No.: 0000125001032421 SW 6th Ave �Ft Lauderdale, FL 33315Gender: MaleNPI: 1609910678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)ALDER, Ernest S.Broward County HealthDepartment(954) 332-7546Prov. No.: 000012500105900 NW 31st Ave �Ft Lauderdale, FL 33311Gender: MaleNPI: 1609910678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENDA, Natalia M.Natalia M Benda Dds(954) 491-8812Prov. No.: 0000003311226361 N Andrews AveFt Lauderdale, FL 33309Gender: Not ReportedNPI: 1063514131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 491-8813Accepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Great Expressions DentalCenters(954) 566-4167Prov. No.: 0000003494011201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)CASTILLO, Elzebir M.Broward County HealthDepartment(954) 467-4820Prov. No.: 0000057933862421 SW 6th Ave �Ft Lauderdale, FL 33315Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Elzebir M.Broward County HealthDepartment(954) 332-7546Prov. No.: 000005793392900 NW 31st Ave �Ft Lauderdale, FL 33311Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 321-2947Accepts New Patients: NHospital Affiliation: N/A*

CHENCIN, JosefJosef Chencin Dds(954) 561-4730Prov. No.: 0000000223753015 Bayview DrFt Lauderdale, FL 33306Language: EnglishGender: MaleNPI: 1245393222License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

95GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)DANESHPAJOUH, SaraGreat Expressions DentalCenters(954) 566-4167Prov. No.: 0000004616681201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: NHospital Affiliation: N/A*

DAVIS, Deborah L.Ahf(954) 761-2230Prov. No.: 000012093899700 SE 3rd Ave Ste 206Ft Lauderdale, FL 33316Gender: FemaleNPI: 1881847739License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (654) 761-2231Accepts New Patients: NHospital Affiliation: N/A*

ESPINAL, MariaJuliaw NeulsProv. No.: 0000124630534542 N Federal Hwy �Ft Lauderdale, FL 33308Gender: Not ReportedNPI: 1477896389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRAND, Joel I.Great Expressions DentalCenters(954) 566-4167Prov. No.: 0000020229671201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: MaleNPI: 1568675866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)GARCIA, RicardoGreat Expressions DentalCenters(954) 566-4167Prov. No.: 0000002452781201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Language: EnglishGender: MaleNPI: 1184700783License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: NHospital Affiliation: N/A*

HANOMAN, Payal G.Broward County HealthDepartment(954) 467-4820Prov. No.: 0000057936452421 SW 6th Ave �Ft Lauderdale, FL 33315Gender: FemaleNPI: 1992004808License: DN19272License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HORST, Nadja A.Urban Dentistry(954) 525-5662Prov. No.: 000000194237104 SE 1st StFt Lauderdale, FL 33301Gender: FemaleNPI: 1811314131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)KELLOGG, David A.Great Expressions DentalCenters(954) 566-4167Prov. No.: 0000121417691201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: YHospital Affiliation: N/A*

MACO, CarmenUrban Dentistry(954) 525-5662Prov. No.: 000012002347104 SE 1st StFt Lauderdale, FL 33301Language: English, Hebrew,SpanishGender: FemaleNPI: 1851668065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenGreat Expressions DentalCenters(954) 566-4167Prov. No.: 0000121358451201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)PINNOCK, Alyssa H.Broward County HealthDepartment(954) 467-4820Prov. No.: 0000062331182421 SW 6th Ave �Ft Lauderdale, FL 33315Gender: FemaleNPI: 1003987157License: DN17610License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSS, Bradley A.Natalia M Benda Dds(954) 491-8812Prov. No.: 0000015459126361 N Andrews AveFt Lauderdale, FL 33309Gender: MaleNPI: 1467770693License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 491-8813Accepts New Patients: YHospital Affiliation: N/A*

UCROS, GermanLiza Aguilar Dds(954) 566-4167Prov. No.: 0000016556081201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: MaleNPI: 1558570499License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

VACHARAKIAT, MalissaUrban Dentistry(954) 525-5662Prov. No.: 000000431999104 SE 1st StFt Lauderdale, FL 33301Gender: FemaleNPI: 1609959873License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

96 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Ft Lauderdale (Cont.)VASILAROS, Marina E.Great Expressions DentalCenters(954) 566-4167Prov. No.: 0000124610631201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: FemaleNPI: 1588042758License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: YHospital Affiliation: N/A*

VASILAROS, Marina E.Great Expressions DentalCenters(954) 566-4167Prov. No.: 0000124632361201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: FemaleNPI: 1588042758License: DN21452License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaGreat Expressions DentalCenters(954) 566-4167Prov. No.: 0000121831881201 N Federal Hwy Ste 2DFt Lauderdale, FL 33304Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-4237Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach

ALVARADO-ROMERO POU, Melissa D.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145861701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ANOKHINA, SvetlanaAnokhina Svetlana(954) 457-8308Prov. No.: 0000001714922100 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1295003291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 457-8309Accepts New Patients: YHospital Affiliation: N/A*

ARNOLD, Gary S.Gary S Arnold Dds(954) 454-5333Prov. No.: 000000020591328 E Hallandale Beach BlHallandale Beach, FL 33009Language: EnglishGender: Not ReportedNPI: 1356403349License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)ARNOLD, James L.James L Arnold Dds(954) 458-1133Prov. No.: 0000002251501440 E Hallandale Beach BHallandale Beach, FL 33009Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000125505211701 E Hallandale Beach BHallandale Beach, FL 33009Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145871701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)BENGOCHEA, ArmandoSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145891701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145881701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BOBADILLA, Patricia M.My Dentist Inc(954) 456-1939Prov. No.: 0000000222222500 E Hallandale Beach B �Hallandale Beach, FL 33009Language: EnglishGender: FemaleNPI: 1124039672License: 14173License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 456-1940Accepts New Patients: YHospital Affiliation: N/A*

97GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)BOCKIAN, Joshua A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145901701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145911701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122493701701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)CAMEJO, JoaquinSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124716781701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145941701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122222161701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)COHEN, Michael A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124250671701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122144991701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145001701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)CRUZ, Antonio R.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145021701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145031701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145041701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

98 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)DEAN, Craig J.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145051701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DEFELICE, Janice R.Janice R Defelice Dmd(954) 454-3883Prov. No.: 000000309693226 S Dixie Hwy �Hallandale Beach, FL 33009Gender: FemaleNPI: 1386702827License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 454-1901Accepts New Patients: YHospital Affiliation: N/A*

DENIS, Tamisha M.Tiffany Moncrieffe(954) 457-7400Prov. No.: 0000122153072100 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1184889917License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)DIAZ, JanySage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124454211701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIEZ, FedericoSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000120808981701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1043392111License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124355541701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)DORREGO, Daniel A.Nicolas Orta Dmd Pa(954) 454-2504Prov. No.: 0000001945072518 E Hallandale Beach B �Hallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1477651297License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145061701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145101701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)DURKAN, Marcia A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145111701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ESPINOSA, MerisneyCenter For Complete DentistryInc(954) 455-3434Prov. No.: 0000125385221920 E Hallandale Beach B �Hallandale Beach, FL 33009Gender: FemaleNPI: 1457771495License: DN22249License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

EVEDON, Mitchell B.Mitchell B Evedon Dds(954) 456-7000Prov. No.: 000000018222800 E Hallandale Beach Bl �Hallandale Beach, FL 33009Language: EnglishGender: Not ReportedNPI: 1861583965License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 456-7111Accepts New Patients: YHospital Affiliation: N/A*

99GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145131701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145141701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145151701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)GARG, Arun K.Center For Complete DentistryInc(954) 455-3434Prov. No.: 0000053001001920 E Hallandale Beach B �Hallandale Beach, FL 33009Gender: MaleNPI: 1891924635License: DN11076License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 455-3437Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145161701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GELUDA-LEWIN, SamanthaTiki Dental Pediatric Dentistry(954) 889-8889Prov. No.: 000001089418501 Golden Isles Dr Ste 2 �Hallandale Beach, FL 33009Gender: Not ReportedNPI: 1669653754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (877) 280-4191Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)GHANDOUR, DimaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122145221701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142731701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GOLDMAN, IraIra Goldman Dmd(954) 456-9844Prov. No.: 0000000363312100 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: Not ReportedNPI: 1326113937License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 458-3017Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)GONZALES, AngelicaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142751701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, KellyHallandale Family Dental Care(954) 454-3883Prov. No.: 000012130326226 S Dixie HwyHallandale Beach, FL 33009Gender: FemaleNPI: 1952717027License: DN20710License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142771701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

100 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)GUERRERO, Luis A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142781701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142791701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124355611701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)HEDSTROM, Brien D.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124519251701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000021575581701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000125101991701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)ISRAEL, ElieSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142821701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122510921701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

JACOBS, Bruce G.Bruce Jacobs(954) 456-3366Prov. No.: 0000001972001708 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1679896187License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 456-3176Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)JUMA, ZaileenSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122142831701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KASWAN, SimonSimon Kaswan Dds(954) 241-7312Prov. No.: 0000002656712518 E Hallandale Beach BHallandale Beach, FL 33009Gender: Not ReportedNPI: 1942240221License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KHATAMI, ShivaPremier Dental Group ofHallandale(954) 458-4584Prov. No.: 0000122398511701 E Hallandale Beach B �Hallandale Beach, FL 33009Gender: FemaleNPI: 1013219922License: 19620License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 458-4078Accepts New Patients: YHospital Affiliation: N/A*

101GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)KLEINER-ARIAS, ShirleyTiki Dental Pediatric Dentistry(954) 889-8889Prov. No.: 000001324040501 Golden Isles Dr Ste 2 �Hallandale Beach, FL 33009Gender: FemaleNPI: 1316181803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (877) 280-4191Accepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000121642611701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LAMBERT, Donald T.Center For Complete DentistryInc(954) 455-3434Prov. No.: 0000000866351920 E Hallandale Beach B �Hallandale Beach, FL 33009Gender: MaleNPI: 1518158476License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 455-3437Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)LEMINH, Chau J.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124447521701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122148661701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122148671701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)LOPEZ, Grace P.Center For Complete DentistryInc(954) 455-3434Prov. No.: 0000122034591920 E Hallandale Beach B �Hallandale Beach, FL 33009Gender: FemaleNPI: 1407101462License: DN19810License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 455-3437Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124382731701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122148681701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)MACO, CarmenTiki Dental Pediatric Dentistry(954) 889-8889Prov. No.: 000001826889501 Golden Isles Dr Ste 2 �Hallandale Beach, FL 33009Language: English, Hebrew,SpanishGender: FemaleNPI: 1851668065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (877) 280-4191Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124735861701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122148691701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

102 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)NAGUIB, Michelle A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122148701701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122148711701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NUDEL, MarinaCenter For Complete Dentistry(954) 455-3434Prov. No.: 0000124705871920 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1821088741License: DN19619License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)ORTA, Nicolas R.Nicolas Orta Dmd Pa(954) 454-2504Prov. No.: 0000012482832518 E Hallandale Beach B �Hallandale Beach, FL 33009Gender: MaleNPI: 1346456175License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151501701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151511701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)OSPINA, CarolinaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122420161701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151531701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PARRA, Ivan O.Ivan O Parra Dds(954) 455-0255Prov. No.: 000008822197660 E Hallandale Beach BlHallandale Beach, FL 33009Gender: MaleNPI: 1174629554License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 455-0256Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)PEREZ-ALAMO, JenniferSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151541701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151551701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151581701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

103GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)QUEVEDO, FernandoJanice R Defelice Dmd(954) 454-3883Prov. No.: 000012313985226 S Dixie Hwy �Hallandale Beach, FL 33009Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 454-1901Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151601701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAMOS CRUZ, CarissaCenter For Complete DentistryInc(954) 455-3434Prov. No.: 0000121778271920 E Hallandale Beach B �Hallandale Beach, FL 33009Language: English, SpanishGender: FemaleNPI: 1013265453License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 455-3437Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)RAND, Matthew K.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151611701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151391701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RENERT, Joseph A.Joseph A Renert Dds(954) 458-7066Prov. No.: 0000000223071250 E Hallandale Beach BHallandale Beach, FL 33009Gender: Not ReportedNPI: 1790792596License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)REZVANI, Caroline S.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151411701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RICHTER, Alan J.Alan J Richter Dmd(954) 456-7900Prov. No.: 000000018428618 Atlantic Shores BlvdHallandale Beach, FL 33009Gender: MaleNPI: 1407074396License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151421701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)RING, Stephen G.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151431701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RIPA, AnatolyAdvanced Esthetic Dentistry(954) 458-4584Prov. No.: 000012312605501 Golden Isles Dr Ste 2Hallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1740457183License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122420171701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

104 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)RODRIGUEZ, Nury E.Lakes Dental(786) 213-1234Prov. No.: 000012327457226 S Dixie HwyHallandale Beach, FL 33009Gender: FemaleNPI: 1649472150License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000125260431701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151441701 E Hallandale Beach BHallandale Beach, FL 33009Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)ROTHENBERG, StephenStephen Rothenberg Dds(954) 457-8288Prov. No.: 000000018095416 E Hallandale Beach BlHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1083802052License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151461701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SCHUETZ, Eric J.Smile Design of HallandaleBeach LlcProv. No.: 0000124930632100 E Hallandale Beach B �Ste 305Hallandale Beach, FL 33009Gender: MaleNPI: 1720277320License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)SHOFNOS, Charles I.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151641701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151631701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151661701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)SOLLEE, ArthurSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151671701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1649585878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SPIVAK, IrenaKids Dental Now(954) 951-3001Prov. No.: 0000123313452500 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1932576113License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 228-2199Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151711701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

105GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)STRONG, ShaniceSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124543011701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124716791701 E Hallandale Beach BHallandale Beach, FL 33009Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124476511701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)TORRES, Lina T.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000125286491701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124355621701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122151731701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)VALDES, Juan C.Island Dental Pc(954) 454-0959Prov. No.: 000000248302900 N Federal Hwy Ste 308Hallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1023005451License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 454-0969Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122147841701 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VERA, NathalieSmile Design of HallandaleBeach Llc(954) 454-4949Prov. No.: 0000122428832100 E Hallandale Beach BHallandale Beach, FL 33009Language: English, SpanishGender: FemaleNPI: 1780901116License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 454-4940Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)VIGNOLA, Jennifer A.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122147861701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122147871701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122147881701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

106 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hallandale Beach (Cont.)ZASLAVSKY, JuliaSage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000124543371701 E Hallandale Beach BHallandale Beach, FL 33009Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122147901701 E Hallandale Beach BHallandale Beach, FL 33009Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of HallandaleBeach(954) 779-3000Prov. No.: 0000122147891701 E Hallandale Beach BHallandale Beach, FL 33009Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood

ABDELMONEM, RafahFamily Dental Care ofHollywood(954) 967-2525Prov. No.: 0000010884333911 Hollywood Blvd Ste 1 �Hollywood, FL 33021Language: EnglishGender: MaleNPI: 1194736959License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ADLER, Andrew J.Andrew J Adler Dmd(954) 457-7637Prov. No.: 0000000192673901 S Ocean DrHollywood, FL 33019Language: EnglishGender: MaleNPI: 1104920479License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 454-2980Accepts New Patients: YHospital Affiliation: N/A*

ALLEN, Joseph A.Mayco Dental Pa(954) 885-9560Prov. No.: 0000003011829449 Sheridan St �Hollywood, FL 33024Language: EnglishGender: MaleNPI: 1417160862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ALVARADO-ROMERO POU, Melissa D.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001216018312129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121601944461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001209684712129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ALVAREZ, Jonathan A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157974461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AMADOR, Jose L.Larry Charles Wilner Dds(954) 989-3770Prov. No.: 000012422801468 Hollywood MallHollywood, FL 33021Gender: MaleNPI: 1588011399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 989-3773Accepts New Patients: YHospital Affiliation: N/A*

AMATO, Emanuel S.Rothfield Dental Associates(954) 989-8800Prov. No.: 0000000217484601 Hollywood Blvd �Hollywood, FL 33021Gender: MaleNPI: 1326248741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ANOKHINA, SvetlanaSvetlana Anokhina Dds(954) 342-8315Prov. No.: 000012006764650 S Federal Hwy Ste 2Hollywood, FL 33020Gender: FemaleNPI: 1295003291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

107GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)ANOKHINA, SvetlanaAnokhina Svetlana(954) 342-8315Prov. No.: 000012447986650 S Federal HwyHollywood, FL 33020Gender: FemaleNPI: 1295003291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 342-8317Accepts New Patients: YHospital Affiliation: N/A*

ASKOWITZ, Ronald L.Hollywood Dental Care(954) 367-5671Prov. No.: 0000047057522303 Hollywood Blvd Ste 1Hollywood, FL 33020Language: English, Hebrew,SpanishGender: MaleNPI: 1134372410License: DN3884License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 653-1326Accepts New Patients: YHospital Affiliation: N/A*

ASSEFF, Abraham K.Abraham K Asseff Dds(954) 456-2678Prov. No.: 0000001057863800 S Ocean DrHollywood, FL 33019Gender: MaleNPI: 1881731677License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ASSEFF, AndreaAbraham K Asseff Dds(954) 456-2678Prov. No.: 0000002795753800 S Ocean Dr Ste 241Hollywood, FL 33019Gender: Not ReportedNPI: 1063558096License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 456-2711Accepts New Patients: YHospital Affiliation: N/A*

ASSI, TarekMayco Dental Pa(954) 885-9560Prov. No.: 0000003816629449 Sheridan St �Hollywood, FL 33024Gender: MaleNPI: 1033313291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASSI, TarekFamily Dental Care ofHollywood(954) 967-2525Prov. No.: 0000016193683911 Hollywood Blvd Ste 1 �Hollywood, FL 33021Gender: MaleNPI: 1033313291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)AVILES, Ana V.Sage Dental of Cooper CityPllc(954) 433-1888Prov. No.: 00001255050612129 Sheridan StHollywood, FL 33026Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000125505224461 Sheridan StHollywood, FL 33021Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaSage Dental of Cooper City(954) 433-1888Prov. No.: 00000071834512129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)AYESH, KarimaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928374420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068916312129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928384420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157984461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

108 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)BALICK, Richard L.Richard L Balick Dmd(954) 966-1166Prov. No.: 0000000182384700 Sheridan St Ste A �Hollywood, FL 33021Language: EnglishGender: MaleNPI: 1609209741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

BANOUB, Sami K.Dental Associates of SouthBroward(954) 432-7539Prov. No.: 0000010551699808 Stirling Rd Ste 100Hollywood, FL 33024Gender: MaleNPI: 1699786152License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-8106Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Cooper City(954) 433-1888Prov. No.: 00001221023912129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)BENGOCHEA, ArmandoSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122102474461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERKOWITZ, Harry D.Dr Harry D Berkowitz(954) 921-7339Prov. No.: 000000018093500 S Federal Hwy �Hollywood, FL 33020Gender: MaleNPI: 1427243807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERKOWITZ, Harry D.Dental Associates ofHollywood(954) 921-7339Prov. No.: 0000003545193801 Hollywood Blvd Ste 2Hollywood, FL 33021Gender: MaleNPI: 1427243807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 923-1206Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)BERQUIST, Michael R.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001206275412129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157994461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121461474420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)BITCHATCHI, DavidDavid Bitchatchi Dmd Pa(954) 963-4010Prov. No.: 0000121262754000 Sheridan St Ste DHollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1962679167License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 963-4031Accepts New Patients: YHospital Affiliation: N/A*

BOBADILLA, Patricia M.Sheridan Dental Care(954) 964-4229Prov. No.: 0000051788864350 Sheridan St Ste 201EHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1124039672License: 14173License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 653-0886Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000392009512129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

109GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)BOCKIAN, Joshua A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928404420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121158004461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BOLLT, Seth S.Kinga E Rogowska Dds Pa(954) 961-4300Prov. No.: 0000000201313872 Sheridan St Ste A �Hollywood, FL 33021Gender: MaleNPI: 1508918434License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)BOLLT, Seth S.Seth S Bollt Dds(954) 961-4300Prov. No.: 0000115516595740 Hollywood Blvd Ste 4Hollywood, FL 33021Gender: MaleNPI: 1508918434License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BORDA, Miguel F.Bgr Dental(954) 923-7348Prov. No.: 0000121277082647 Hollywood Blvd �Hollywood, FL 33020Language: EnglishGender: MaleNPI: 1518254051License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 938-3527Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928414420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)BRATMAN, JerrySage Dental of Cooper City(954) 433-1888Prov. No.: 00001211276312129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121158014461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWN, Edward B.Armando Toral Dmd Llc(954) 983-3548Prov. No.: 0000000244384811 Hollywood Blvd Ste A �Hollywood, FL 33021Language: EnglishGender: Not ReportedNPI: 1881804078License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)BUITRAGO, Renan L.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122489564461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001224896912129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

CABRERIZO, AniaAnia Cabrerizo(305) 825-9899Prov. No.: 0000121456041005 N 35th AveHollywood, FL 33021Gender: FemaleNPI: 1154490373License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

110 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)CAMEJO, JoaquinSage Dental of Cooper CityPllc(954) 433-1888Prov. No.: 00001247164412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000124716804461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARBALLO, RodolfoGateway Dental Inc(954) 541-9796Prov. No.: 0000124489786720 Hollywood BlvdHollywood, FL 33024Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)CARPIO, JesusDental Dreams of Hollywood(954) 404-7971Prov. No.: 0000124889784700 Sheridan St Ste SHollywood, FL 33021Gender: MaleNPI: 1932281961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Elzebir M.Broward County HealthDepartment(954) 985-4818Prov. No.: 0000057933904105 Pembroke Rd �Hollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121516224461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)CASTILLO, Juan I.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001215163412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001215298612129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121530044461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)CLINE, Jack A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068915312129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Coral N.Rothfield Dental Associates(954) 989-8800Prov. No.: 0000015465684601 Hollywood Blvd �Hollywood, FL 33021Gender: FemaleNPI: 1104131051License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001242505712129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

111GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)COHEN, Michael A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124250664461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001211276412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121158044461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)COOK, Maria T.Dental Care Center ofHollywood(954) 989-5500Prov. No.: 0000123251703900 Hollywood Blvd Ste 3 �Hollywood, FL 33021Gender: FemaleNPI: 1588868608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Cooper City(954) 433-1888Prov. No.: 00000068914912129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928444420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)CORONADO, EfrainSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121158054461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COUTRAS, ElevteriaTlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865251718 Sheridan StHollywood, FL 33020Gender: FemaleNPI: 1689798431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000391636612129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121158064461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)CRUZ, Antonio R.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000177163112129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120866274420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121158074461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121299213300 N 29th Ave Ste 101Hollywood, FL 33020Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

112 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)CUNHA, Renata F.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865311718 Sheridan StHollywood, FL 33020Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122453104461 Sheridan StHollywood, FL 33021Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Cooper City(954) 433-1888Prov. No.: 00000327572012129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928464420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)DANESHPAJOUH, SaraSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121155934461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAOOD, RosemeenRosemeen Daood(954) 885-9560Prov. No.: 0000120314229449 Sheridan StHollywood, FL 33024Gender: FemaleNPI: 1649550310License: DN18199License Type: DBP DentistBoard Certified: NoEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000459001912129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)DAROJAT, Zuhdiyah M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928474420 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121155954461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAVIS, Stephanie B.Stephanie B Davis Dmd(954) 966-0404Prov. No.: 0000007178663220 Stirling RdHollywood, FL 33021Gender: FemaleNPI: 1992970842License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)DAVIS, Stephanie B.Charles S Mandell Dds(954) 983-3300Prov. No.: 0000011235023220 Stirling Rd Ste 102 �Hollywood, FL 33021Gender: FemaleNPI: 1992970842License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001200537712129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928484420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121155964461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

113GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)DELCASTILLO, Daniel A.Dr David Bitchatchi(954) 963-4010Prov. No.: 0000000251164000 Sheridan St Ste D �Hollywood, FL 33021Language: EnglishGender: MaleNPI: 1235135716License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DELICA, J’nelleJ’nelle Delica Dds(954) 437-6855Prov. No.: 0000106960029720 Stirling Rd Ste 211Hollywood, FL 33024Gender: FemaleNPI: 1407298227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Cooper City(954) 433-1888Prov. No.: 00001244539312129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124454224461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)DIRE, AnthonySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122453114461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001243537212129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124355634461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001199466312129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)DRAIZIN, Claudia A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928494420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121155974461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizDental Associates ofHollywood(954) 921-7339Prov. No.: 0000119977163801 Hollywood Blvd Ste 2Hollywood, FL 33021Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 923-1206Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Cooper City(954) 433-1888Prov. No.: 00001211050712129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)DUARTE, BeatrizSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121155994461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DULUC VEGA, Pablo D.Smile XpertsProv. No.: 0000124928149873 Pines Blvd �Hollywood, FL 33024Language: SpanishGender: MaleNPI: 1639467780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000177226912129 Sheridan StHollywood, FL 33026Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

114 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)DURKAN, Marcia A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928514420 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156004461 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

EHRLICH, Ronald S.Ronald S Ehrlich Dmd(954) 962-4430Prov. No.: 0000000193104430 Sheridan StHollywood, FL 33021Language: EnglishGender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ENGELSBERG, David J.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000070113512129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928524420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156014461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FATMI, NavedDental Associates ofHollywood(954) 921-7339Prov. No.: 0000011361533801 Hollywood Blvd Ste 2Hollywood, FL 33021Gender: MaleNPI: 1558690974License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 923-1206Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)FATMI, NavedFamily Dental Care ofHollywood(954) 967-2525Prov. No.: 0000051790323911 Hollywood Blvd Ste 1 �Hollywood, FL 33021Gender: MaleNPI: 1558690974License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Cooper City(954) 433-1888Prov. No.: 00001155158112129 Sheridan StHollywood, FL 33026Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928534420 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156024461 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FEUER, Mitchell R.Mitchell Feuer Dmd Pa(954) 922-6281Prov. No.: 000000075323900 S Federal HwyHollywood, FL 33020Language: EnglishGender: MaleNPI: 1629247739License: DN10038License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 929-9988Accepts New Patients: YHospital Affiliation: N/A*

FIGUEREDO, JoelAmazing Dental Llc(954) 544-2814Prov. No.: 0000122059525740 Hollywood Blvd Ste 4Hollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1568695724License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 544-2913Accepts New Patients: YHospital Affiliation: N/A*

115GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)FOX, Jeffrey M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068915512129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156034461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121461484420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GARCIA FERNANDEZ, AliuskaGateway Dental Inc(954) 541-9796Prov. No.: 0000123136016720 Hollywood BlvdHollywood, FL 33024Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Cooper City(954) 433-1888Prov. No.: 00000113765312129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928554420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156044461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GARRISON, Harvey B.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068915112129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156054461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121461494420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

GARTNER, Judith L.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865271718 Sheridan StHollywood, FL 33020Language: SpanishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GHANDOUR, DimaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001220002712129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122000664461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GHERBALI, Alexandra D.I E Terrero Dds Pa(954) 963-8282Prov. No.: 0000003530145351 Sheridan St �Hollywood, FL 33021Gender: MaleNPI: 1386841690License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 963-8081Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121167204461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

116 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)GILBERT, MarkSage Dental of Cooper City(954) 433-1888Prov. No.: 00001211794912129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

GIRALDO, Juan C.Emergency Denture Center(954) 922-6722Prov. No.: 0000013213551905 Harrison St �Hollywood, FL 33020Gender: MaleNPI: 1568652105License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 920-7533Accepts New Patients: YHospital Affiliation: N/A*

GIRALDO, Juan C.Juan C Giraldo Dmd(954) 920-2751Prov. No.: 000001498818210 S Federal Hwy Ste 400Hollywood, FL 33020Gender: MaleNPI: 1568652105License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 272-8479Accepts New Patients: YHospital Affiliation: N/A*

GOLDEN, Gary L.All Care Dental(954) 987-3344Prov. No.: 0000001583333911 Hollywood BlvdHollywood, FL 33021Gender: MaleNPI: 1386955706License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GOLDENBERG, SandyTlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865361718 Sheridan StHollywood, FL 33020Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, EmilyEmerald Hills Dental Center(954) 983-2450Prov. No.: 0000000184633856 Sheridan St �Hollywood, FL 33021Language: EnglishGender: FemaleNPI: 1104043033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 963-3338Accepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121951964461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001219541412129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GORBATOV, DmitryDg Dentistry(954) 458-9999Prov. No.: 0000124206583800 S Ocean Dr Ste 210Hollywood, FL 33019Language: EnglishGender: MaleNPI: 1316025067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 639-7262Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Cooper City(954) 433-1888Prov. No.: 00001220441612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122044464461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000121611112129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GUERRERO, Luis A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928124420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157124461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001204926512129 Sheridan StHollywood, FL 33026Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

117GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)GUL, Yousaf A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120940574420 Sheridan StHollywood, FL 33021Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157134461 Sheridan StHollywood, FL 33021Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001243537412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)GULTZ, Jerrold P.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124355654461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Cooper City(954) 433-1888Prov. No.: 00001207345412129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157144461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121461454420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)HAMED, ShirinSage Dental of Cooper City(954) 433-1888Prov. No.: 00001204796412129 Sheridan StHollywood, FL 33026Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928144420 Sheridan StHollywood, FL 33021Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

HAMILTON, Todd A.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000125616601718 Sheridan StHollywood, FL 33020Gender: MaleNPI: 1093075681License: DN19617License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)HANOMAN, Payal G.Broward County HealthDepartment(954) 985-4818Prov. No.: 0000057936594105 Pembroke Rd �Hollywood, FL 33021Gender: FemaleNPI: 1992004808License: DN19272License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001245192212129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124519334461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

118 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)HELFANT, JaredTlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865261718 Sheridan StHollywood, FL 33020Language: SpanishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068915412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121461464420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)HERDOCIA, Filiberto J.Filiberto Herdocia(954) 987-3309Prov. No.: 0000120789116730 Taft StHollywood, FL 33024Language: EnglishGender: Not ReportedNPI: 1750788030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 986-6836Accepts New Patients: YHospital Affiliation: N/A*

HEREDIA, AbelardoGateway Dental Inc(954) 541-9796Prov. No.: 0000125181776720 Hollywood BlvdHollywood, FL 33024Gender: MaleNPI: 1760809149License: DN21839License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122179764461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)HERNANDEZ RIVERA, Ricardo N.Primary Care Dental(954) 399-7839Prov. No.: 0000119980376517 Taft St Ste 201Hollywood, FL 33024Language: English, SpanishGender: MaleNPI: 1730516931License: DN20264License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 744-4768Accepts New Patients: YHospital Affiliation: N/A*

HERRERA, VictoriaGateway Dental Inc(954) 541-9796Prov. No.: 0000121394186720 Hollywood BlvdHollywood, FL 33024Gender: FemaleNPI: 1114185550License: DN18302License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERSH, Jason M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120866224420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1366566192License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)HOFFMAN, Bruce E.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000132019712129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: NHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Cooper City(954) 433-1888Prov. No.: 00001209897412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120994884420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157214461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

119GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)IRAVANI, Mina F.Sage Dental of Cooper CityPllc(954) 433-1888Prov. No.: 00001251011812129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000125102004461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Cooper City(954) 433-1888Prov. No.: 00001200669812129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ISRAEL, ElieSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928174420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157094461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122510874461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ITURRALDE, Ignacio J.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001225109412129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: NHospital Affiliation: N/A*

JACOBSOHN, Henry D.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865321718 Sheridan StHollywood, FL 33020Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Cooper City(954) 433-1888Prov. No.: 00001111647812129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928184420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)JUMA, ZaileenSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157154461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KANG, Bo Y.Adrian Zzrodriguez Dds(954) 437-2040Prov. No.: 0000003880691806 N Flamingo RdHollywood, FL 33028Language: EnglishGender: FemaleNPI: 1952443327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KERNS, James M.Pembroke Dental(954) 961-5858Prov. No.: 0000003877176415 Pembroke RdHollywood, FL 33023Gender: MaleNPI: 1659584209License: 17150License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 961-3531Accepts New Patients: YHospital Affiliation: N/A*

KERR, Elizabeth E.Mayco Dental Pa(954) 885-9560Prov. No.: 0000125156729449 Sheridan St �Hollywood, FL 33024Gender: FemaleNPI: 1407203169License: DN21824License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

120 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)KOSSAK, Elizabeth A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000123111124461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOTKIS, Stephen J.Stephen J Kotkis Dds(954) 989-5566Prov. No.: 0000001288433939 Hollywood BlvdHollywood, FL 33021Gender: Not ReportedNPI: 1215065552License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Cooper City(954) 433-1888Prov. No.: 00001210053612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157164461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)LANTIGUA, KelvinKelvin Lantigua Dmd(954) 964-1494Prov. No.: 0000001633097076 Taft St �Hollywood, FL 33024Gender: MaleNPI: 1215944368License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LASKA, Mario L.Bgr Dental(954) 923-7348Prov. No.: 0000024617652647 Hollywood Blvd �Hollywood, FL 33020Gender: MaleNPI: 1629151196License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 938-3527Accepts New Patients: NHospital Affiliation: N/A*

LASKA, Mario L.Mario Laska(954) 925-5268Prov. No.: 0000122671852219 Hollywood Blvd Ste 1Hollywood, FL 33020Gender: MaleNPI: 1629151196License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEIBOVICI, JacobAll Care Dental(954) 987-3344Prov. No.: 0000000182983911 Hollywood Blvd �Hollywood, FL 33021Language: EnglishGender: MaleNPI: 1386736767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 987-7224Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)LEMINH, Chau J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124447534461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001244479512129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001217693112129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121769384461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)LLAPUR, CarlosDental Associates ofHollywood(954) 921-7339Prov. No.: 0000120870913801 Hollywood Blvd Ste 2Hollywood, FL 33021Gender: MaleNPI: 1275947913License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 923-1206Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068915612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928204420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157184461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

121GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)LONDONO, Laura E.Gateway Dental Inc(954) 541-9796Prov. No.: 0000121381456720 Hollywood BlvdHollywood, FL 33024Language: English, SpanishGender: FemaleNPI: 1679982839License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001243767212129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124382744461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LYONS, James C.Perfect Smile Dental Spa(954) 364-7626Prov. No.: 0000004178631876 Radius Dr �Hollywood, FL 33020Gender: MaleNPI: 1851341853License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 364-7635Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)MA, RobertSage Dental of Cooper City(954) 433-1888Prov. No.: 00001155110412129 Sheridan StHollywood, FL 33026Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928214420 Sheridan StHollywood, FL 33021Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

MA, RobertSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157754461 Sheridan StHollywood, FL 33021Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)MAHON, John A.John A Mahon Dds(954) 922-5011Prov. No.: 0000000199402450 Hollywood Blvd Ste 4Hollywood, FL 33020Gender: MaleNPI: 1033322102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122095524461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Cooper City(954) 433-1888Prov. No.: 00001220958112129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

MANDEL, Jonathan O.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865281718 Sheridan StHollywood, FL 33020Gender: MaleNPI: 1689088148License: DN21469License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)MANDELL, Charles S.Charles S Mandell Dds(954) 966-0404Prov. No.: 0000000243493220 Stirling RdHollywood, FL 33021Gender: Not ReportedNPI: 1003033440License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001012055412129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928224420 Sheridan StHollywood, FL 33021Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

122 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)MASSRI, AbirMayco Dental Pa(954) 885-9560Prov. No.: 0000006947049449 Sheridan St �Hollywood, FL 33024Language: EnglishGender: FemaleNPI: 1750579686License: DN17850License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000124735654461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Cooper CityPllc(954) 433-1888Prov. No.: 00001247357912129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)MINARS, MichaelMichael Minars Dds(954) 981-2345Prov. No.: 0000004342324350 Sheridan St Ste 200Hollywood, FL 33021Gender: Not ReportedNPI: 1598823296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIRANDA, Pablo E.Gateway Dental Inc(954) 541-9796Prov. No.: 0000121394196720 Hollywood BlvdHollywood, FL 33024Gender: MaleNPI: 1023036365License: 15212License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001155202812129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157794461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121182294420 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001211824512129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121790114461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)MOSKOW, AllanSage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000125555704461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1134274434License: DN9289License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUCKEY, Steven D.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865331718 Sheridan StHollywood, FL 33020Gender: Not ReportedNPI: 1386032803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122453134461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

123GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)NAGUIB, Michelle A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000127961212129 Sheridan StHollywood, FL 33026Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928234420 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157804461 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)NAIERMAN, Eric H.Eric Naierman(954) 963-6668Prov. No.: 0000121499563333 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1982981643License: 19906License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068915812129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928244420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157814461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)NEWMAN, Marcela P.Marcela Newman Dds Ms Pa(954) 983-3992Prov. No.: 0000012968941869 NW 66th Ave �Hollywood, FL 33024Language: EnglishGender: FemaleNPI: 1457453607License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 983-4006Accepts New Patients: YHospital Affiliation: N/A*

NEWMAN, Marcela P.Broward Dental ImplantCosmitic Center(954) 665-0352Prov. No.: 0000026193144350 Sheridan St Ste 201DHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1457453607License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121931784461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)NEWTON, EmilySage Dental of Cooper City(954) 433-1888Prov. No.: 00001219355912129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

NIETO, Gloria Y.Cngy Dental Inc(954) 589-0750Prov. No.: 0000121275505937 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1124233648License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 639-7143Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001217380712129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121738154461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

124 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)ORTIZ, Ana M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000121490612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928264420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157844461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)OSPINA, CarolinaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122420034461 Sheridan StHollywood, FL 33021Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001224202012129 Sheridan StHollywood, FL 33026Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001200051012129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)PARE, Elizabeth A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928284420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157864461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PARKER, Blake T.Thomas A Parker Dds Pa(954) 983-5450Prov. No.: 0000123327153411 Johnson St �Hollywood, FL 33021Gender: MaleNPI: 1801277785License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 983-3846Accepts New Patients: NHospital Affiliation: N/A*

PARKER, Stephen T.Thomas A Parker Dds Pa(954) 983-5450Prov. No.: 0000000860051003 N 35th AveHollywood, FL 33021Gender: MaleNPI: 1760533798License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 983-3846Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)PARKER, Stephen T.Thomas A Parker Dds Pa(954) 983-5450Prov. No.: 0000004234793411 Johnson St �Hollywood, FL 33021Gender: MaleNPI: 1760533798License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 983-3846Accepts New Patients: YHospital Affiliation: N/A*

PELTON, Ivan S.Emergency Denture Center(954) 922-6722Prov. No.: 0000104002011905 Harrison StHollywood, FL 33020Gender: MaleNPI: 1235243189License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 920-7533Accepts New Patients: YHospital Affiliation: N/A*

PERETZ, David A.Dr David A Peretz(954) 981-4500Prov. No.: 0000000183114801 Hollywood Blvd �Hollywood, FL 33021Language: EnglishGender: Not ReportedNPI: 1902964745License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Cooper City(954) 433-1888Prov. No.: 00000261864612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

125GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)PEREZ-ALAMO, JenniferSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120928304420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157874461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000548336812129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933284420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)PERROTTI, Steven D.Gateway Dental Inc(954) 541-9796Prov. No.: 0000121394216720 Hollywood BlvdHollywood, FL 33024Gender: MaleNPI: 1144249780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINNOCK, Alyssa H.Broward County HealthDepartment(954) 985-4818Prov. No.: 0000062331174105 Pembroke Rd �Hollywood, FL 33021Gender: FemaleNPI: 1003987157License: DN17610License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoGateway Dental Inc(954) 541-9796Prov. No.: 0000123145626720 Hollywood BlvdHollywood, FL 33024Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001212854812129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)PLANES, Alex A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121285534461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000123381314461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001233814612129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121918134461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)PRICE, DanaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001219219612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

PUSCAS, AurelAurel Puscas Dmd(954) 923-7348Prov. No.: 0000123248732647 Hollywood BlvdHollywood, FL 33020Language: EnglishGender: Not ReportedNPI: 1154524304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, FernandoSheridan Dental Care(954) 964-4229Prov. No.: 0000125017144350 Sheridan StSte 201EHollywood, FL 33021Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

126 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)QUICK, James R.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000202373012129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933374420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157904461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAMIREZ, ElisaElisa Ramirez Dds(954) 986-7000Prov. No.: 0000000901524651 Sheridan St Ste 300Hollywood, FL 33021Gender: Not ReportedNPI: 1780778894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 986-7040Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)RAMIREZ, ElisaElisa Ramirez Dds(954) 983-9004Prov. No.: 0000016192163990 Sheridan St Ste 216Hollywood, FL 33021Gender: Not ReportedNPI: 1780778894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001021492612129 Sheridan StHollywood, FL 33026Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121616994461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)RAPPAPORT, David B.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001217280812129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

REZAIE, YeganehDental Associates ofHollywood(954) 921-7339Prov. No.: 0000012485623801 Hollywood Blvd Ste 2Hollywood, FL 33021Gender: FemaleNPI: 1043506041License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 923-1206Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121003444420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001210221512129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)REZVANI, Caroline S.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157274461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RICHTER, Alan B.Gateway Dental Inc(954) 541-9796Prov. No.: 0000000206396720 Hollywood Blvd �Hollywood, FL 33024Language: EnglishGender: MaleNPI: 1689879413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001206667512129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120866234420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

127GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)RIEGER, Eric R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157284461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068916412129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933294420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)RING, Stephen G.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157294461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIOS KU HOP, Milagritos C.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865341718 Sheridan StHollywood, FL 33020Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122420044461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001224202112129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)RODRIGUEZ, Ramon A.Dental Associates of SouthBroward(954) 432-7539Prov. No.: 0000007193879808 Stirling Rd Ste 100Hollywood, FL 33024Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-8106Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001177363712129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Ramon Rodriguez(954) 983-8844Prov. No.: 0000122644972536 N State Road 7Hollywood, FL 33021Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROGOWSKA, Kinga E.Kinga E Rogowska Dds Pa(954) 961-4300Prov. No.: 0000003862303872 Sheridan St Ste A �Hollywood, FL 33021Gender: FemaleNPI: 1144325382License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ROJAS, RaikoGateway Dental Inc(954) 541-9796Prov. No.: 0000121394206720 Hollywood BlvdHollywood, FL 33024Gender: MaleNPI: 1558700369License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROMERO, IngridMayco Dental Pa(954) 885-9560Prov. No.: 0000012132729449 Sheridan St �Hollywood, FL 33024Language: EnglishGender: FemaleNPI: 1972807204License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000125239294461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

128 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)ROQUE-RUANO, MaikelSage Dental of Cooper CityPllc(954) 433-1888Prov. No.: 00001252605312129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001210180512129 Sheridan StHollywood, FL 33026Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157314461 Sheridan StHollywood, FL 33021Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Tlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000125305781718 Sheridan StHollywood, FL 33020Gender: FemaleNPI: 1871704742License: DN16579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ROTHFIELD, Elizabeth A.Rothfield Dental Associates(954) 989-8800Prov. No.: 0000000217494601 Hollywood Blvd �Hollywood, FL 33021Gender: Not ReportedNPI: 1922179704License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000129757212129 Sheridan StHollywood, FL 33026Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933324420 Sheridan StHollywood, FL 33021Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SANCHES, MelanieSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121752894461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Cooper City(954) 433-1888Prov. No.: 00001217532512129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

SANTANA, DaniaGateway Dental Inc(954) 541-9796Prov. No.: 0000122615446720 Hollywood BlvdHollywood, FL 33024Gender: Not ReportedNPI: 1316329626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANTANA, GermanGerman Santana DdsProv. No.: 0000028737462544 Van Buren St �Hollywood, FL 33020Language: SpanishGender: MaleNPI: 1629411871License: DN14149License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SCHOPLER, Thomas A.Atlantic Florida Dntl Inc(954) 921-8669Prov. No.: 000000019064225 N 21st Ave �Hollywood, FL 33020Language: EnglishGender: MaleNPI: 1982807012License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000002010612129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120935424420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

129GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)SHOFNOS, Charles I.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157354461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SILVER, Richard M.Richard Silver(954) 589-2176Prov. No.: 0000121276882219 Hollywood Blvd Ste 1Hollywood, FL 33020Gender: MaleNPI: 1013017599License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 589-2179Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Cooper City(954) 433-1888Prov. No.: 00001211852512129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121289964461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SIRAGE, Ahmed R.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001217373712129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121737804461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SMITH, Craig A.Craig A Smith Dmd(954) 983-5777Prov. No.: 0000000244394811 Hollywood BlvdHollywood, FL 33021Language: EnglishGender: Not ReportedNPI: 1336210741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SMITH, Craig A.Brown and Smith Dmd Plc(954) 983-5777Prov. No.: 0000011251164811 Hollywood Blvd Ste AHollywood, FL 33021Gender: Not ReportedNPI: 1053522409License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SNIDER, Erica M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000070469112129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120935444420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157374461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SNOW, Darren B.Emerald Hills Dental Center(954) 983-2450Prov. No.: 0000000184643856 Sheridan St �Hollywood, FL 33021Language: EnglishGender: Not ReportedNPI: 1275757544License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 963-3338Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SOMOZA JR, Francisco J.Francisco J Somoza Dds(954) 963-9700Prov. No.: 0000000199766800 Taft StHollywood, FL 33024Language: EnglishGender: Not ReportedNPI: 1295847648License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SORROZA, JenniferTlc Dental-Hollywood Llc(954) 926-5888Prov. No.: 0000124865231718 Sheridan StHollywood, FL 33020Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SPERLING, HansDental Care Center ofHollywood(954) 989-5500Prov. No.: 0000003431113900 Hollywood Blvd Ste 3 �Hollywood, FL 33021Language: EnglishGender: Not ReportedNPI: 1497854251License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

130 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)STEINER, Samantha L.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001216350412129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121635164461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Cooper City(954) 433-1888Prov. No.: 00001245429212129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124543024461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SUAREZ, HenrySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120935474420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

SUAREZ, HenrySage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121157404461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Cooper CityPllc(954) 433-1888Prov. No.: 00001247164512129 Sheridan StHollywood, FL 33026Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)SUTNICK, Steven A.Sage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000124716814461 Sheridan StHollywood, FL 33021Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TERRERO, Ivan E.Primary Care Dental(954) 399-7839Prov. No.: 0000024510236517 Taft St Ste 201Hollywood, FL 33024Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 744-4768Accepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001244760112129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)TITHERINGTON, JessicaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124476524461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TOPOLSKI, RichardRichard Topolski Dds(954) 963-6668Prov. No.: 0000000199173333 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1487784807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORAL, ArmandoArmando Toral Dmd Llc(954) 983-3548Prov. No.: 0000007038944811 Hollywood Blvd Ste A �Hollywood, FL 33021Language: EnglishGender: MaleNPI: 1891939849License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

131GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)TORRES, Lina T.Sage Dental of Cooper CityPllcProv. No.: 00001252865412129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental Group ofHollywood Pllc(954) 966-6352Prov. No.: 0000125478454461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000122453144461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)TRUONG, Xen T.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001200058212129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120935484420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Cooper City(954) 433-1888Prov. No.: 00001243537512129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124355664461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)URQUIZA, YeneirSage Dental of Cooper City(954) 433-1888Prov. No.: 00001177422812129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933494420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156884461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001213064912129 Sheridan StHollywood, FL 33026Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)VAN DUYNE, Tracy L.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121306544461 Sheridan StHollywood, FL 33021Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156894461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001214618412129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

VAZQUEZ, Jorge E.Gateway Dental Inc(954) 541-9796Prov. No.: 0000124866906720 Hollywood Blvd �Hollywood, FL 33024Gender: MaleNPI: 1417163718License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

132 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)VIGNOLA, Jennifer A.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000215614712129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933504420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156914461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WILNER, Larry C.Larry Charles Wilner Dds(954) 989-3770Prov. No.: 000000128378468 Hollywood MallHollywood, FL 33021Gender: MaleNPI: 1063446433License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 989-3773Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)YAZJI-COREY, MayMayco Dental Pa(954) 885-9560Prov. No.: 0000002811189449 Sheridan St �Hollywood, FL 33024Gender: Not ReportedNPI: 1801932694License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YAZJI-COREY, MayMay Yazji-Corey(954) 885-9560Prov. No.: 0000122664469449 Sheridan St Ste AHollywood, FL 33024Gender: Not ReportedNPI: 1801932694License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YEOSHOUA, OdedAll Care Dental(954) 987-3344Prov. No.: 0000002153463911 Hollywood Blvd �Hollywood, FL 33021Gender: MaleNPI: 1396969507License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 987-7224Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Cooper City(954) 433-1888Prov. No.: 00001204793612129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)YOUNG, SummerSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933444420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156934461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00001201935912129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120935384420 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)YU, Cynthia W.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156944461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZAMORA, Lyan T.Gateway Dental Inc(954) 541-9796Prov. No.: 0000125181266720 Hollywood BlvdHollywood, FL 33024Gender: FemaleNPI: 1194008797License: DN19343License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Cooper City(954) 433-1888Prov. No.: 00001245427112129 Sheridan StHollywood, FL 33026Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000124543444461 Sheridan StHollywood, FL 33021Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

133GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Hollywood (Cont.)ZIADIE, Elizabeth T.Elizabeth T Ziadie Dds(954) 437-6855Prov. No.: 0000010624919720 Stirling Rd Ste 211Hollywood, FL 33024Gender: Not ReportedNPI: 1922027598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000068657012129 Sheridan StHollywood, FL 33026Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120866264420 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156964461 Sheridan StHollywood, FL 33021Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ZIEGLER, Neal B.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121299953300 N 29th Ave Ste 101Hollywood, FL 33020Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of Cooper City(954) 433-1888Prov. No.: 00000119416312129 Sheridan StHollywood, FL 33026Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-3560Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000120933524420 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Hollywood (Cont.)ZYLBERING, Jason M.Sage Dental of Hollywood Pllc(954) 966-6352Prov. No.: 0000121156954461 Sheridan StHollywood, FL 33021Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Lauderdale By the Sea

ABRAHAM, Michael A.Joseph Thomas(954) 933-5937Prov. No.: 0000121828344719 N Ocean DrLauderdale By the Sea, FL33308Gender: MaleNPI: 1104188937License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

THOMAS, Joseph J.Joseph Thomas(954) 933-5937Prov. No.: 0000120424604719 N Ocean DrLauderdale By the Sea, FL33308Gender: MaleNPI: 1528185071License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderdale Lakes

ACOSTA-ORTIZ, RodolfoAcosta Dental Services(954) 486-6989Prov. No.: 0000004353212331 N State Road 7 Ste 1Lauderdale Lakes, FL 33313Gender: Not ReportedNPI: 1689782435License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENHAMU, Michael M.Oakland Dental Llc(954) 486-0101Prov. No.: 0000001607884416 W Oakland Park Blvd �Lauderdale Lakes, FL 33313Gender: MaleNPI: 1528184082License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-0588Accepts New Patients: YHospital Affiliation: N/A*

BLOCK, Michael J.Tlc Dental-Lauderhill Llc(954) 486-6989Prov. No.: 0000026191502331 N State Road 7 Ste 1 �Lauderdale Lakes, FL 33313Gender: MaleNPI: 1104999267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-6992Accepts New Patients: YHospital Affiliation: N/A*

COLLAZOS, Luis C.Happy Bites Dental Group(954) 533-3185Prov. No.: 0000125017492910 N State Road 7Lauderdale Lakes, FL 33313Gender: MaleNPI: 1033528047License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

134 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Lauderdale Lakes (Cont.)CORTES, Astrid I.Sunshine Dental Care(954) 972-6066Prov. No.: 0000123128092331 N State Road 7 Ste 1Lauderdale Lakes, FL 33313Language: English, SpanishGender: FemaleNPI: 1346689155License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEVACK, JustinOakland Dental Llc(954) 486-0101Prov. No.: 0000016558554416 W Oakland Park Blvd �Lauderdale Lakes, FL 33313Gender: Not ReportedNPI: 1346411428License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-0588Accepts New Patients: YHospital Affiliation: N/A*

EUGENE, DavidDavid Eugene(954) 733-9971Prov. No.: 0000006867502447 N State Road 7Lauderdale Lakes, FL 33313Gender: MaleNPI: 1306080304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 733-5521Accepts New Patients: YHospital Affiliation: N/A*

FINNK, HowardTlc Dental - Lauderhill(954) 486-6989Prov. No.: 0000002292792331 N State Road 7 Ste 1 �Lauderdale Lakes, FL 33313Gender: MaleNPI: 1609906957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-6992Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderdale Lakes (Cont.)GARRISON, Harvey B.Harvey Garrison Dds(954) 731-0586Prov. No.: 0000039190894900 W Oakland Park BlvdLauderdale Lakes, FL 33313Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KALMAN, StephenStephen Kalman Dds(954) 486-6989Prov. No.: 0000002721282331 N State Road 7Lauderdale Lakes, FL 33313Gender: Not ReportedNPI: 1619000361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARCUS, MitchTlc Dental - Lauderhill(954) 486-6989Prov. No.: 0000000221092331 N State Road 7 Ste 1 �Lauderdale Lakes, FL 33313Language: EnglishGender: Not ReportedNPI: 1609090323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-6992Accepts New Patients: YHospital Affiliation: N/A*

MCLEAN, Natoya C.Natoya Mclean Dds(954) 486-6989Prov. No.: 0000045875952331 N State Road 7 Ste 1Lauderdale Lakes, FL 33313Gender: FemaleNPI: 1073645271License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderdale Lakes (Cont.)PORTER, Adriana C.Tlc Dental-Lauderhill Llc(954) 486-6989Prov. No.: 0000002401532331 N State Road 7 Ste 1 �Lauderdale Lakes, FL 33313Gender: FemaleNPI: 1336358704License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-6992Accepts New Patients: YHospital Affiliation: N/A*

ROGOFF, JoshOakland Dental Llc(954) 486-0101Prov. No.: 0000007215544416 W Oakland Park Blvd �Lauderdale Lakes, FL 33313Gender: MaleNPI: 1700011806License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 486-0588Accepts New Patients: YHospital Affiliation: N/A*

SALMON, Trevor L.Trevor Salmon Dds(954) 735-3326Prov. No.: 0000002247053500 N State Road 7 Ste 1Lauderdale Lakes, FL 33319Gender: MaleNPI: 1275602757License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderdale Lakes (Cont.)SARRIS, John G.Excellence In Dentistry(954) 484-4140Prov. No.: 0000000196194179 N State Road 7 �Lauderdale Lakes, FL 33319Language: EnglishGender: MaleNPI: 1699824219License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUAREZ, HenryTlc Dental-Lauderhill Llc(954) 486-6989Prov. No.: 0000003868792331 N State Road 7 Ste 1 �Lauderdale Lakes, FL 33313Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-6992Accepts New Patients: YHospital Affiliation: N/A*

TAPIA, Maria ElenaTlc Dental-Lauderhill Llc(954) 486-6989Prov. No.: 0000003814672331 N State Road 7 Ste 1 �Lauderdale Lakes, FL 33313Gender: FemaleNPI: 1083715700License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 486-6992Accepts New Patients: YHospital Affiliation: N/A*

135GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Lauderdale Lakes (Cont.)WORTHY, MicheleWorthy Family Dental(954) 735-3326Prov. No.: 0000010895953500 N State Road 7 Ste 1Lauderdale Lakes, FL 33319Language: EnglishGender: FemaleNPI: 1023196169License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 735-1528Accepts New Patients: YHospital Affiliation: N/A*

ZURFLUH, Thomas Aquinas A.Oakland Dental(954) 486-0101Prov. No.: 0000000181004416 W Oakland Park Blvd �Lauderdale Lakes, FL 33313Gender: MaleNPI: 1457400665License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Lauderhill

AKEL, BassilFamily Dental Care ofNostrand(954) 581-9228Prov. No.: 0000121277231600 N State Road 7Lauderhill, FL 33313Gender: MaleNPI: 1700040557License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderhill (Cont.)ARENAS, Jorge A.G & G Dental Associates(954) 722-1082Prov. No.: 0000006972517030 NW 57th StLauderhill, FL 33319Gender: MaleNPI: 1528151131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (951) 722-7973Accepts New Patients: YHospital Affiliation: N/A*

BAILEY, Michael W.Beautiful Smiles Lauderhill(954) 739-6464Prov. No.: 0000123334125537 W Oakland Park Blvd �Lauderhill, FL 33313Gender: MaleNPI: 1174735310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 739-5710Accepts New Patients: YHospital Affiliation: N/A*

BAKER, Ronia M.Beautiful Smiles Lauderhill(954) 739-6464Prov. No.: 0000002788165537 W Oakland Park Blvd �Lauderhill, FL 33313Language: EnglishGender: FemaleNPI: 1194813220License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 739-5710Accepts New Patients: YHospital Affiliation: N/A*

BROCKMAN, George S.George S Brockman Dds(954) 724-8486Prov. No.: 0000000194536933 W Commercial BlvdLauderhill, FL 33319Gender: MaleNPI: 1982603676License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-8415Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderhill (Cont.)COSSROW, SteveSteve Cossrow(954) 826-4111Prov. No.: 0000124745594581 N University DrLauderhill, FL 33351Gender: MaleNPI: 1982928842License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizG & G Dental Associates(954) 722-1082Prov. No.: 0000011064867030 NW 57th StLauderhill, FL 33319Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (951) 722-7973Accepts New Patients: YHospital Affiliation: N/A*

FALLAH, RouhollahDeborah E Luis Dmd Pa(954) 741-6556Prov. No.: 0000000187457100 W Commercial Blvd St �Lauderhill, FL 33319Language: EnglishGender: MaleNPI: 1295855500License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderhill (Cont.)FEOLI, Carmen A.Family Dental Care ofNostrand(954) 581-9228Prov. No.: 0000007216041600 N State Road 7Lauderhill, FL 33313Language: English, SpanishGender: FemaleNPI: 1013199819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRANKEL, Robert S.Robert S Frankel Dds(954) 742-3550Prov. No.: 0000000452557000 W Oakland Park BlvdLauderhill, FL 33313Language: EnglishGender: MaleNPI: 1609934991License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-8965Accepts New Patients: YHospital Affiliation: N/A*

GETZ, Robert L.Great Dental Care(954) 748-9949Prov. No.: 0000001041824962 N University Dr �Lauderhill, FL 33351Language: EnglishGender: MaleNPI: 1093858508License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 748-9941Accepts New Patients: YHospital Affiliation: N/A*

136 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Lauderhill (Cont.)HALLER, Leslie A.Wilde & Needell Pa(954) 749-4594Prov. No.: 0000123314805280 N University Dr �Lauderhill, FL 33351Gender: FemaleNPI: 1386785822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 578-9575Accepts New Patients: YHospital Affiliation: N/A*

HOGAN, HelenaG & G Dental Associates(954) 722-1082Prov. No.: 0000016600807030 NW 57th StLauderhill, FL 33319Gender: FemaleNPI: 1851520456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (951) 722-7973Accepts New Patients: YHospital Affiliation: N/A*

JACOBSOHN, Henry D.Joseph J Gorfien Dds(954) 742-0201Prov. No.: 0000000206174506 N University Dr �Lauderhill, FL 33351Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KARPEL, JoelKarpel Joel(954) 741-0102Prov. No.: 0000000192377193 W Oakland Park BlvdLauderhill, FL 33313Language: EnglishGender: MaleNPI: 1639216286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-0102Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderhill (Cont.)LAMB, NicoleBeautiful Smiles Lauderhill(954) 739-6464Prov. No.: 0000123297595537 W Oakland Park Blvd �Lauderhill, FL 33313Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 739-5710Accepts New Patients: YHospital Affiliation: N/A*

LEVY, Norman S.Norman Levy(954) 742-8880Prov. No.: 0000001292827000 W Oakland Park BlvdLauderhill, FL 33313Gender: Not ReportedNPI: 1942301460License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LUIS, Deborah E.Deborah E Luis Dmd Pa(954) 741-6556Prov. No.: 0000120725297100 W Commercial Blvd St �Lauderhill, FL 33319Gender: FemaleNPI: 1114277357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN, Sidney S.G & G Dental Associates(954) 722-1082Prov. No.: 0000125263227030 NW 57th StLauderhill, FL 33319Gender: MaleNPI: 1346250941License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lauderhill (Cont.)NGUYEN, LinhGreat Dental Care(954) 748-9949Prov. No.: 0000019582414962 N University Dr �Lauderhill, FL 33351Gender: FemaleNPI: 1366743932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 748-9941Accepts New Patients: NHospital Affiliation: N/A*

REZAIE, AzadehG & G Dental Associates(954) 722-1082Prov. No.: 0000121620887030 NW 57th StLauderhill, FL 33319Language: English, SpanishGender: FemaleNPI: 1740663848License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (951) 722-7973Accepts New Patients: YHospital Affiliation: N/A*

TOMLINSON, Milton D.Tomlinson Dental Care Inc(954) 747-8649Prov. No.: 0000001332347548 W Commercial BlvdLauderhill, FL 33319Gender: MaleNPI: 1942607478License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 747-6102Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lighthouse Point

BRANDFASS, David Edward E.David E Brandfass Dds(954) 785-8786Prov. No.: 0000001229682261 NE 36th St Ste 4Lighthouse Point, FL 33064Gender: Not ReportedNPI: 1467465013License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRANDFASS, David Edward E.David Brandfass(954) 785-8786Prov. No.: 0000124881412261 NE 36th StLighthouse Point, FL 33064Gender: Not ReportedNPI: 1467465013License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEMIRCAN, SalimSalim Demircan Dmd Pa(954) 941-0218Prov. No.: 0000002340693140 N Federal HwyLighthouse Point, FL 33064Gender: MaleNPI: 1306048368License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 991-0226Accepts New Patients: YHospital Affiliation: N/A*

137GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Lighthouse Point (Cont.)GERTSEN, Gregory M.Gregory Gertsen Dds(954) 941-7778Prov. No.: 0000000214413640 N Federal Hwy Ste 7 �Lighthouse Point, FL 33064Language: EnglishGender: MaleNPI: 1467576397License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 941-6108Accepts New Patients: YHospital Affiliation: N/A*

GERTSEN, MichaelGregory Gertsen Dds(954) 941-7778Prov. No.: 0000121447573640 N Federal Hwy Ste 7 �Lighthouse Point, FL 33064Language: English, RussianGender: MaleNPI: 1134535644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 941-6108Accepts New Patients: YHospital Affiliation: N/A*

JARAMILLO, Gabriel J.Gabriel J Jaramillo Dmd(954) 531-6689Prov. No.: 0000120098582201 NE 52nd StLighthouse Point, FL 33064Gender: MaleNPI: 1205147238License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 482-0448Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lighthouse Point (Cont.)ROSS, Kenneth E.South Florida SmilesRestoration(954) 941-2277Prov. No.: 0000000963162211 NE 36th St Ste 103 �Lighthouse Point, FL 33064Gender: MaleNPI: 1700035524License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 785-5034Accepts New Patients: YHospital Affiliation: N/A*

YIGIT, UmitUmitdmd Yigit(954) 942-4534Prov. No.: 0000000478993330 N Federal HwyLighthouse Point, FL 33064Language: English, TurkishGender: MaleNPI: 1750500120License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

YOUNG, Catherine R.Jared M Young Dmd Pa(954) 781-1855Prov. No.: 0000044743511930 NE 34th Ct �Lighthouse Point, FL 33064Language: EnglishGender: FemaleNPI: 1144546466License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Lighthouse Point (Cont.)YOUNG, Jared M.South Florida Dentistry ForChildren & Ortho Pa(954) 781-1855Prov. No.: 0000012482591930 NE 34th Ct �Lighthouse Point, FL 33064Gender: MaleNPI: 1396973335License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Margate

ABBO, BillTlc Dental- North(954) 724-8949Prov. No.: 0000004291117110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1720147853License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

ARGUELLO, Vigarny A.Vigarny A Arguello Dmd(954) 532-1274Prov. No.: 000010403122100 N State Road 7 Ste 30Margate, FL 33063Language: EnglishGender: MaleNPI: 1710275235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 532-1797Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)ARGUELLO, Vigarny A.Lansdale Family Dentistry Pc(215) 393-8400Prov. No.: 000012040095100 N State Road 7 Ste 20Margate, FL 33063Language: EnglishGender: MaleNPI: 1710275235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (215) 393-5409Accepts New Patients: YHospital Affiliation: N/A*

ASINMAZ, Armand A.Margate Dental Associates Pa(954) 975-7900Prov. No.: 0000124922097608 Margate BlvdMargate, FL 33063Gender: MaleNPI: 1245680289License: DN21919License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASINMAZ, MihranMargate Dental Associates Pa(954) 975-7900Prov. No.: 0000121868107608 Margate BlvdMargate, FL 33063Gender: MaleNPI: 1477873826License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 975-4074Accepts New Patients: YHospital Affiliation: N/A*

BARRETO, HildebrandoMax’s Dental(945) 979-1357Prov. No.: 0000001203673207 N State Road 7 Ste 2Margate, FL 33063Gender: Not ReportedNPI: 1013099415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 979-0763Accepts New Patients: YHospital Affiliation: N/A*

138 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Margate (Cont.)BERG, JasonFamily Dental Assoc(954) 973-0990Prov. No.: 0000121784736130 W Atlantic Blvd �Margate, FL 33063Gender: MaleNPI: 1841588530License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

BLACKMORE, Sofia F.Family Dental Assoc(954) 973-0990Prov. No.: 0000018240326130 W Atlantic Blvd �Margate, FL 33063Language: EnglishGender: FemaleNPI: 1427387687License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

BLOCK, Michael J.Tlc Dental- North(954) 724-8949Prov. No.: 0000026187287110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1104999267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)BOUTSIKOS, MariaAmerican Dental of Florida -Margate(954) 974-8550Prov. No.: 0000012498241509 N State Road 7 Ste H �Margate, FL 33063Gender: FemaleNPI: 1588977623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUI, Anthony T.Family Dental Assoc(954) 973-0990Prov. No.: 0000018229686130 W Atlantic Blvd �Margate, FL 33063Language: EnglishGender: MaleNPI: 1568479905License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

CUNHA, Renata F.Tlc Dental- North(954) 491-7100Prov. No.: 0000122531427110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)DELEON, Ennio A.Tlc Dental- North(954) 724-8949Prov. No.: 0000011443637110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1073834206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

DHAM, Uttma S.Crescent Dental(954) 968-4466Prov. No.: 0000007250925522 W Sample Rd �Margate, FL 33073Gender: FemaleNPI: 1578719423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, YanetCrescent Dental(954) 968-4466Prov. No.: 0000121289465522 W Sample Rd �Margate, FL 33073Language: English, SpanishGender: FemaleNPI: 1215376934License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)DICRESCENTO, Donna L.Crescent Dental(954) 968-4466Prov. No.: 0000006308475522 W Sample Rd �Margate, FL 33073Language: EnglishGender: Not ReportedNPI: 1063531879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

FEIFER, Roy L.Roy L Feifer Dds(954) 975-7900Prov. No.: 0000000184507608 Margate BlvdMargate, FL 33063Language: EnglishGender: Not ReportedNPI: 1407897234License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.Celia Figueroa Dds Pa(954) 974-4300Prov. No.: 0000125141375404 W Atlantic BlvdMargate, FL 33063Language: SpanishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

139GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Margate (Cont.)FINNK, HowardTlc Dental- North(954) 724-8949Prov. No.: 0000003653167110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1609906957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

FLORES, Juan C.Juan Flores(954) 971-6115Prov. No.: 0000121554675644 W Atlantic BlvdMargate, FL 33063Gender: Not ReportedNPI: 1548459803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FLORES, Juan CarlosJuan Carlos Flores Dmd Pa(954) 971-6115Prov. No.: 0000122458285644 W Atlantic Blvd SteMargate, FL 33063Gender: MaleNPI: 1548459803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-6246Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, MalinallyDental Treasure Pa(954) 972-7827Prov. No.: 0000006875345180 Coconut Creek Pkwy �Margate, FL 33063Gender: FemaleNPI: 1013101427License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)GARRETT, Patrick M.Crescent Dental(954) 968-4466Prov. No.: 0000123136355522 W Sample Rd �Margate, FL 33073Gender: MaleNPI: 1942501556License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

GARTNER, Judith L.Tlc Dental- North(954) 724-8949Prov. No.: 0000007252427110 Southgate Blvd �Margate, FL 33068Language: EnglishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

GITTESS, Robert A.Family Dental Assoc(954) 973-0990Prov. No.: 0000002145006130 W Atlantic Blvd �Margate, FL 33063Language: EnglishGender: MaleNPI: 1922137058License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)GOLDENBERG, SandyTlc Dental- North(954) 491-7100Prov. No.: 0000122047517110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellyTlc Dental- North(954) 491-7100Prov. No.: 0000121752407110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

HAMILTON, Todd A.Tlc Dental- North(954) 724-8949Prov. No.: 0000125616587110 Southgate BlvdMargate, FL 33068Gender: MaleNPI: 1093075681License: DN19617License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HART, DarleneAmerican Dental of Florida -Margate(954) 974-8550Prov. No.: 0000121358101509 N State Road 7 Ste H �Margate, FL 33063Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)HELFANT, JaredTlc Dental- North(954) 724-8949Prov. No.: 0000016571307110 Southgate Blvd �Margate, FL 33068Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

HIRSCHBERG, Gilbert E.Gilbert E Hirschberg Dds(954) 971-6115Prov. No.: 0000000204065644 W Atlantic BlvdMargate, FL 33063Language: EnglishGender: MaleNPI: 1154414969License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

IRVING, Bizu N.Tlc Dental- North(954) 491-7100Prov. No.: 0000122061267110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1245588664License: DN20237License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

140 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Margate (Cont.)JACOBSOHN, Henry D.Tlc Dental- North(954) 491-7100Prov. No.: 0000124259297110 Southgate BlvdMargate, FL 33068Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

JARRETT, Brent J.Brent Jarrett Dds(954) 979-2323Prov. No.: 0000001038847312 W Atlantic BlvdMargate, FL 33063Gender: MaleNPI: 1376552497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 979-0012Accepts New Patients: YHospital Affiliation: N/A*

JONES, Ian C.Jones Dental Inc(954) 956-9500Prov. No.: 0000000958556300 W Atlantic Blvd �Margate, FL 33063Gender: MaleNPI: 1588790075License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 956-9049Accepts New Patients: YHospital Affiliation: N/A*

JONES, Warren I.Warren Jones Dds(954) 956-9500Prov. No.: 0000007169186300 W Atlantic BlvdMargate, FL 33063Gender: MaleNPI: 1043665540License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)KALMAN, StephenAll Care Dental Inc(954) 979-1357Prov. No.: 0000002881983207 N State Road 7 Ste 2Margate, FL 33063Gender: Not ReportedNPI: 1619000361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KALMAN, StephenTlc Dental- North(954) 724-8949Prov. No.: 0000045878537110 Southgate Blvd �Margate, FL 33068Gender: Not ReportedNPI: 1619000361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

KANER, Keith H.Tlc Dental- North(954) 724-8949Prov. No.: 0000039174057110 Southgate Blvd �Margate, FL 33068Language: EnglishGender: MaleNPI: 1336204981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)KERNS, James M.American Dental of Florida -Margate(954) 974-8550Prov. No.: 0000004171821509 N State Road 7 Ste H �Margate, FL 33063Gender: MaleNPI: 1659584209License: 17150License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOHN, HeatherFamily Dental Assoc(954) 973-0990Prov. No.: 0000122043366130 W Atlantic Blvd �Margate, FL 33063Gender: FemaleNPI: 1730592429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleTlc Dental- North(954) 491-7100Prov. No.: 0000121291007110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

LAU, VicenteVigarny A Arguello Dmd(954) 532-1274Prov. No.: 000012468919100 N State Road 7 Ste 30Margate, FL 33063Gender: MaleNPI: 1932653334License: DN22283License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)LENNON, Henry M.Family Dental Assoc(954) 973-0990Prov. No.: 0000104016276130 W Atlantic Blvd �Margate, FL 33063Gender: MaleNPI: 1598872533License: Not ReportedLicense Type: Not ReportedBoard Certified: NoEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Arnaldo A.Tlc Dental- North(954) 491-7100Prov. No.: 0000121223407110 Southgate BlvdMargate, FL 33068Language: English, SpanishGender: MaleNPI: 1023421104License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

MANDEL, Jonathan O.Tlc Dental- North(954) 491-7100Prov. No.: 0000122539697110 Southgate BlvdMargate, FL 33068Gender: MaleNPI: 1689088148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

141GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Margate (Cont.)MAUTNER, Steven G.Steven Mautner(954) 978-8866Prov. No.: 0000121426445609 NW 29th StMargate, FL 33063Language: EnglishGender: Not ReportedNPI: 1124076195License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 978-0618Accepts New Patients: YHospital Affiliation: N/A*

MCCOSH, FernandaFernanda Mccosh(954) 971-8800Prov. No.: 0000121488885800 Colonial Dr Ste 406Margate, FL 33063Language: English, SpanishGender: FemaleNPI: 1427305150License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCKENZIE-LEWIS, Andrea A.Tlc Dental- North(954) 491-7100Prov. No.: 0000124157647110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1972910537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)MOINI, MahkamehCrescent Dental(954) 968-4466Prov. No.: 0000003857185522 W Sample Rd �Margate, FL 33073Gender: Not ReportedNPI: 1093984304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

MORALES, Ronald J.Tlc Dental-North LauderdaleLlc(954) 724-8949Prov. No.: 0000125581377110 Southgate BlvdMargate, FL 33068Language: SpanishGender: Not ReportedNPI: 1215156260License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUCKEY, Steven D.Tlc Dental- North(954) 724-8949Prov. No.: 0000002118447110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1386032803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)POLOSKY, Steven E.Family Dental Assoc(954) 973-0990Prov. No.: 0000001861426130 W Atlantic Blvd �Margate, FL 33063Language: EnglishGender: MaleNPI: 1366583312License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Tlc Dental- North(954) 491-7100Prov. No.: 0000122516197110 Southgate BlvdMargate, FL 33068Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

RIOS KU HOP, Milagritos C.Tlc Dental- North(954) 491-7100Prov. No.: 0000122531437110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)ROBERTS, BradleyFamily Dental Assoc(954) 973-0990Prov. No.: 0000000183946130 W Atlantic Blvd �Margate, FL 33063Language: EnglishGender: MaleNPI: 1609985316License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-1784Accepts New Patients: YHospital Affiliation: N/A*

ROCA-GODINEZ, Lilian R.Crescent Dental(954) 968-4466Prov. No.: 0000022982585522 W Sample Rd �Margate, FL 33073Language: EnglishGender: FemaleNPI: 1639261563License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Tlc Dental- North(954) 724-8949Prov. No.: 0000125305797110 Southgate BlvdMargate, FL 33068Gender: FemaleNPI: 1871704742License: DN16579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

142 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Margate (Cont.)SHAYAN, Maria M.Smile at MargateProv. No.: 0000124965915404 W Atlantic Blvd �Margate, FL 33063Language: SpanishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHETH, Bipin J.Bipin J Sheth Dds(954) 979-8631Prov. No.: 0000000390045265 Coconut Creek PkwyMargate, FL 33063Language: EnglishGender: Not ReportedNPI: 1871703504License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 979-8635Accepts New Patients: YHospital Affiliation: N/A*

SHORE, Joseph F.Crescent Dental(954) 968-4466Prov. No.: 0000001928005522 W Sample Rd �Margate, FL 33073Language: EnglishGender: MaleNPI: 1093744401License: Not ReportedLicense Type: Not ReportedBoard Certified: NoEmail: Not ReportedFax: (954) 968-4473Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)SILVER, Richard M.Robert S Aron Dds(954) 974-4300Prov. No.: 0000051786965404 W Atlantic BlvdMargate, FL 33063Gender: MaleNPI: 1013017599License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SORROZA, JenniferTlc Dental- North(954) 724-8949Prov. No.: 0000004234327110 Southgate Blvd �Margate, FL 33068Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, HenryTlc Dental- North(954) 724-8949Prov. No.: 0000003707227110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

TALCHIK JR, Paul S.Tlc Dental- North(954) 724-8949Prov. No.: 0000004291057110 Southgate Blvd �Margate, FL 33068Gender: MaleNPI: 1619144979License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-1185Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Margate (Cont.)WILLIAMS, Keith A.Southgate Dental Care(954) 975-9779Prov. No.: 000000221664279 S State Road 7Margate, FL 33068Language: EnglishGender: MaleNPI: 1629296793License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YEOSHOUA, OdedAll Care Dental(954) 979-1357Prov. No.: 0000003550463207 N State Road 7 �Margate, FL 33063Gender: MaleNPI: 1396969507License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Miramar

ARGUELLO, Connie M.Connie Arguello Dds(954) 442-0006Prov. No.: 00000027920711358 Miramar Pkwy �Miramar, FL 33025Gender: Not ReportedNPI: 1275573685License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 442-0086Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)BRODY, Robert A.Great Expressions DentalCenters(954) 392-7051Prov. No.: 0000003203812905 SW 160th AveMiramar, FL 33027Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

CALIFF, Randall T.Horizon Dental Care(954) 987-4435Prov. No.: 0000000203886890 Miramar Pkwy �Miramar, FL 33023Language: EnglishGender: Not ReportedNPI: 1124244470License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 987-4460Accepts New Patients: YHospital Affiliation: N/A*

CARDENAS SARRACINO, Astrid H.Great Expressions DentalCenters(954) 392-7051Prov. No.: 0000124235332905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

143GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Miramar (Cont.)CHRISTOPH, VictorGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000007143882905 SW 160th AveMiramar, FL 33027Language: EnglishGender: MaleNPI: 1235209594License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

DAGAN, ShacharGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000121752822905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1447632542License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000007143832905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)DE LA RUA, LissetteGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000011249432905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1619297892License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Rossana Hoyos Dds(954) 987-4435Prov. No.: 0000121303536890 Miramar Pkwy Ste EMiramar, FL 33023Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FADAVI, Sayed M.Horizon Dental Care(954) 987-4435Prov. No.: 0000000203896890 Miramar Pkwy �Miramar, FL 33023Language: EnglishGender: MaleNPI: 1245247097License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 987-4460Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)FENDRICH, Laurence Edward E.Sunset Lakes Dental(954) 433-4300Prov. No.: 00000046824018431 Miramar Pkwy �Miramar, FL 33029Gender: MaleNPI: 1457554818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-0312Accepts New Patients: YHospital Affiliation: N/A*

GAERTNER, AndyAndy Gaertner(954) 626-8940Prov. No.: 00001210541712781 Miramar Pkwy Ste 30Miramar, FL 33027Language: Dutch, English,French, HebrewGender: MaleNPI: 1033347497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GAERTNER, AndyAndy Gaertner(954) 626-8940Prov. No.: 00001231345912781 Miramar Pkwy Ste 30Miramar, FL 33027Gender: Not ReportedNPI: 1629472022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)GRANT, Richard A.Richard A Grant Pa(305) 652-3001Prov. No.: 0000000193737951 Riviera Blvd Ste 102Miramar, FL 33023Gender: MaleNPI: 1568588226License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

GREEAR, JamieJulie M Freedman Dds Pa(954) 438-3803Prov. No.: 00000025242410978 Pembroke Rd �Miramar, FL 33025Gender: Not ReportedNPI: 1003062134License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-1885Accepts New Patients: YHospital Affiliation: N/A*

GUERRA, Daniel A.Great Expressions DentalCenters(954) 392-7051Prov. No.: 0000120580192905 SW 160th AveMiramar, FL 33027Gender: MaleNPI: 1386908291License: DN19818License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

144 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Miramar (Cont.)HALLER, DustinGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000120429302905 SW 160th AveMiramar, FL 33027Gender: MaleNPI: 1346502705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

HOGAN, HelenaGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000004561822905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1851520456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

JULIUS, SidneySidney W Julius Dds Pa(954) 983-0644Prov. No.: 0000000258566526 Pembroke Rd �Miramar, FL 33023Language: EnglishGender: Not ReportedNPI: 1861535528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)KELLOGG, David A.Great Expressions DentalCenters(954) 392-7051Prov. No.: 0000121418282905 SW 160th AveMiramar, FL 33027Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

MASSO, OrffaAethetic Smiles By Design Llc(954) 450-5550Prov. No.: 00000043726912741 Miramar Pkwy Ste 22 �Miramar, FL 33027Gender: Not ReportedNPI: 1336344050License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 450-5526Accepts New Patients: NHospital Affiliation: N/A*

MEJIA, Adriana M.Adriana Mejia Dds Pa(954) 251-5670Prov. No.: 00000070108512160 Miramar PkwyMiramar, FL 33025Gender: FemaleNPI: 1740376391License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 251-5671Accepts New Patients: YHospital Affiliation: N/A*

MICHAEL, Margaret M.Michael Margaret(954) 438-3803Prov. No.: 00000597995310978 Pembroke RdMiramar, FL 33025Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-1885Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)MONTERO, RicardoRicardo Montero Dmd(954) 671-1388Prov. No.: 0000004280333600 Red Rd Ste N404Miramar, FL 33025Language: English, SpanishGender: MaleNPI: 1164579066License: DN14128License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 450-4454Accepts New Patients: YHospital Affiliation: N/A*

MOOSAVI, AzitaFamily Dentistry I Corp(954) 987-6977Prov. No.: 0000000254657160 Pembroke Rd �Miramar, FL 33023Language: EnglishGender: Not ReportedNPI: 1477653285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MYERS, Amy L.Great Expressions DentalCenters(954) 392-7051Prov. No.: 0000121044862905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1124382866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)NGUYEN, Binh T.Premier Dental(954) 987-6977Prov. No.: 0000000373927160 Pembroke Rd �Miramar, FL 33023Language: EnglishGender: Not ReportedNPI: 1427153410License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Heidi C.Hco Dental Inc(954) 639-7560Prov. No.: 00000165815211904 Miramar PkwyMiramar, FL 33025Gender: FemaleNPI: 1225274079License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 639-7563Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000121356292905 SW 160th AveMiramar, FL 33027Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

145GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Miramar (Cont.)PERELLO, Rosanna B.R & F Dental Clinic Pa(954) 986-9351Prov. No.: 0000000223716917 Miramar Pkwy �Miramar, FL 33023Language: EnglishGender: FemaleNPI: 1134280258License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAYNOR, Charles K.Dental Healthcare Solutions(954) 450-4533Prov. No.: 0000001714023000 SW 148th Ave �Miramar, FL 33027Gender: Not ReportedNPI: 1821298746License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REY, Tatiana S.Horizon Dental Care(954) 987-4435Prov. No.: 0000124962946890 Miramar Pkwy �Miramar, FL 33023Gender: FemaleNPI: 1710378641License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)RODRIGUEZ, Guillermo P.Family Dentistry I Corp(954) 987-6977Prov. No.: 0000000254647160 Pembroke Rd �Miramar, FL 33023Language: EnglishGender: MaleNPI: 1558492363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Nohora I.Horizon Dental Care(954) 987-4435Prov. No.: 0000011525066890 Miramar Pkwy �Miramar, FL 33023Language: English, SpanishGender: FemaleNPI: 1497984355License: DN18791License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 987-4460Accepts New Patients: YHospital Affiliation: N/A*

ROSADO-SAGE, Itza M.Itza M Rosado Sage Dds Pa(954) 433-2225Prov. No.: A0000001832512781 Miramar Pkwy Ste 20Miramar, FL 33027Gender: MaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)SEVEL, Dennis S.Sunset Lakes Dental(954) 433-4300Prov. No.: 00000003259718431 Miramar PkwyMiramar, FL 33029Language: EnglishGender: MaleNPI: 1568665966License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SMITH, Nathifa P.Great Expressions DentalCenters(954) 392-7051Prov. No.: 0000120287462905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1104185818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

UCROS, GermanGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000016556142905 SW 160th AveMiramar, FL 33027Gender: MaleNPI: 1558570499License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Miramar (Cont.)VIEGO, RebecaGreat Expressions DentalCenters(954) 392-7051Prov. No.: 0000121831912905 SW 160th AveMiramar, FL 33027Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-2066Accepts New Patients: YHospital Affiliation: N/A*

VINUELA, LarryHorizon Dental Care(954) 987-4435Prov. No.: 0000120189936890 Miramar Pkwy �Miramar, FL 33023Language: English, SpanishGender: MaleNPI: 1356515035License: DN19253License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 987-4460Accepts New Patients: YHospital Affiliation: N/A*

VINUELA, LarryRossana Hoyos Dds(954) 987-4435Prov. No.: 0000122596666890 Miramar Pkwy Ste EMiramar, FL 33023Gender: Not ReportedNPI: 1821145228License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

146 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

North Lauderdale

KAMINSKY, Arthur L.Arthur L Kaminsky Dds(954) 722-1522Prov. No.: 000000723633997 SW 71st AveNorth Lauderdale, FL 33068Gender: MaleNPI: 1881843423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 721-0625Accepts New Patients: YHospital Affiliation: N/A*

PATEL, Rohit S.Dr Rohit Patel(954) 979-2511Prov. No.: 0000001740651401 S State Road 7North Lauderdale, FL 33068Gender: Not ReportedNPI: 1295911246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 979-2511Accepts New Patients: YHospital Affiliation: N/A*

Oakland Park

BAGHDASSARIAN, RosemaryDr Rosemary BaghdassarianDds(954) 489-2517Prov. No.: 0000003304111608 E Commercial BlvdOakland Park, FL 33334Gender: FemaleNPI: 1184846867License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 489-2514Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Oakland Park (Cont.)GOLDBERG, Michael J.Michael J Goldberg Dds(954) 484-4374Prov. No.: 0000000182412901 W Oakland Park BlvdOakland Park, FL 33311Gender: Not ReportedNPI: 1043252141License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDEN, JoshuaOakland Park ModernDentistry(954) 261-5665Prov. No.: 0000125596331005 E Commercial BlvdOakland Park, FL 33334Language: SpanishGender: MaleNPI: 1669898573License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOMEZ, Sandra P.Sandra Gomez-Trainor Pa(954) 958-3584Prov. No.: 0000013196971740 E Commercial BlvdOakland Park, FL 33334Gender: FemaleNPI: 1326163114License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 958-3585Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Oakland Park (Cont.)LOZADA, Katherine G.Oakland Park ModernDentistry(954) 261-5665Prov. No.: 0000123966931005 E Commercial BlvdOakland Park, FL 33334Gender: FemaleNPI: 1568801306License: DN20137License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 776-6001Accepts New Patients: YHospital Affiliation: N/A*

MASSRI, AbirConfident Smile Pa(310) 709-8911Prov. No.: 000006963219916 NE 62nd St �Oakland Park, FL 33334Language: EnglishGender: FemaleNPI: 1750579686License: DN17850License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MINGEL, Marc A.Oakland Park Family DentalPa(954) 484-4374Prov. No.: 0000125293602901 W Oakland Park BlvdOakland Park, FL 33311Gender: MaleNPI: 1831402957License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Oakland Park (Cont.)PEREZ RODRIGUEZ, NellyOakland Park ModernDentistryProv. No.: 0000125277891005 E Commercial Blvd �Oakland Park, FL 33334Gender: FemaleNPI: 1063709533License: DN21780License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PHAM, Minh B.Oakland Park ModernDentistry(954) 261-5665Prov. No.: 0000122820301005 E Commercial BlvdOakland Park, FL 33334Gender: Not ReportedNPI: 1922193754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 776-6001Accepts New Patients: YHospital Affiliation: N/A*

PHEN, YuchiThe Dental Group Inc(954) 485-1170Prov. No.: 0000000197372609 W Oakland Park Blvd �Oakland Park, FL 33311Language: EnglishGender: Not ReportedNPI: 1457478661License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

147GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Oakland Park (Cont.)REICHMAN, LewisThe Dental Group Inc(954) 485-1170Prov. No.: 0000000197352609 W Oakland Park Blvd �Oakland Park, FL 33311Language: EnglishGender: Not ReportedNPI: 1255541611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REICHMAN, LewisSummit Dental Center(954) 561-6675Prov. No.: 0000000197413909 N Andrews Ave �Oakland Park, FL 33309Language: EnglishGender: Not ReportedNPI: 1255541611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Oakland Park Family DentalPa(954) 484-4374Prov. No.: 0000125293622901 W Oakland Park BlvdOakland Park, FL 33311Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Oakland Park (Cont.)RILEY, Marilyn P.Andrews Dental Care CenterPa(954) 561-6675Prov. No.: 0000007159923909 N Andrews Ave �Oakland Park, FL 33309Gender: FemaleNPI: 1114941614License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 630-2017Accepts New Patients: YHospital Affiliation: N/A*

RIVAS-PLATA, JessicaThe Dental Group(954) 485-1170Prov. No.: 0000003561092609 W Oakland Park BlvdOakland Park, FL 33311Gender: Not ReportedNPI: 1285751503License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ-MARTIN, Henry A.The Dental Group(954) 485-1170Prov. No.: 0000003029882609 W Oakland Park BlvdOakland Park, FL 33311Language: EnglishGender: MaleNPI: 1467549444License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Parkland

AHMADI, Ahmad K.Ahmad Ahmadi Dmd Pa(954) 752-8283Prov. No.: 0000011223466656 Parkside Dr �Parkland, FL 33067Gender: MaleNPI: 1538275292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-9462Accepts New Patients: YHospital Affiliation: N/A*

CERULLO, Domenick A.Parkland Family Dentistry(954) 688-9993Prov. No.: 0000121555287501 N State Road 7 �Parkland, FL 33073Gender: MaleNPI: 1104258417License: 22DI02538200License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 775-0157Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Parkland Family Dentistry(954) 688-9993Prov. No.: 0000121339267501 N State Road 7 �Parkland, FL 33073Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 775-0157Accepts New Patients: YHospital Affiliation: N/A*

GHABBOUR, MonicaParkland Family DentistryProv. No.: 0000124796727501 N State Road 7 �Parkland, FL 33073Gender: Not ReportedNPI: 1205386612License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Parkland (Cont.)GOLDSTEIN, Todd D.Todd D Goldstein Dds Pa(954) 752-8283Prov. No.: 0000002504006656 Parkside Dr �Parkland, FL 33067Gender: MaleNPI: 1609947308License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 753-9462Accepts New Patients: YHospital Affiliation: N/A*

GOUNAKIS, GeorgeGeorge Gounakis(954) 796-9900Prov. No.: 0000011918697321 N State Road 7Parkland, FL 33073Language: English, GreekGender: MaleNPI: 1891969077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HUA, YangParkland Family Dentistry(954) 688-9993Prov. No.: 0000121769697501 N State Road 7 �Parkland, FL 33073Gender: MaleNPI: 1629450234License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 775-0157Accepts New Patients: YHospital Affiliation: N/A*

148 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Parkland (Cont.)NARANJO, Hector H.Hector H Naranjo Dmd(954) 255-8055Prov. No.: 0000025390697539 N State Road 7 �Parkland, FL 33073Language: EnglishGender: MaleNPI: 1316174634License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 255-8056Accepts New Patients: YHospital Affiliation: N/A*

NUDEL, TatyanaDedicated Dental Group(954) 796-9900Prov. No.: 0000001882417321 N State Road 7Parkland, FL 33073Gender: FemaleNPI: 1013991421License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 796-9988Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Jorge A.Parkland Family Dentistry(954) 688-9993Prov. No.: 0000120234607501 N State Road 7 �Parkland, FL 33073Language: EnglishGender: MaleNPI: 1396791810License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 775-0157Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines

ABDELMONEM, RafahPembroke Square Dental(954) 437-6400Prov. No.: 0000122074799001A Pembroke RdPembroke Pines, FL 33025Language: EnglishGender: MaleNPI: 1194736959License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-4665Accepts New Patients: YHospital Affiliation: N/A*

ABDELMONEM, RafahAmonem Inc(954) 437-6400Prov. No.: 0000124389699001 Pembroke Rd Ste APembroke Pines, FL 33025Language: EnglishGender: MaleNPI: 1194736959License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 613-5372Accepts New Patients: YHospital Affiliation: N/A*

ADIR, Simon J.Harry S Grand Dds(954) 430-2300Prov. No.: 00000072487312634 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1063589711License: 8714License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)AHMADI, Ahmad K.Pearly White Smiles Llc(954) 430-5700Prov. No.: 00000034253612311 Taft St Ste 2 �Pembroke Pines, FL 33026Gender: MaleNPI: 1538275292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALEMAN, Alex E.Oasis Dental Associates Pa(954) 499-1599Prov. No.: 00000027038810796 Pines Blvd Ste 203 �Pembroke Pines, FL 33026Language: EnglishGender: Not ReportedNPI: 1639252208License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-5799Accepts New Patients: YHospital Affiliation: N/A*

ALEMPOUR, SamiraSamira Alempour Dmd(954) 983-1680Prov. No.: 0000007122222249 N University DrPembroke Pines, FL 33024Gender: FemaleNPI: 1982853586License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ALLEN, Hugh G.Hugh G Allen Dds(954) 885-7100Prov. No.: 00000015555412379 Pembroke RdPembroke Pines, FL 33025Language: EnglishGender: Not ReportedNPI: 1154532752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AL-MAGHAZCHI, HassanHassan Dmd Pa(954) 589-0292Prov. No.: 0000121152912301 N University Dr StePembroke Pines, FL 33024Gender: MaleNPI: 1962751628License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 589-1185Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217281717027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

149GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ALVAREZ, Jonathan A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001209683417027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

ANGELAKIS, DespinaTotal Dental(954) 449-8602Prov. No.: 00001231182612177 Pembroke RdPembroke Pines, FL 33025Gender: FemaleNPI: 1659585941License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 449-4628Accepts New Patients: YHospital Affiliation: N/A*

ARENAS, Jorge A.Dental American Group(954) 447-0400Prov. No.: 00000043989610271 Pines Blvd �Pembroke Pines, FL 33026Gender: MaleNPI: 1528151131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ASSI, TarekTarek Assi Dmd(954) 437-6400Prov. No.: 0000119995099001 Pembroke Rd Ste APembroke Pines, FL 33025Gender: MaleNPI: 1033313291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASSI, TarekTarek Assi(954) 437-6400Prov. No.: 0000122579949001A Pembroke RdPembroke Pines, FL 33025Gender: MaleNPI: 1033313291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Flamingo Dentist Pa(954) 430-0308Prov. No.: 00000041129012297 Pembroke RdPembroke Pines, FL 33025Language: EnglishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)AVILES, Ana V.Sage Dental of PembrokePines(954) 704-0044Prov. No.: 00001255049317027 Pines BlvdPembroke Pines, FL 33027Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000391883617027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

AZADI, Anthony A.Pembroke Square Dental(954) 437-6400Prov. No.: 0000125238279001A Pembroke RdPembroke Pines, FL 33025Gender: MaleNPI: 1326491853License: DN22177License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)AZARI, Scott J.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000391883717027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BARBAG, Adam C.Las Vegas Dentistry(954) 392-1635Prov. No.: 000000429780700 N Hiatus Rd Ste 102 �Pembroke Pines, FL 33026Gender: MaleNPI: 1972701209License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 392-1637Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001220999517027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

150 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)BERGER, Nicole M.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000000262796140 S University DrPembroke Pines, FL 33025Gender: Not ReportedNPI: 1104906486License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001206305317027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaDental American Group(954) 447-0400Prov. No.: 00001220002310271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)BOCKIAN, Joshua A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000017333817027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BOUCHARD, Cynthia R.Dental Care Alliance(954) 435-5020Prov. No.: 0000122359521601 N Palm Ave Ste 104 �Pembroke Pines, FL 33026Language: EnglishGender: FemaleNPI: 1235442997License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-1261Accepts New Patients: YHospital Affiliation: N/A*

BRADY, TiffanyAmerican Pediatric DentalGroup(804) 304-5437Prov. No.: 00001218085710021 Pines Blvd Ste 100 �Pembroke Pines, FL 33024Gender: FemaleNPI: 1407292824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 417-1338Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)BRATMAN, JerryGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579301517027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000000018511140 S University DrPembroke Pines, FL 33025Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224896317027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CALDERON, Erik O.Lake Mall Dental Center Pa(954) 432-5515Prov. No.: 00000327464711401 Pines Blvd Ste 220 �Pembroke Pines, FL 33026Language: English, SpanishGender: MaleNPI: 1942596416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 432-8908Accepts New Patients: YHospital Affiliation: N/A*

CALIFF, Randall T.Horizon Dental Care(954) 437-0900Prov. No.: 0000122040049033 Taft StPembroke Pines, FL 33024Language: EnglishGender: Not ReportedNPI: 1124244470License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-9268Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinPembroke Square Dental(954) 437-6400Prov. No.: 0000122163609001A Pembroke RdPembroke Pines, FL 33025Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-4665Accepts New Patients: YHospital Affiliation: N/A*

151GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CAMEJO, JoaquinSage Dental of PembrokePines(954) 704-0044Prov. No.: 00001247169817027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CANO, Lourdes M.Yamilet Blanco Dmd(954) 538-6868Prov. No.: 000000732702400 N University DrPembroke Pines, FL 33024Language: EnglishGender: FemaleNPI: 1093867947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-6850Accepts New Patients: YHospital Affiliation: N/A*

CAPASSO, MarcoHealthy Smile Dental(954) 442-2728Prov. No.: 000000721598600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026Gender: Not ReportedNPI: 1578762894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CARBALLO, RodolfoAtria Dental Health(954) 499-0033Prov. No.: 00000032291618503 Pines Blvd Ste 208Pembroke Pines, FL 33029Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-0355Accepts New Patients: YHospital Affiliation: N/A*

CARBALLO, RodolfoPembroke Pines Dental HealthCenter(954) 437-2040Prov. No.: 0000003496161806 N Flamingo Rd Ste 17Pembroke Pines, FL 33028Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARBALLO, RodolfoPembroke Pines Dental HealthCenter(954) 437-2040Prov. No.: 0000122625521806 N Flamingo Rd Ste 17Pembroke Pines, FL 33028Gender: Not ReportedNPI: 1679620942License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CARDENAS SARRACINO, Astrid H.American Pediatric DentalGroup(804) 304-5437Prov. No.: 00001251087710021 Pines Blvd Ste 100 �Pembroke Pines, FL 33024Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Harry S Grand Dds(954) 430-2300Prov. No.: 00000391675912634 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Great Expressions DentalCenters(954) 431-0004Prov. No.: 000012491186140 S University DrPembroke Pines, FL 33025Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CASTILLO, Juan I.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001215162817027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Minerva J.Dental American Group(954) 447-0400Prov. No.: 00000040008210271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1851586119License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001215297717027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

152 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CHRISTOPH, VictorDental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000000018512140 S University DrPembroke Pines, FL 33025Language: EnglishGender: MaleNPI: 1235209594License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001242504817027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001214216017027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CORLISS, Deborah J.J Zimmerman D Corliss DmdPa(954) 704-0506Prov. No.: 00000002000318217 Pines Blvd �Pembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1306069695License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219948617027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001225139717027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CRUZ, Antonio R.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000390905117027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Karen G.Family and CosmeticDentistry(954) 432-3655Prov. No.: 000003588819294 NW 172nd AvePembroke Pines, FL 33029Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

CUARTAS, AndresCenter For Complete Dentistryof Pembroke Pines(954) 392-1635Prov. No.: 000012457452700 N Hiatus Rd Ste 102Pembroke Pines, FL 33026Gender: MaleNPI: 1124375639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 392-1637Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)CUARTAS, Sandra P.Oasis Dental Associates Pa(954) 499-1599Prov. No.: 00000182334010796 Pines Blvd Ste 203 �Pembroke Pines, FL 33026Gender: FemaleNPI: 1003008418License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-5799Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224492517027 Pines BlvdPembroke Pines, FL 33027Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000391898917027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

153GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)DAROJAT, Zuhdiyah M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000517941317027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001200539617027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

DELGADO, LigmingA Healthy Smile(954) 885-4224Prov. No.: 00000071191012333 NW 18th St Ste 2Pembroke Pines, FL 33026Gender: MaleNPI: 1548396658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 829-6763Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)DELGADO, LigmingFamily and CosmeticDentistry(954) 432-3655Prov. No.: 000001923295294 NW 172nd AvePembroke Pines, FL 33029Gender: MaleNPI: 1548396658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

DESOUSA, Marvina E.Dental American Group(954) 447-0400Prov. No.: 00000144858910271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1841572963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

DESOUSA, Marvina E.Dental American Group(954) 447-0400Prov. No.: 00000174616710271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)DESOUSA, Marvina E.Marielba D Maniglia Dmd Pa(954) 432-3655Prov. No.: 000012127335294 NW 172nd Ave �Pembroke Pines, FL 33029Gender: FemaleNPI: 1841572963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001244540717027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonyGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224492617027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)DOMINGUEZ, JoseJose Dominguez Dds(954) 450-6447Prov. No.: 0000000425443 SW 129th Ave Ste 210Pembroke Pines, FL 33027Language: EnglishGender: Not ReportedNPI: 1992838304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 450-6270Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001243641617027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001199468417027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

154 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)DUARTE, BeatrizDental American Group(954) 447-0400Prov. No.: 00000041036910271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001211054517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579307417027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ELPERIN, AlexeiTin Wai Hui Dmd Pa(954) 430-2188Prov. No.: A0000001836417901 NW 5th St Ste 206Pembroke Pines, FL 33029Gender: MaleNPI: 1295930063License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219944617027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Dental American Group(954) 447-0400Prov. No.: 00000072522910271 Pines Blvd �Pembroke Pines, FL 33026Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Dental Care Inc(954) 538-0047Prov. No.: 00000696425917868 NW 2nd St �Pembroke Pines, FL 33029Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ESPINAL, Licette F.Tin Wai Hui Dmd Pa(954) 430-2188Prov. No.: 00000113695717901 NW 5th St Ste 206Pembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1629378203License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FADAVI, Sayed M.Soft Touch Dental Care(954) 437-7077Prov. No.: 0000001810911601 N Flamingo Rd Ste 3 �Pembroke Pines, FL 33028Language: EnglishGender: MaleNPI: 1245247097License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-7466Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, JimenaJimena Fernandez Dds(954) 433-2099Prov. No.: 00000044896314938 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1053433391License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-2327Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)FERNANDEZ-MARTINEZ, MariangelGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001155158717027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

FIELDS-HELLER, Rita A.Las Vegas Dentistry(954) 392-1635Prov. No.: 000000190545700 N Hiatus Rd Ste 102 �Pembroke Pines, FL 33026Gender: FemaleNPI: 1265518807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 392-1637Accepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.Pembroke Pines Dental Health(954) 437-2040Prov. No.: 0000004073401806 N Flamingo Rd Ste 17Pembroke Pines, FL 33028Language: EnglishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-4573Accepts New Patients: YHospital Affiliation: N/A*

155GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)FIGUEROA, Celia C.Celia Figueroa(954) 432-8000Prov. No.: 0000124485971724 N University DrPembroke Pines, FL 33024Language: EnglishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FISCHZANG-LEVY, AlbertoAlberto Fischzang-Levy(954) 432-8100Prov. No.: 0000000848431601 N Hiatus RdPembroke Pines, FL 33026Gender: MaleNPI: 1982739520License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 431-3479Accepts New Patients: YHospital Affiliation: N/A*

FONG, Ian S.Fongs Complete Dental Car(954) 432-8992Prov. No.: 0000000462081900 N University Dr Ste �Pembroke Pines, FL 33024Language: EnglishGender: Not ReportedNPI: 1568449197License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)FOX, Jeffrey M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219942917027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

FRIEDMAN, NeilThe Dental Care Group ofPembroke Pines(954) 430-2300Prov. No.: 00000034687512634 Pines Blvd �Pembroke Pines, FL 33027Gender: MaleNPI: 1750580668License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 430-3119Accepts New Patients: NHospital Affiliation: N/A*

FRIEFELD, Keith M.Silver Lakes Dental Assoc(954) 435-2999Prov. No.: 00000002181817792 SW 2nd St �Pembroke Pines, FL 33029Language: EnglishGender: Not ReportedNPI: 1407970387License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GABALDON, MarianaDental Boost Pines Llc(954) 437-0033Prov. No.: 000012209893240 S Flamingo RdPembroke Pines, FL 33027Gender: FemaleNPI: 1316112436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GALLO, Donald A.Dental Care Alliance(954) 435-5020Prov. No.: 0000124304701601 N Palm Ave Ste 104 �Pembroke Pines, FL 33026Gender: Not ReportedNPI: 1831109487License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-1261Accepts New Patients: YHospital Affiliation: N/A*

GARCES, CarolineDental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000000406286140 S University DrPembroke Pines, FL 33025Gender: FemaleNPI: 1215134952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GARCIA-PORRAS, MarcelaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579307317027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

GARG, Arun K.Center For Complete Dentistryof Pembroke Pines(954) 392-1635Prov. No.: 000011999377700 N Hiatus Rd Ste 102Pembroke Pines, FL 33026Gender: MaleNPI: 1891924635License: DN11076License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 392-1637Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219944817027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

156 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GERBER, JeremyLaurie Gordan Brown Dmd Pa(954) 437-0900Prov. No.: 0000045872119033 Taft StPembroke Pines, FL 33024Gender: MaleNPI: 1568588580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-9268Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001220003617027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

GIL ARAUJO, Eduardo F.Family and CosmeticDentistry(954) 432-3655Prov. No.: 000002449493294 NW 172nd AvePembroke Pines, FL 33029Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GILBERT, MarkGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001211689717027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

GLICKSMAN, Joel E.The Dental Care Group ofPembroke Pines(954) 430-2300Prov. No.: 00000006114612634 Pines Blvd �Pembroke Pines, FL 33027Gender: MaleNPI: 1669537981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 430-3119Accepts New Patients: YHospital Affiliation: N/A*

GOLDENBERG, SandyLake Mall Dental Center Pa(954) 432-5515Prov. No.: 00001207524711401 Pines Blvd Ste 220 �Pembroke Pines, FL 33026Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-8908Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GOMEZ PEREZ, NilsDental Care Inc(954) 538-0047Prov. No.: 00001215301717868 NW 2nd St �Pembroke Pines, FL 33029Language: English, SpanishGender: MaleNPI: 1346649118License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219524017027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosDental American Group(954) 447-0400Prov. No.: 00001253009010271 Pines Blvd �Pembroke Pines, FL 33026Gender: MaleNPI: 1093180028License: DN22301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GONZALEZ, LilianDental American Group(954) 447-0400Prov. No.: 00000026359810271 Pines Blvd �Pembroke Pines, FL 33026Language: EnglishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, ReydelDental Care Inc(954) 538-0047Prov. No.: 00000230048417868 NW 2nd St �Pembroke Pines, FL 33029Language: EnglishGender: MaleNPI: 1225385370License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

GORDON, AlexandraDental American Group(954) 447-0400Prov. No.: 00000036569010271 Pines Blvd �Pembroke Pines, FL 33026Language: EnglishGender: Not ReportedNPI: 1760692537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

157GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GORDON BROWN, LaurieLaurie Gordan Brown Dmd Pa(954) 437-0900Prov. No.: 0000039191179033 Taft StPembroke Pines, FL 33024Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-9268Accepts New Patients: YHospital Affiliation: N/A*

GRABCZAK, Tomasz A.Salgra Dental Group Inc(954) 967-8280Prov. No.: 0000002486207861 Pines Blvd �Pembroke Pines, FL 33024Gender: MaleNPI: 1356562144License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 967-6584Accepts New Patients: YHospital Affiliation: N/A*

GREEAR, JamieTooth Options(954) 437-0900Prov. No.: 0000004046919033 Taft StPembroke Pines, FL 33024Gender: Not ReportedNPI: 1003062134License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-9268Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlyGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001220465517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GRIDER, Joseph R.Simply Smile Orthodontics ofPembroke Pines Llc(954) 973-5725Prov. No.: 000010215381700 N Hiatus Rd Ste 101Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1881895910License: DN18521License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 973-5725Accepts New Patients: YHospital Affiliation: N/A*

GUERRA, Daniel A.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000012072443140 S University DrPembroke Pines, FL 33025Gender: MaleNPI: 1386908291License: DN19818License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

GUERRERO, Luis A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579306517027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GUL, Yousaf A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001204927417027 Pines BlvdPembroke Pines, FL 33027Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001243641817027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellyGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001207342717027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)GUTIERREZ, FernandoFernando Gutierres Dds Pa(954) 432-6222Prov. No.: 0000120829409964 Pines BlvdPembroke Pines, FL 33024Language: English, SpanishGender: MaleNPI: 1114230588License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUZMAN, Nestor E.Towncare Dental of PembrokePines(954) 430-2580Prov. No.: 000011994836600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026Gender: MaleNPI: 1558477919License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 442-2800Accepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001204795717027 Pines BlvdPembroke Pines, FL 33027Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

158 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)HART, DarleneDarlene Hart(954) 437-9288Prov. No.: 000012425292650 NW 180th Ter Ste 103Pembroke Pines, FL 33029Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-7929Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001245189817027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

HEINICKE, Steven D.Key Dental Group(954) 438-4444Prov. No.: 000000048827601 N Flamingo Rd Ste 415 �Pembroke Pines, FL 33028Language: EnglishGender: Not ReportedNPI: 1306978721License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)HELMY, James M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000391916117027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001221758017027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

HIBBERT, Conrad V.Conrad V Hibbert Dds(954) 435-6636Prov. No.: 000002617729164 N University DrPembroke Pines, FL 33024Gender: MaleNPI: 1245448307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)HIBBERT, Conrad V.Conrad V Hibbert Dmd(954) 435-6636Prov. No.: 00001205402910031 Pines Blvd Ste W101Pembroke Pines, FL 33024Gender: MaleNPI: 1245448307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-6947Accepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Bruce E.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579309617027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Tara L.My Dental Care Center(954) 432-3655Prov. No.: 000001133356294 NW 172nd AvePembroke Pines, FL 33029Gender: FemaleNPI: 1487882379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)HOFFMAN, Tara L.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000001550370140 S University DrPembroke Pines, FL 33025Gender: FemaleNPI: 1487882379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001209911517027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

HUI, Tin Wai W.Tin Wai Hui Dmd Pa(954) 430-2188Prov. No.: 00000001813117901 NW 5th St Ste 206Pembroke Pines, FL 33029Gender: MaleNPI: 1952408619License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

159GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)IRAHETA, Mario E.Dental American Group(954) 447-0400Prov. No.: 00000030119810271 Pines Blvd �Pembroke Pines, FL 33026Gender: MaleNPI: 1659464253License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of PembrokePines(954) 704-0044Prov. No.: 00001251015217027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001200672417027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ITURRALDE, Ignacio J.Sage Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001225106317027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: NHospital Affiliation: N/A*

JACAS, Sergio J.Igor Pasisnitchenko Dds(954) 431-0450Prov. No.: 00001244801510450 Taft St �Pembroke Pines, FL 33026Gender: MaleNPI: 1184004228License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-0700Accepts New Patients: YHospital Affiliation: N/A*

JAQUEZ, Patricia M.Patricia M Jaquez Dmd Pa(954) 430-0308Prov. No.: 00000046425512297 Pembroke Rd �Pembroke Pines, FL 33025Gender: FemaleNPI: 1013149517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-5774Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)JIVAN, MiteshFalls Cosmetic Dental(954) 437-7077Prov. No.: 0000012248811601 N Flamingo Rd Ste 3 �Pembroke Pines, FL 33028Gender: Not ReportedNPI: 1154559334License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-7466Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001133176317027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

KANOWITZ, Stanley D.Stanley D Kanowitz Dds(954) 436-8000Prov. No.: 0000000780938383 Pines Blvd �Pembroke Pines, FL 33024Language: EnglishGender: MaleNPI: 1962494179License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 436-1167Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)KARAM, Richard J.Richard Karam Dds Pa(954) 961-0400Prov. No.: 0000002317097100 Hollywood Blvd Ste 2Pembroke Pines, FL 33024Gender: Not ReportedNPI: 1013183011License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000012141748140 S University DrPembroke Pines, FL 33025Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KESSLER, Leonard P.Dental Center of Silver Lakes(954) 704-0044Prov. No.: 00000413956417027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1396819744License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KESSLER, Leonard P.Sage Dental(954) 435-2999Prov. No.: 00000517942017792 SW 2nd StPembroke Pines, FL 33029Gender: MaleNPI: 1396819744License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

160 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)KINACI, HakanPembroke Pines DentalAssociates(954) 435-9559Prov. No.: 0000003670081 SW 129th Ave Ste 406Pembroke Pines, FL 33027Gender: MaleNPI: 1770794398License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001231404317027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

KOTCH, Ira M.Ira M Kotch Dmd(954) 437-4443Prov. No.: 0000001802671 SW 129th Ave Ste 302 �Pembroke Pines, FL 33027Gender: FemaleNPI: 1689798878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)KOTCH, Russell P.Ira M Kotch Dmd(954) 437-4443Prov. No.: 0000124438681 SW 129th Ave Ste 302 �Pembroke Pines, FL 33027Gender: MaleNPI: 1285086009License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KRAVITZ, EugeneKravitz Dental(954) 430-4334Prov. No.: 00000001922917767 SW 2nd St �Pembroke Pines, FL 33029Language: EnglishGender: Not ReportedNPI: 1043496490License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KRAVITZ, Lauren M.Lauren Kravitz(954) 430-4334Prov. No.: 00000001923117767 SW 2nd St �Pembroke Pines, FL 33029Gender: FemaleNPI: 1720255896License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 430-3901Accepts New Patients: YHospital Affiliation: N/A*

KRUKOWSKI, Edward A.Harry S Grand Dds(954) 430-2300Prov. No.: 00000034423512634 Pines BlvdPembroke Pines, FL 33027Gender: Not ReportedNPI: 1275747305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)KUSHNER, Benn M.Benn M Kushner Dds Pa(954) 450-6640Prov. No.: 00000001824010031 Pines Blvd Ste 101Pembroke Pines, FL 33024Language: EnglishGender: Not ReportedNPI: 1447328703License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 450-6729Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001210070117027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

LANDA, Rene L.Juan L Garrastazu Dmd Pa(954) 431-7199Prov. No.: 00000390992912311 Taft St Ste 3 �Pembroke Pines, FL 33026Language: English, SpanishGender: MaleNPI: 1215166368License: DN18735License Type: DBP DentistBoard Certified: NoEmail: [email protected]: (954) 431-9102Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)LAZCANO, Maritza T.Maritza T Lazcano Dds(954) 449-8602Prov. No.: 00000113269512177 Pembroke RdPembroke Pines, FL 33025Language: EnglishGender: FemaleNPI: 1942470422License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 449-4628Accepts New Patients: YHospital Affiliation: N/A*

LAZCANO, Maritza T.Lazcano Family Dental Pa(954) 317-0236Prov. No.: 00001212761110051 Pines Blvd Ste DPembroke Pines, FL 33024Language: EnglishGender: FemaleNPI: 1942470422License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 543-1600Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001244496017027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

161GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)LEONARD, Thomas P.Great Expressions DentalCenters(954) 431-0004Prov. No.: 000012549036140 S University DrPembroke Pines, FL 33025Gender: MaleNPI: 1831468735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217665317027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

LEV, Robert J.Robert J Lev Dmd(954) 436-8000Prov. No.: 0000000397928383 Pines BlvdPembroke Pines, FL 33024Language: EnglishGender: Not ReportedNPI: 1174529713License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)LINDH, Tory R.Tory Lindh(954) 581-0100Prov. No.: 0000121488221520 E Sandpiper CirPembroke Pines, FL 33026Gender: MaleNPI: 1144499377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LIZASO, RaulRaul Lizaso(954) 430-1717Prov. No.: 00000006981220170 Pines Blvd Ste 108Pembroke Pines, FL 33029Gender: MaleNPI: 1912005778License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579300717027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Grace P.Grace P Lopez Dmd(954) 392-1635Prov. No.: 000012000411700 N Hiatus Rd Ste 102Pembroke Pines, FL 33026Gender: FemaleNPI: 1407101462License: DN19810License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)LOPEZ, Maria E.Lakes Mall Dental Center Pa(954) 432-5515Prov. No.: 00001245122811401 Pines Blvd Ste 220Pembroke Pines, FL 33026Gender: FemaleNPI: 1205852993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, MaribelDental American Group(954) 447-0400Prov. No.: 00000666057310271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1598966921License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001243992717027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

LUIS, MichelleDental American Group(954) 447-0400Prov. No.: 00001222981910271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1417323247License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MA, RobertGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001155113117027 Pines BlvdPembroke Pines, FL 33027Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001220939717027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

MANIGLIA, Marielba D.Marielba D Maniglia Dmd Pa(954) 432-3655Prov. No.: 000011116460294 NW 172nd Ave �Pembroke Pines, FL 33029Gender: FemaleNPI: 1063793644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

162 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MARCOS, Juan C.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001012071817027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

MARS, Rick A.The Dental Care Group ofPembroke Pines(954) 430-2300Prov. No.: 00000001941012634 Pines Blvd �Pembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1316002637License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 430-3119Accepts New Patients: YHospital Affiliation: N/A*

MARTIN, Felipe R.Felipe R Martin Dds(954) 538-0047Prov. No.: 00000013561217868 NW 2nd StPembroke Pines, FL 33029Gender: MaleNPI: 1124187315License: DN11543License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MARTINEZ, Milton F.Family and CosmeticDentistry(954) 432-3655Prov. No.: 000002017226294 NW 172nd AvePembroke Pines, FL 33029Gender: MaleNPI: 1346326972License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

MARTONE, Justin A.Pembroke Square Dental(954) 437-6400Prov. No.: 0000124818649001A Pembroke RdPembroke Pines, FL 33025Gender: MaleNPI: 1871662197License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MAUSKAR, Sagar S.Ari Socher Dds(954) 430-2300Prov. No.: 00001242035312634 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1477800985License: DN19913License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MAUTNER, Mark A.Dental Care Alliance(954) 435-5020Prov. No.: 0000000700861601 N Palm Ave Ste 104 �Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1215038732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-1261Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of PembrokePines(954) 704-0044Prov. No.: 00001247355117027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCLEAN, Natoya C.McLean & Associates of SouthFl Pa(954) 437-6400Prov. No.: 0000003426409001 Pembroke Rd # A �Pembroke Pines, FL 33025Gender: FemaleNPI: 1073645271License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-4665Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MCLEAN, Natoya C.Natoya Mclean Dds(954) 437-6400Prov. No.: 0000122610829001A Pembroke RdPembroke Pines, FL 33025Gender: FemaleNPI: 1073645271License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MENDEZ, AntonioPines Dental Associates(954) 432-6133Prov. No.: 0000000180651541 N Palm Ave �Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1659570430License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MEZCUA, Maria A.Maria A Mezcua Dds(954) 432-4101Prov. No.: 00000001894918503 Pines Blvd Ste 2022Pembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1396899316License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-5330Accepts New Patients: YHospital Affiliation: N/A*

163GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MIRO, Claudio L.Claudio L Miro Dds(954) 436-7699Prov. No.: 00000063548212251 Taft St Ste 400Pembroke Pines, FL 33026Gender: MaleNPI: 1417024118License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 441-2707Accepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001155204017027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Gustavo R.Dental American Group(954) 447-0400Prov. No.: 00000136538810271 Pines Blvd �Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MOLINA, Gustavo R.Dental Care Inc(954) 538-0047Prov. No.: 00001212755617868 NW 2nd St �Pembroke Pines, FL 33029Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Gustavo R.Atria Dental Health Center(954) 499-0033Prov. No.: 00001242296018503 Pines Blvd Ste 208Pembroke Pines, FL 33029Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-0355Accepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001211824117027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MONTESINOS, ZailyTotal Dental Centers Llc(954) 449-8602Prov. No.: 00001252278712177 Pembroke RdPembroke Pines, FL 33025Gender: FemaleNPI: 1144665704License: DN21583License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MORROW, Richard S.Lilian C Gonzalez Dds Pa(954) 432-4800Prov. No.: 0000050582329818 Pines Blvd �Pembroke Pines, FL 33024Language: EnglishGender: MaleNPI: 1386855773License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-8328Accepts New Patients: YHospital Affiliation: N/A*

MUJTABA, MoneezeLaguna Isles Dental Assoc Pa(954) 680-5552Prov. No.: 000001399368701 Promenade Dr Ste 102Pembroke Pines, FL 33026Gender: Not ReportedNPI: 1609926310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 680-1808Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)MUNOZ, Numa F.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224493517027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579309417027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

NAIDU, KistamaNaidu Pines East Inc(954) 438-1965Prov. No.: 00001213121610021 Pines Blvd Ste 101Pembroke Pines, FL 33024Gender: Not ReportedNPI: 1528260585License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-1966Accepts New Patients: YHospital Affiliation: N/A*

164 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)NAPOLI, Marisa M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001209039317027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

NAVARRETE, HanselOasis Dental Associates Pa(954) 499-1599Prov. No.: 00001242195110796 Pines Blvd Ste 203 �Pembroke Pines, FL 33026Language: English, SpanishGender: MaleNPI: 1336530260License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-5799Accepts New Patients: YHospital Affiliation: N/A*

NAVARRO, Jessica M.Atria Dental Health(954) 499-0033Prov. No.: 00001210988918503 Pines Blvd Ste 208Pembroke Pines, FL 33029Gender: FemaleNPI: 1932250685License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-0355Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)NAVARRO, Jessica M.Pembroke Pines Dental Health(954) 437-2040Prov. No.: 0000121323741806 N Flamingo Rd Ste 17Pembroke Pines, FL 33028Gender: FemaleNPI: 1932250685License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-4573Accepts New Patients: YHospital Affiliation: N/A*

NAVARRO, MarianelysDental American Group(954) 447-0400Prov. No.: 00001245693610271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1811348337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilyGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219348417027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)NGUYEN, Binh T.Binh T Nguyen Dds(954) 544-5132Prov. No.: 0000120086742472 N University DrPembroke Pines, FL 33024Language: EnglishGender: Not ReportedNPI: 1427153410License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 544-3569Accepts New Patients: YHospital Affiliation: N/A*

OKLIN, Richard S.Richard Oklin(954) 989-6950Prov. No.: 0000000491166805 Pembroke Rd �Pembroke Pines, FL 33023Language: EnglishGender: Not ReportedNPI: 1679699615License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 989-6962Accepts New Patients: YHospital Affiliation: N/A*

OKLIN, RonaldHarry S Grand Dds(954) 430-2300Prov. No.: 00000866721812634 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: Not ReportedNPI: 1245326016License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ORTA, InesTowncare Dental of PembrokePines(954) 430-2580Prov. No.: 000012151934600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026Gender: FemaleNPI: 1881836963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 442-2800Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217382217027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579303517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

165GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)OSPINA, CarolinaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224153817027 Pines BlvdPembroke Pines, FL 33027Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

PAGANI, Ambar D.The Dental Care Group ofPembroke Pines(954) 430-2300Prov. No.: 00001199667212634 Pines Blvd �Pembroke Pines, FL 33027Gender: FemaleNPI: 1104266402License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 430-3119Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001200024117027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)PASISNITCHENKO, IgorIgor Pasisnitchenko Dds(954) 431-0450Prov. No.: 00000003855110450 Taft St �Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1659486488License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-0700Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000012135851140 S University DrPembroke Pines, FL 33025Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PAUL, Alexander D.Advanced Dental Care ofPembroke Pines PlProv. No.: 0000124938931601 N Palm AveSte 104Pembroke Pines, FL 33026Gender: MaleNPI: 1255611596License: DN21752License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)PEARSON, Sharon G.Dr Conrad V Hibbert(954) 435-6636Prov. No.: 000000019098164 N University Dr �Pembroke Pines, FL 33024Gender: FemaleNPI: 1518096866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Family and CosmeticDentistry(954) 432-3655Prov. No.: 000002299415294 NW 172nd AvePembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579301017027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)PERKINS, Lindsay B.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000470600017027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

PHEN, YuchiYuchi Phen Dds(954) 885-8762Prov. No.: 0000000402102212 N Flamingo RdPembroke Pines, FL 33028Language: EnglishGender: Not ReportedNPI: 1457478661License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 885-8760Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001212853717027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

166 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)POPPER, Drew C.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001233811317027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219178917027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, RolandoDental Care Inc(954) 538-0047Prov. No.: 00000369465517868 NW 2nd St �Pembroke Pines, FL 33029Language: EnglishGender: MaleNPI: 1023165701License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)PRIETO, RolandoPines Dental Care Inc(954) 450-9383Prov. No.: A00000024496302 NW 179th Ave Ste 201A �Pembroke Pines, FL 33029Language: EnglishGender: MaleNPI: 1023165701License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219943017027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

QUINTERO, Juan M.Pines Dental Care Inc(954) 450-9383Prov. No.: 000001103362302 NW 179th Ave Ste 201A �Pembroke Pines, FL 33029Language: English, SpanishGender: MaleNPI: 1710298302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)RAMOS CRUZ, CarissaCenter For Complete Dentistryof Pembroke Pines(954) 392-1635Prov. No.: 000012184358700 N Hiatus Rd Ste 102Pembroke Pines, FL 33026Language: English, SpanishGender: FemaleNPI: 1013265453License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 392-1637Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001021493817027 Pines BlvdPembroke Pines, FL 33027Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

RAND, Susan M.Susan M Rand Dds(954) 433-5610Prov. No.: 00000001843112333 NW 18th StPembroke Pines, FL 33026Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)RAPPAPORT, David B.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217281617027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001210221117027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001206673217027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

167GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)RING, Stephen G.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219945117027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

RIPA, AnatolyAvanced Aesthetic Dentistry ofPembrok(954) 430-2580Prov. No.: 000000461134600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1740457183License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIVAS, Adrian A.Dental American Group(954) 447-0400Prov. No.: 00000045830210271 Pines Blvd �Pembroke Pines, FL 33026Language: English, SpanishGender: MaleNPI: 1538303714License: DN18500License Type: DBP DentistBoard Certified: YesEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)RIZVI, Saba M.My Dental Care Center(954) 432-3655Prov. No.: A00000020884294 NW 172nd AvePembroke Pines, FL 33029Gender: FemaleNPI: 1174703300License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: NHospital Affiliation: N/A*

ROCA, Ana L.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224153917027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Esteban J.Towncare Dental of PembrokePines(954) 430-2580Prov. No.: 000004940285600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026Gender: MaleNPI: 1174647804License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 442-2800Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)RODRIGUEZ, Nury E.Dental American Group(954) 447-0400Prov. No.: 00000035825710271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1649472150License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, RoxanaDental Care Inc(954) 538-0047Prov. No.: 00001212759017868 NW 2nd St �Pembroke Pines, FL 33029Gender: FemaleNPI: 1336263912License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

ROGOWSKA, Kinga E.Dental American Group(954) 447-0400Prov. No.: 00000027474610271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1144325382License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

ROGOWSKA, Kinga E.Kinga E Rogowska Dds(954) 432-7771Prov. No.: 0000004133631724 N University DrPembroke Pines, FL 33024Gender: FemaleNPI: 1144325382License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-4117Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ROQUE-RUANO, MaikelSage Dental of PembrokePines(954) 704-0044Prov. No.: 00001252605517027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSADO-RODRIGUEZ, RoyTotal Dental(954) 449-8602Prov. No.: 00000133436112177 Pembroke RdPembroke Pines, FL 33025Language: EnglishGender: MaleNPI: 1295935088License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 449-4628Accepts New Patients: YHospital Affiliation: N/A*

ROSENBAUM, Ronald E.Jerome A Soloman Dds(954) 981-5600Prov. No.: 0000003956752231 N University Dr StePembroke Pines, FL 33024Gender: Not ReportedNPI: 1336313063License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

168 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ROSHKIND, David M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001210181617027 Pines BlvdPembroke Pines, FL 33027Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Jennifer Rostock(954) 442-1884Prov. No.: 00000201749917525 Pines BlvdPembroke Pines, FL 33029Gender: Not ReportedNPI: 1871704742License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROTTER, Astrid M.Astrid M Rotter Dmd(954) 433-8880Prov. No.: 00000031954918461 Pines BlvdPembroke Pines, FL 33029Gender: Not ReportedNPI: 1104968155License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 433-8801Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)RUIZ, MiltonPines Dental Associates(954) 432-6133Prov. No.: 0000120460851541 N Palm Ave �Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1033288063License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RUIZ, SailiOasis Dental Associates Pa(954) 499-1599Prov. No.: 00001242620510796 Pines Blvd Ste 203 �Pembroke Pines, FL 33026Language: English, SpanishGender: FemaleNPI: 1932514296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 499-5799Accepts New Patients: YHospital Affiliation: N/A*

SALAS, Claudia M.Salgra Dental Group Inc(954) 967-8280Prov. No.: 0000001032217861 Pines Blvd �Pembroke Pines, FL 33024Gender: Not ReportedNPI: 1447471289License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 967-6584Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SALAZAR, Cecilia I.Dental Smile Llc(954) 442-1884Prov. No.: 00001206687617525 Pines BlvdPembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-3368Accepts New Patients: YHospital Affiliation: N/A*

SALCINES, Damaris G.Family and CosmeticDentistry(954) 432-3655Prov. No.: 000001822662294 NW 172nd AvePembroke Pines, FL 33029Gender: FemaleNPI: 1891705091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

SALDARRIAGA, LisaFamily and CosmeticDentistry(954) 432-3655Prov. No.: 000001925667294 NW 172nd AvePembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SANCHES, MelanieGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217531317027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

SAUNDERS, MariaDental Boost Pines Llc(954) 437-0033Prov. No.: 000012126897240 S Flamingo RdPembroke Pines, FL 33027Gender: FemaleNPI: 1205148228License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SEGRERA, Maria C.Dental American Group(954) 447-0400Prov. No.: 00000126492510271 Pines Blvd �Pembroke Pines, FL 33026Gender: FemaleNPI: 1295046662License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

169GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SEPULVEDA, Isabel C.Tin Wai Hui Dmd Pa(954) 430-2188Prov. No.: 00001210349717901 NW 5th St Ste 206Pembroke Pines, FL 33029Language: English, SpanishGender: FemaleNPI: 1790111763License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHACK, Lauren B.Flamingo Dentist(954) 430-0308Prov. No.: 00000044458612297 Pembroke Rd �Pembroke Pines, FL 33025Gender: FemaleNPI: 1043436447License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHACK, Lauren B.Lbs Periodontics Inc(954) 432-4800Prov. No.: 0000004445919818 Pines Blvd �Pembroke Pines, FL 33024Gender: FemaleNPI: 1043436447License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHARMA, RohitFalls Cosmetic Dental(954) 437-7077Prov. No.: 0000011725911601 N Flamingo Rd Ste 3 �Pembroke Pines, FL 33028Gender: MaleNPI: 1679875207License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-7466Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SHATHER, Meriam I.Tin Wai Hui Dmd Pa(954) 430-2188Prov. No.: 00000023148217901 NW 5th St Ste 206Pembroke Pines, FL 33029Gender: FemaleNPI: 1790973873License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHAYAN, Maria M.Dental Care Inc(954) 538-0047Prov. No.: 00000548262217868 NW 2nd St �Pembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 538-0924Accepts New Patients: YHospital Affiliation: N/A*

SHAYAN, Maria M.Family and CosmeticDentistry(954) 432-3655Prov. No.: 000012126301294 NW 172nd AvePembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-0334Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SHOFNOS, Charles I.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000391959217027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

SILVER, Richard M.Richard Silver(954) 432-8000Prov. No.: 0000051794141724 N University Dr �Pembroke Pines, FL 33024Gender: MaleNPI: 1013017599License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-8096Accepts New Patients: YHospital Affiliation: N/A*

SIMMONDS, Shirley F.Shirley F Simmonds(954) 989-4868Prov. No.: 0000027828771753 N University DrPembroke Pines, FL 33024Gender: Not ReportedNPI: 1538299185License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 275-7541Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SIMPSON, NatalieGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001211851517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217376817027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

SLOANE, Ronald L.Lakes Mall Dental(954) 432-5515Prov. No.: 00000002102111401 Pines Blvd Ste 220 �Pembroke Pines, FL 33026Language: EnglishGender: Not ReportedNPI: 1508993973License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-8908Accepts New Patients: YHospital Affiliation: N/A*

170 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SNIDER, Erica M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219945217027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

SOCHER, AriThe Dental Care Group ofPembroke Pines(954) 430-2300Prov. No.: 00000201775612634 Pines Blvd �Pembroke Pines, FL 33027Gender: Not ReportedNPI: 1093972465License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 430-3119Accepts New Patients: YHospital Affiliation: N/A*

SOLANO, Jorge I.Jorge I Soland Dmd Pa(954) 432-5700Prov. No.: 0000003785322076 N University Dr �Pembroke Pines, FL 33024Gender: Not ReportedNPI: 1780708354License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)SPENCER, Scott B.Ari Socher Dds(954) 430-2300Prov. No.: 00001223739512634 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1225426729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SPERLING, HansHans Sperling Dmd Pa(954) 432-8100Prov. No.: 0000123361671601 N Hiatus RdPembroke Pines, FL 33026Language: EnglishGender: Not ReportedNPI: 1497854251License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001217281517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)STRONG, ShaniceGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001245431217027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of PembrokePines(954) 704-0044Prov. No.: 00001247169917027 Pines BlvdPembroke Pines, FL 33027Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TENDERO, AlyneSmile Garden Inc(954) 987-4141Prov. No.: 0000000426286880 Taft St �Pembroke Pines, FL 33024Language: EnglishGender: Not ReportedNPI: 1578670907License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)TENDERO, JessicaSmile Garden Inc(954) 987-4141Prov. No.: 0000124752686880 Taft St �Pembroke Pines, FL 33024Gender: FemaleNPI: 1750731691License: DN21944License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

THOMAS, AntonyAmerican Pediatric DentalGroup(804) 304-5437Prov. No.: 00001251652810021 Pines Blvd Ste 100 �Pembroke Pines, FL 33024Gender: MaleNPI: 1477808186License: DN22248License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001244759017027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

171GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)TORRES, Lina T.Sage Dental of PembrokePines(954) 704-0044Prov. No.: 00001252863917027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001224492717027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001200057517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)TUBIO, AbigailGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001243641917027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001177424517027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

URREA-FELDSBERG, HelenaHelena Urrea-Feldsberg DdsMds(954) 962-8311Prov. No.: 00001212764012301 Taft StPembroke Pines, FL 33026Language: EnglishGender: FemaleNPI: 1982772877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 435-1739Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)VAN DUYNE, Tracy L.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001213064117027 Pines BlvdPembroke Pines, FL 33027Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001214613117027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

VEGAS, GabrielaAmerican Pediatric DentalGroup(804) 304-5437Prov. No.: 00001251880910021 Pines Blvd Ste 100 �Pembroke Pines, FL 33024Gender: FemaleNPI: 1407273881License: DN21826License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)VELASQUEZ, Luis E.Dental American Group(954) 447-0400Prov. No.: 00000046241410271 Pines Blvd �Pembroke Pines, FL 33026Gender: MaleNPI: 1407189616License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 447-0450Accepts New Patients: YHospital Affiliation: N/A*

VERNE, Maria C.Flamingo Dentist Pa(954) 430-0308Prov. No.: 00000001820312297 Pembroke RdPembroke Pines, FL 33025Language: EnglishGender: FemaleNPI: 1467406579License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VERNE, Maria C.Sun East Dental(954) 885-5351Prov. No.: 00000016045719620 Pines Blvd Ste 203 �Pembroke Pines, FL 33029Language: EnglishGender: FemaleNPI: 1467406579License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

172 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)VIEGO, RebecaDental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000012183145140 S University DrPembroke Pines, FL 33025Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000001538862140 S University DrPembroke Pines, FL 33025Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000579308217027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)VINUELA, Kari M.Floridian Dental at Pines Pllc(954) 441-8778Prov. No.: 00001212715512251 Taft St Ste 200Pembroke Pines, FL 33026Gender: FemaleNPI: 1245535822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-7707Accepts New Patients: NHospital Affiliation: N/A*

VINUELA, LarryFloridian Dental at Pines Pllc(954) 441-8778Prov. No.: 00001212715312251 Taft St Ste 200Pembroke Pines, FL 33026Language: English, SpanishGender: MaleNPI: 1356515035License: DN19253License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 438-7707Accepts New Patients: YHospital Affiliation: N/A*

WEBB, Delroy W.Pembroke Pines Fam Dental(954) 436-3900Prov. No.: 000000019703700 N Hiatus Rd Ste 201Pembroke Pines, FL 33026Language: EnglishGender: MaleNPI: 1881602415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 436-3628Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)WILLIAMS, Tosha R.Dental Health GroupPembroke Pines(954) 431-0004Prov. No.: 000001657982140 S University DrPembroke Pines, FL 33025Gender: FemaleNPI: 1609009463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, Tosha R.Angelic Smiles Dental Spa(954) 237-3902Prov. No.: 0000125595989990 NW 6th CtPembroke Pines, FL 33024Gender: FemaleNPI: 1609009463License: DN19661License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YANOWITZ, Gary A.Dr Gary Yanowitz(954) 431-9500Prov. No.: 0000000183101000 N Hiatus Rd Ste 150 �Pembroke Pines, FL 33026Gender: MaleNPI: 1548263072License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)YOUNG, Lisa B.Towncare Dental of PembrokePines(954) 430-2580Prov. No.: 000001105611600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026Gender: FemaleNPI: 1285717066License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 442-2800Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001204795817027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001201936917027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

173GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ZASLAVSKY, JuliaGentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001245448817027 Pines BlvdPembroke Pines, FL 33027Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00000391973017027 Pines BlvdPembroke Pines, FL 33027Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

ZIMMERMAN, Jerry W.J Zimmerman D Corliss DmdPa(954) 704-0506Prov. No.: 00000002000418217 Pines Blvd �Pembroke Pines, FL 33029Language: EnglishGender: Not ReportedNPI: 1730302027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pembroke Pines (Cont.)ZYLBERING, Jason M.Gentle Dental of PembrokePines Pllc(954) 704-0044Prov. No.: 00001219943217027 Pines BlvdPembroke Pines, FL 33027Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 704-8302Accepts New Patients: YHospital Affiliation: N/A*

Pembroke Pnes

CARBALLO, RodolfoPembroke Pines Dental(954) 437-2040Prov. No.: 0000001766131851 NW 125th Ave Ste 170 �Pembroke Pnes, FL 33028Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ERRO, Juan C.Pembroke Pines Dental(954) 437-2040Prov. No.: 0000000180791851 NW 125th Ave Ste 170 �Pembroke Pnes, FL 33028Language: EnglishGender: MaleNPI: 1205161742License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation

AKPAKA, Wisdom D.Darlene Hart(954) 641-0414Prov. No.: 0000125416476905 W Broward Blvd Ste 1Plantation, FL 33317Gender: MaleNPI: 1114338738License: DN21551License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALEMPOUR, SamiraKids Care Dental(954) 449-6195Prov. No.: 0000004211601240 N University Dr �Plantation, FL 33322Gender: FemaleNPI: 1982853586License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121728208440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)ALVAREZ, Jonathan A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120968358440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AMADOR, David L.Steven Rosenberg Dds(954) 791-7172Prov. No.: 0000122458707500 NW 5th St Ste 115Plantation, FL 33317Language: English, SpanishGender: MaleNPI: 1114300076License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ANDALIB, Arveen H.Aesthetic Dentistry ofPlantation(754) 701-0386Prov. No.: 0000122379581411 S University DrPlantation, FL 33324Gender: MaleNPI: 1003054040License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (754) 484-3478Accepts New Patients: YHospital Affiliation: N/A*

174 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)ARNEDO, JohannaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000125645448000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1104213909License: DN21079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AROCHA, MaxMax Arocha Dmd(954) 432-7771Prov. No.: 0000002392231125 S University DrPlantation, FL 33324Gender: MaleNPI: 1790830164License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-4117Accepts New Patients: YHospital Affiliation: N/A*

ASERIEL, HaimBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000120817148000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1538561337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

ATKINSON, William A.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000122288218000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1942360862License: 17412License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)ATTIE, AbelardoBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124730048000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1225481450License: DN22122License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000125504948440 W Broward BlvdPlantation, FL 33324Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaSage Dental of Plantation(954) 472-8707Prov. No.: 0000007044618440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000019561768440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)BAEZ HENRY, CarlianetteBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122369888000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1235594961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BAGHDADI-GEGATI, Marcel B.Dr Marcel B Gegati Pa(954) 792-4100Prov. No.: 000012255895300 NW 70th Ave Ste 108 �Plantation, FL 33317Gender: MaleNPI: 1790955417License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 792-8253Accepts New Patients: YHospital Affiliation: N/A*

BAKALAR, MartinSage Dental of PompanoBeach(954) 533-1191Prov. No.: 0000045872411127 S University DrPlantation, FL 33324Language: EnglishGender: MaleNPI: 1851564439License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)BAUTISTA, EnricoSunrise Center For DentalSpecialties(954) 916-0947Prov. No.: 0000002074781776 N Pine Island Rd StePlantation, FL 33322Language: EnglishGender: MaleNPI: 1558467670License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 747-8475Accepts New Patients: YHospital Affiliation: N/A*

BEHN, Jack W.Jack W Behn Ods Pa(954) 318-1966Prov. No.: 0000024625528200 W Sunrise Blvd Ste A �Plantation, FL 33322Gender: MaleNPI: 1346306206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BEHN, Jack W.Elite Dental & Aesthetics Pa(954) 476-4537Prov. No.: 000012464099131 NW 100th Ave �Plantation, FL 33324Gender: MaleNPI: 1346306206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

175GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)BELL, Dyonne A.Bell’s Dntl Solutions Pa(954) 327-5751Prov. No.: 0000000459976991 W Broward Blvd �Plantation, FL 33317Language: EnglishGender: FemaleNPI: 1841355302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 327-5761Accepts New Patients: YHospital Affiliation: N/A*

BELOTSERKOVSKY, DanielKevin C Siao Dmd Pa(954) 424-3434Prov. No.: 0000124719028142 W Broward BlvdPlantation, FL 33324Gender: Not ReportedNPI: 1912344904License: DN21757License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Plantation(954) 472-8707Prov. No.: 0000122099968440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)BERLEY, Joel A.Mel Krohn(954) 792-5544Prov. No.: 0000120726647500 NW 5th StPlantation, FL 33317Gender: MaleNPI: 1831402171License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120630258440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BLITMAN, Robert S.B & E Dental Pa(954) 474-3330Prov. No.: 0000001100558430 W Broward Blvd Ste 1 �Plantation, FL 33324Gender: MaleNPI: 1467660225License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)BOCKIAN, Joshua A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000044740738440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BOUTSIKOS, MariaDarlene Hart(954) 641-0414Prov. No.: 0000012491316905 W Broward Blvd Ste 1Plantation, FL 33317Gender: FemaleNPI: 1588977623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 641-0418Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Plantation(954) 472-8707Prov. No.: 0000121413798440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)BRISKIN, Leonid R.Leonid R Briskin Dmd(954) 475-8100Prov. No.: 0000001558818320 W Sunrise Blvd Ste 1Plantation, FL 33322Gender: Not ReportedNPI: 1467571158License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122489648440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Plantation(954) 472-8707Prov. No.: 0000124717008440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

176 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)CANIZALES, JacquelineJacqueline Canizales Dmd(954) 472-0099Prov. No.: 000000021462201 N University Dr Ste 1Plantation, FL 33324Language: EnglishGender: Not ReportedNPI: 1861614216License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARDOUNEL, AlexPlantation Park Dntl Asso(954) 791-0330Prov. No.: 0000000197277420 NW 5th St Ste 101 �Plantation, FL 33317Language: EnglishGender: MaleNPI: 1477572246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121516298440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)CHILDERS, Carmen D.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121529788440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CLINE, Jack A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000003497008440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124250478440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)COLETTI, Peter M.Plantation Dental ArtsAssociates(954) 327-8075Prov. No.: 000000161379300 NW 70th Ave Ste 104 �Plantation, FL 33317Gender: Not ReportedNPI: 1205054756License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COMORA, Robert M.Plantation Dental Service(954) 474-0275Prov. No.: 000004029436314 S University DrPlantation, FL 33324Language: EnglishGender: MaleNPI: 1699855361License: DN8490License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-4239Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121413808440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)CORONADO, EfrainSage Dental of Plantation(954) 472-8707Prov. No.: 0000015401718440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122513988440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000039163718440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CRISCUOLO, StephenMohamed Sirage(954) 203-0113Prov. No.: 0000125537577500 NW 5th St Ste 107Plantation, FL 33317Gender: MaleNPI: 1053792168License: DN21814License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

177GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)CRUZ, Antonio R.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000017716148440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Plantation(954) 472-8707Prov. No.: 0000122442448440 W Broward BlvdPlantation, FL 33324Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Plantation(954) 472-8707Prov. No.: 0000024525588440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)DAROJAT, Zuhdiyah M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000045900098440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120053978440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DHAM, Uttma S.Westside Dental Center(954) 476-4535Prov. No.: 000000468749180 SW 84th Ave Ste D �Plantation, FL 33324Gender: FemaleNPI: 1578719423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanyBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124374848000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)DIAZ, JanySage Dental of Plantation(954) 472-8707Prov. No.: 0000124454088440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonyBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121625368000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Plantation(954) 472-8707Prov. No.: 0000122442458440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124364208440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)DOUGLAS, Richard C.Superior Dental Plantation(954) 583-4447Prov. No.: 000000094585660 N State Road 7 Ste 12 �Plantation, FL 33317Gender: MaleNPI: 1528220126License: DN9789License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 583-8641Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000119947008440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizPlantation Dental Service(954) 474-0275Prov. No.: 000001297045314 S University DrPlantation, FL 33324Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-4239Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Plantation(954) 472-8707Prov. No.: 0000121105478440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

178 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)DUARTE, FabiolaPlantation Dental ArtsAssociates(954) 327-8075Prov. No.: 000000166978300 NW 70th Ave Ste 104 �Plantation, FL 33317Gender: FemaleNPI: 1629296173License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000017722308440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DURVE, AparnaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124610118000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1437521580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)DURVE, AparnaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000125081628000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1437521580License: DN21629License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000006963168440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

EPSTEIN, Mitchell R.B & E Dental Pa(954) 474-3330Prov. No.: 0000000431628430 W Broward Blvd Ste 1 �Plantation, FL 33324Language: EnglishGender: Not ReportedNPI: 1881985042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ESPANOL, Juan F.Juan Espanol Dmd(954) 473-6500Prov. No.: 000005058003111 N Pine Island RdPlantation, FL 33324Gender: MaleNPI: 1932484888License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Plantation(954) 472-8707Prov. No.: 0000115515668440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FORNOS, Jorge A.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000122477848000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1831594415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000004252728440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)FREEMAN, ChristopherChristopher Freeman Dds(954) 474-4436Prov. No.: 0000006958758200 W Sunrise Blvd Ste BPlantation, FL 33322Gender: Not ReportedNPI: 1720183932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRIEND, Michael J.Michael J Friend Dmd Pa(954) 915-8080Prov. No.: 0000006302408962 Cleary Blvd �Plantation, FL 33324Language: EnglishGender: MaleNPI: 1518975390License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FULLER, Ellis L.Celia Figueroa(954) 476-0802Prov. No.: 0000124493348000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1366466286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GALLO, Donald A.Superior Dental Plantation(954) 583-4447Prov. No.: 000012430468660 N State Road 7 Ste 12 �Plantation, FL 33317Gender: Not ReportedNPI: 1831109487License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 583-8641Accepts New Patients: YHospital Affiliation: N/A*

179GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)GARCIA, Luciano J.Garcia Dental Group Pa(954) 382-0110Prov. No.: 000001213549101 N Pine Island Rd �Plantation, FL 33324Language: EnglishGender: MaleNPI: 1073632766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 382-0310Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Plantation(954) 472-8707Prov. No.: 0000011464388440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000004133568440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)GEGATI, MarcelDr Marcel B Gegati Pa(954) 792-4100Prov. No.: 000003916556300 NW 70th Ave Ste 108 �Plantation, FL 33317Language: English, French,Hebrew, SpanishGender: MaleNPI: Not ReportedLicense: DN16519License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 792-8253Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Plantation(954) 472-8707Prov. No.: 0000122000378440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Plantation(954) 472-8707Prov. No.: 0000121179878440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)GILSON, Steven M.Edison Family Dental Care(954) 424-4600Prov. No.: 00000001813910167 W Sunrise Blvd StePlantation, FL 33322Gender: MaleNPI: 1063554764License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GINZLER, Lisa J.Dental Care of Plantation(954) 473-4800Prov. No.: 0000124350369633 W Broward Blvd Ste 2Plantation, FL 33324Gender: FemaleNPI: 1790987485License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 382-1522Accepts New Patients: YHospital Affiliation: N/A*

GOHILL, Juliana K.Gohill & Agudelo Dds Pa(954) 791-6666Prov. No.: 0000004632206971 W Sunrise Blvd Ste 1Plantation, FL 33313Gender: FemaleNPI: 1679777841License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 791-0800Accepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, AlexanderBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122481418000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1285031930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)GONZALES, AngelicaSage Dental of Plantation(954) 472-8707Prov. No.: 0000121952418440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, KellyBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121303298000 W Broward Blvd Ste 1Plantation, FL 33388Gender: Not ReportedNPI: 1952717027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, YanelaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121577838000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1811378359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Robert W.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000121828618000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1578582359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

180 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)GORFINKEL, Michael S.Michael S Gorfinkel Dds(954) 473-6500Prov. No.: 000000020572111 N Pine Island Rd StePlantation, FL 33324Language: EnglishGender: Not ReportedNPI: 1982794178License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOUNAKIS, GeorgeGeorge Gounakis(954) 473-6500Prov. No.: 000001147951111 N Pine Island RdPlantation, FL 33324Language: English, GreekGender: MaleNPI: 1891969077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Plantation(954) 472-8707Prov. No.: 0000122046568440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)GREEN, George D.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000124907038000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1609094580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GRIGOROPOULOS, MariosMarios Grigoropoulos(954) 424-5868Prov. No.: 0000003591801761 N University DrPlantation, FL 33322Gender: MaleNPI: 1720285646License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 424-5832Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000012160988440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUILARTE, Rhona E.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000049404988000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1619956323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)GUL, Yousaf A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120492848440 W Broward BlvdPlantation, FL 33324Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124364228440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Plantation(954) 472-8707Prov. No.: 0000120736208440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUZMAN, Nestor E.Enchanting Dentistry Pa(954) 336-8478Prov. No.: 0000124380108200 W Sunrise Blvd Ste APlantation, FL 33322Gender: MaleNPI: 1558477919License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)HAMED, ShirinSage Dental of Plantation(954) 472-8707Prov. No.: 0000120480738440 W Broward BlvdPlantation, FL 33324Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HART, DarleneDarlene Hart(954) 641-0414Prov. No.: 0000123114926905 W Broward Blvd Ste 1Plantation, FL 33317Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 641-0418Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124518998440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

181GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)HELMY, James M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000003872388440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERBERT, Brent H.Plantation Dental AssociatesPc(954) 474-8977Prov. No.: 00000024786510080 NW 1st Ct �Plantation, FL 33324Gender: Not ReportedNPI: 1770539231License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-8946Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122175818440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ BONNET, Christina S.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000121304118000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)HILALI, ManalPlantation Dental AssociatesPc(954) 474-8977Prov. No.: 00000036958810080 NW 1st Ct �Plantation, FL 33324Gender: Not ReportedNPI: 1770775884License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-8946Accepts New Patients: NHospital Affiliation: N/A*

HOFFMAN, Bruce E.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000013201778440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HORESH-WEISSER, EttieBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122435718000 W Broward Blvd �Ste 1123Plantation, FL 33388Gender: FemaleNPI: Not ReportedLicense: DN21340License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)HORWITZ, StevenSage Dental of Plantation(954) 472-8707Prov. No.: 0000120989788440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000125101538440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Plantation(954) 472-8707Prov. No.: 0000120067268440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122510648440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)JAMES, Larry G.L G James Dmd(954) 791-6700Prov. No.: 0000000254014100 S Hospital Dr Ste 20 �Plantation, FL 33317Language: EnglishGender: MaleNPI: 1154436129License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 797-7622Accepts New Patients: YHospital Affiliation: N/A*

JAMES, Larry G.Larry James(954) 791-6700Prov. No.: 0000121522864101 S Hospital DrPlantation, FL 33317Language: EnglishGender: MaleNPI: 1154436129License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 797-7622Accepts New Patients: YHospital Affiliation: N/A*

JAQUEZ, Karla S.Max Arocha Dmd(954) 432-7771Prov. No.: 0000028258041125 S University DrPlantation, FL 33324Gender: FemaleNPI: 1548504632License: DN19796License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 432-4117Accepts New Patients: YHospital Affiliation: N/A*

182 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)JENKINS, MartinBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121789378000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1740514413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Plantation(954) 472-8707Prov. No.: 0000113317688440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KAMEL, Lance J.Lance J Kamel Dds(954) 472-2000Prov. No.: 0000000058048269 W Sunrise Blvd �Plantation, FL 33322Language: EnglishGender: Not ReportedNPI: 1811054729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)KASHLAN, Rania R.Jacaranda Dental Associates(954) 577-3223Prov. No.: 000012560211600 S Pine Island Rd StePlantation, FL 33324Language: Arabic, SpanishGender: FemaleNPI: 1932260403License: DN18607License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KATHEIN, LitalLital Kathein(954) 476-4537Prov. No.: 000012087536131 NW 100th AvePlantation, FL 33324Gender: FemaleNPI: 1215051057License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KERNS, James M.Darlene Hart(954) 641-0414Prov. No.: 0000003450686905 W Broward Blvd Ste 1Plantation, FL 33317Gender: MaleNPI: 1659584209License: 17150License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 641-0418Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124248898000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)KLEIN, Peter B.Plantation Park Dntl Asso(954) 791-0330Prov. No.: 0000022987437420 NW 5th St Ste 101 �Plantation, FL 33317Gender: MaleNPI: 1023235603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOHN, HeatherBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124686688000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1730592429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOPYNETS, Viktor V.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000120624748000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1932517042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Lital Kathein(954) 476-4537Prov. No.: 000012176722131 NW 100th AvePlantation, FL 33324Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)KOSSAK, Elizabeth A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000123137378440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KRASNOV, RostislavBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000018203658000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1942267935License: 27827License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

KRIMSKY, Peter M.Peter K Krimsky Dds Pa(954) 584-6842Prov. No.: 0000001110727408 NW 5th St �Plantation, FL 33317Gender: MaleNPI: 1225127277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 581-8043Accepts New Patients: YHospital Affiliation: N/A*

KUNSTMANN, Vivian R.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000121497398000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1104995539License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

183GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)LAGO-SANCHEZ, IdelbisBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124245768000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1003248824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of Plantation(954) 472-8707Prov. No.: 0000121007028440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEIBOWITZ, Jayson R.Plantation Dental AssociatesPc(954) 474-8977Prov. No.: 00000002159110080 NW 1st Ct �Plantation, FL 33324Gender: MaleNPI: 1811943368License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-8946Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124449618440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)LEONARD, Thomas P.Tory Lindh Dmd Pa(954) 581-0100Prov. No.: 0000120416187500 NW 5th St Ste 103 �Plantation, FL 33317Gender: MaleNPI: 1831468735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Plantation(954) 472-8707Prov. No.: 0000121766458440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LICINA, ZeljkaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000120982298000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1013263292License: DN20101License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

LICINA, ZeljkaVadim Valdman(954) 476-0802Prov. No.: 0000124771518000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1013263292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)LINDH, Tory R.Tory Lindh Dmd Pa(954) 581-0100Prov. No.: 0000004578287500 NW 5th St Ste 103 �Plantation, FL 33317Gender: MaleNPI: 1144499377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LIPSON, Frank D.Frank D Lipson Dds Pa(954) 739-3810Prov. No.: 000000297027333 NW 70th Ave Ste 104Plantation, FL 33317Gender: Not ReportedNPI: 1689697997License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LIPTON, Barry E.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000125645558000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1689676918License: DN12523License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000003970418440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)LOVETERE, Thomas L.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124399288440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LUPU, AidaRoyal Dental Care Pa(954) 530-3967Prov. No.: 0000004533307500 NW 5th St Ste 110 �Plantation, FL 33317Gender: Not ReportedNPI: 1093950768License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 530-3968Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of Plantation(954) 472-8707Prov. No.: 0000115511328440 W Broward BlvdPlantation, FL 33324Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Plantation(954) 472-8707Prov. No.: 0000122093988440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

184 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)MANGATAL, Jacqueline N.Jacqueline Nelson MangatalDds Pa(954) 791-3884Prov. No.: 0000004339514330 W Broward Blvd Ste MPlantation, FL 33317Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 581-5882Accepts New Patients: YHospital Affiliation: N/A*

MANZUR, KasimVadim Valdman(954) 476-0802Prov. No.: 0000124516958000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1063828218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANZUR, KasimBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124857208000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1063828218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)MARCOS, Juan C.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000102149808440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MARSHALL, KristineBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124219088000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1396897385License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

MARTIN, Sidney S.Superior Dental Plantation(954) 583-4447Prov. No.: 000011551337660 N State Road 7 Ste 12 �Plantation, FL 33317Gender: MaleNPI: 1346250941License: DN8913License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 583-8641Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, GustavoBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000124461228000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1831558964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)MATTHEWS, Irina V.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000120501548000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1891135331License: DN20142License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Plantation(954) 472-8707Prov. No.: 0000124735528440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MEHTA, Krishnakamal C.Vadim Valdman(954) 476-0802Prov. No.: 0000125509378000 W Broward Blvd Ste 1Plantation, FL 33388Language: SpanishGender: MaleNPI: 1275640963License: DN 10953License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)MENA, Raul R.Raul R Mena Dds(954) 474-4707Prov. No.: 000000025772201 N University Dr Ste 1Plantation, FL 33324Language: EnglishGender: Not ReportedNPI: 1225265697License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MERIKAS, AmandaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122177678000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

MIDDELHOF, AnnetteEnchanting Dentistry Pa(954) 336-8478Prov. No.: 0000003498408200 W Sunrise Blvd Ste APlantation, FL 33322Gender: FemaleNPI: 1295839645License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000117711398440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

185GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121182228440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MONTAG, Barry M.Barry Montag Dds(954) 475-8000Prov. No.: 000000020618294 S University DrPlantation, FL 33324Gender: MaleNPI: 1306840384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122445848440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122177688000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)NAGUIB, Michelle A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000012795978440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAJARIAN, Stephen C.Stephen C Najarian Dds(954) 452-0800Prov. No.: 000000142423815 S University Dr Ste 1Plantation, FL 33324Gender: MaleNPI: 1063533800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 653-3878Accepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000002531368440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)NEWMAN, Marcela P.John B Scott Dmd(954) 791-0330Prov. No.: 0000011247897420 NW 5th St Ste 101Plantation, FL 33317Language: EnglishGender: FemaleNPI: 1457453607License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Plantation(954) 472-8707Prov. No.: 0000121934858440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORRIS, Michelle L.Tory Lindh Dmd Pa(954) 581-0100Prov. No.: 0000124853697500 NW 5th St Ste 103 �Plantation, FL 33317Gender: FemaleNPI: 1598815904License: DN17557License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121738238440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)ORTIZ, Ana M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000011458728440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122321908000 W Broward Blvd Ste 1 �Plantation, FL 33388Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Plantation(954) 472-8707Prov. No.: 0000122415438440 W Broward BlvdPlantation, FL 33324Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

186 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)PALENZUELA, MaryannPlantation Dental AssociatesPc(954) 474-8977Prov. No.: 00000002159210080 NW 1st Ct �Plantation, FL 33324Language: EnglishGender: FemaleNPI: 1366498990License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-8946Accepts New Patients: YHospital Affiliation: N/A*

PANSURIYA, DharmendraBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000125607988000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1932645736License: DN22018License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120002428440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)PARRA, Ivan O.Ivan O Parra Dds(954) 316-4444Prov. No.: 0000020868806991 W Broward Blvd Ste 1Plantation, FL 33317Gender: MaleNPI: 1174629554License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 316-4433Accepts New Patients: YHospital Affiliation: N/A*

PEREZ DIAZ, ElizabethMillenium Dental(954) 327-2009Prov. No.: 000000043551820 S State Road 7 �Plantation, FL 33317Language: EnglishGender: FemaleNPI: 1336242296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ DIAZ, ElizabethElizabeth Perez-Diaz Dds(954) 327-2009Prov. No.: 000003918037820 S State Road 7 Ste 2Plantation, FL 33317Language: EnglishGender: FemaleNPI: 1336242296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)PEREZ-ALAMO, JenniferSage Dental of Plantation(954) 472-8707Prov. No.: 0000026186838440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000054834228440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PETRUK, MarielKevin C Siao Dmd Pa(954) 475-1212Prov. No.: 0000120904918142 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1518373018License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINERO-CORREA, Rosario M.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000125623078000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1013279769License: DN21700License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)PLANES, Alex A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121285388440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000123380298440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Plantation(954) 472-8707Prov. No.: 0000121917908440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

QADRI, SubuhiBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122032438000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1346612561License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

187GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)QUESADA, PedroBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000125085968000 W Broward Blvd Ste 1Plantation, FL 33388Language: SpanishGender: MaleNPI: 1164898177License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, FernandoBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121838268000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, RachelBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122095028000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1942683065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000020237578440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)RAND, Matthew K.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000050583238000 W Broward Blvd Ste 1 �Plantation, FL 33388Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000102149848440 W Broward BlvdPlantation, FL 33324Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121728198440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)REED, SamanthaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000125638458000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1104042456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REID, Sharone V.Sharone V Reid Dds(954) 583-1139Prov. No.: 0000000503384230 W Broward Blvd �Plantation, FL 33317Language: EnglishGender: FemaleNPI: 1265567044License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 583-1235Accepts New Patients: YHospital Affiliation: N/A*

REINHART, JoelBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121117398000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1033208392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)REZVANI, Caroline S.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121022148440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RIBEIRO, Alexandre L.Alexandre Ribeiro Dds(954) 476-0770Prov. No.: 000001298898817 S University Dr Ste 1Plantation, FL 33324Gender: MaleNPI: 1275785545License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121756288000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120667338440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

188 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)RIETTIE, Lana C.Dentacare Dental(954) 475-9455Prov. No.: 000000635110100 NW 82nd Ave Ste 203Plantation, FL 33324Gender: FemaleNPI: 1699804872License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 475-9931Accepts New Patients: YHospital Affiliation: N/A*

RING, Christian D.Kip Ring Dds(954) 581-7540Prov. No.: 0000000429647500 NW 5th St Ste 108 �Plantation, FL 33317Gender: MaleNPI: 1952443715License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 581-7559Accepts New Patients: YHospital Affiliation: N/A*

RING, Kip D.Kip Ring Dds(954) 581-7540Prov. No.: 0000003359527500 NW 5th St Ste 108 �Plantation, FL 33317Gender: MaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 581-7559Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000015491428440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)ROBINSON, Sharon O.The Dental Place Inc(954) 895-0258Prov. No.: 0000002847896738 W Sunrise Blvd Ste 1 �Plantation, FL 33313Gender: FemaleNPI: 1730255100License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122415448440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Esteban J.Sunrise Center For DentalSpecialties(954) 916-0947Prov. No.: 0000047060361776 N Pine Island Rd StePlantation, FL 33322Gender: MaleNPI: 1174647804License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 747-8475Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Esteban J.Plantation Dental Service(954) 474-0275Prov. No.: 000012048904314 S University DrPlantation, FL 33324Gender: MaleNPI: 1174647804License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-4239Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)RODRIGUEZ, Ramon A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000117737388440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Plantation(954) 472-8707Prov. No.: 0000125239388440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSENBERG, StevenSteven Rosenberg Dds(954) 791-7172Prov. No.: 0000001082747500 NW 5th St Ste 115Plantation, FL 33317Gender: Not ReportedNPI: 1083852032License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121018928440 W Broward BlvdPlantation, FL 33324Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)SABAN, JackJack Saban Pa(503) 777-0761Prov. No.: 000000018243150 N University Dr Ste 1 �Plantation, FL 33324Language: EnglishGender: Not ReportedNPI: 1477604312License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SAENZ, Manuel O.Sage Dental of PompanoBeach(954) 533-1191Prov. No.: 0000012153631127 S University DrPlantation, FL 33324Language: EnglishGender: MaleNPI: 1245310515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000012975448440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

189GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)SALOMON, DaniellaPhilip A Pine Dds(954) 791-0330Prov. No.: 0000034836907420 NW 5th StPlantation, FL 33317Gender: FemaleNPI: 1265602031License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.Broward Mall Dental Pa(954) 476-0802Prov. No.: 0000120982328000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Plantation(954) 472-8707Prov. No.: 0000121753148440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SANTANA, DavidSuperior Dental Plantation(954) 583-4447Prov. No.: 000012152004660 N State Road 7 Ste 12 �Plantation, FL 33317Language: English, SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 583-8641Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)SCHREIBER, Page L.Sage Dental of PompanoBeach(954) 533-1191Prov. No.: 0000012976781127 S University DrPlantation, FL 33324Gender: MaleNPI: 1023280807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SCHUETZ, Eric J.Darlene Hart(954) 641-0414Prov. No.: 0000121057886905 W Broward Blvd Ste 1Plantation, FL 33317Gender: MaleNPI: 1720277320License: DN14786License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 641-0418Accepts New Patients: YHospital Affiliation: N/A*

SCHWARTZ, Eli J.Marc Schwartz Dds(954) 583-1152Prov. No.: 000000373253301 NW 84th Ave Ste 300Plantation, FL 33324Gender: MaleNPI: 1770783102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 583-8977Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)SETHI, SangeetaSage Dental of PompanoBeach(954) 533-1191Prov. No.: 0000011478171127 S University DrPlantation, FL 33324Gender: FemaleNPI: 1194893917License: 44051License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHEHADEH, EyadEyad Shehadeh Dds Pa(954) 475-1717Prov. No.: 000000421178973 N Nob Hill Rd �Plantation, FL 33324Gender: MaleNPI: 1750496261License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHENKER, Keri A.Keri A Shenker Dds(954) 530-7308Prov. No.: 000000693291201 N University Dr Ste 1Plantation, FL 33324Gender: Not ReportedNPI: 1346242468License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)SHOFNOS, Charles I.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000007071738440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHROFF, Hitesh R.Drs Thaker and Shroff(954) 423-3969Prov. No.: 0000000192601854 N Nob Hill Rd �Plantation, FL 33322Gender: MaleNPI: 1154514917License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 423-9544Accepts New Patients: YHospital Affiliation: N/A*

SHUROVA, MarinaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121958608000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: FemaleNPI: 1265830590License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Plantation(954) 472-8707Prov. No.: 0000121185168440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

190 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)SIRAGE, Ahmed R.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121737698440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SKAFF, Emon A.Royal Dental Care Pa(954) 530-3967Prov. No.: 0000004468037500 NW 5th St Ste 110 �Plantation, FL 33317Gender: Not ReportedNPI: 1114137965License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 530-3968Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Larysa K.Sunrise Center For DentalSpecialties(954) 916-0947Prov. No.: 0000011363351776 N Pine Island Rd StePlantation, FL 33322Gender: FemaleNPI: 1710036819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 747-8475Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000007046748440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)SOLARTE, Yolanda P.Max Arocha Dmd Pa(954) 432-7771Prov. No.: 0000122438931125 S University DrPlantation, FL 33324Language: SpanishGender: FemaleNPI: 1063579548License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SPEARING, Rory J.Dental Specialty Center(954) 474-9660Prov. No.: 0000004307728320 W Sunrise Blvd Ste 1 �Plantation, FL 33322Gender: MaleNPI: 1891902771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121728188440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Plantation(954) 472-8707Prov. No.: 0000124543138440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)SUAREZ, ElisaPlantation Dental Service(954) 474-0275Prov. No.: 000000044582314 S University DrPlantation, FL 33324Language: EnglishGender: FemaleNPI: 1730269440License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 474-4239Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000124717018440 W Broward BlvdPlantation, FL 33324Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TAKEDA, MariPlantation Dental Assoc Pl(954) 474-8977Prov. No.: 00001251276410080 NW 1st Ct �Plantation, FL 33324Gender: FemaleNPI: 1790916849License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)TITHERINGTON, JessicaSage Dental of Plantation(954) 472-8707Prov. No.: 0000124475918440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000125478368440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000122445828440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120005768440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

191GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)TUBIO, AbigailSage Dental of Plantation(954) 472-8707Prov. No.: 0000124364238440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Plantation(954) 472-8707Prov. No.: 0000117742498440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

UZUNOVA-DIMOVA, KalinaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121725218000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1245540947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

VALDMAN, VadimBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000003131318000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1184860413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)VALDMAN, VadimVadim Valdman(954) 476-0802Prov. No.: 0000122613328000 W Broward Blvd Ste 1Plantation, FL 33388Gender: Not ReportedNPI: 1841492634License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALLEJO, Freddy A.Freddy A Vallejo Dds(954) 382-0110Prov. No.: 000000466817101 N Pine Island Rd �Plantation, FL 33324Gender: Not ReportedNPI: 1669443339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121306428440 W Broward BlvdPlantation, FL 33324Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000121461328440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)VAZANA, Todd A.Vazana Todd A(954) 472-8844Prov. No.: 0000122430077807 SW 6th CtPlantation, FL 33324Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VELOZ, Barbara Y.Veloz Dental Pa(954) 472-6555Prov. No.: 0000024503769633 W Broward Blvd Ste 1 �Plantation, FL 33324Gender: FemaleNPI: 1710116322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 472-6555Accepts New Patients: YHospital Affiliation: N/A*

VIGNA, Marino F.Marino Vigna(954) 584-9500Prov. No.: 0000000197425975 W Sunrise Blvd Ste 1 �Plantation, FL 33313Language: EnglishGender: Not ReportedNPI: 1609937812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 584-0794Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000021561858440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)WAHBA, DaliaBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121297668000 W Broward Blvd Ste 1Plantation, FL 33388Gender: FemaleNPI: 1619382611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, George L.George L Williams Dds(954) 473-1707Prov. No.: 0000012967467240 NW 5th St Ste 101Plantation, FL 33317Gender: Not ReportedNPI: 1134214976License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 791-0377Accepts New Patients: YHospital Affiliation: N/A*

WONG, JuanDentacare Dental(954) 475-9455Prov. No.: 000004587392100 NW 82nd Ave Ste 203Plantation, FL 33324Language: EnglishGender: Not ReportedNPI: 1770628042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 475-9931Accepts New Patients: YHospital Affiliation: N/A*

WOO, KyungBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121955308000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1710362546License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

192 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Plantation (Cont.)WYMANN, JamieJamie Wymann Dds(954) 382-0011Prov. No.: 0000040299538320 W Sunrise BlvdPlantation, FL 33322Gender: MaleNPI: 1255457750License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WYMANN, JamieJamie Wymann Dds(954) 473-4800Prov. No.: 0000106960329633 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1255457750License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 473-4809Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, Lisa B.Sunrise Center For DentalSpecialties(954) 916-0947Prov. No.: 0000120390021776 N Pine Island Rd StePlantation, FL 33322Gender: FemaleNPI: 1285717066License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 747-8475Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Plantation(954) 472-8707Prov. No.: 0000120480748440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)YU, Cynthia W.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000120193708440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZAND, MaximusBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000121768848000 W Broward Blvd Ste 1Plantation, FL 33388Gender: MaleNPI: 1235381815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

ZARIFFARD, EhsanBroward Mall Dental Pa(954) 476-0802Prov. No.: 0000122102508000 W Broward Blvd Ste 1 �Plantation, FL 33388Gender: MaleNPI: 1528458932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 476-0883Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Plantation(954) 472-8707Prov. No.: 0000124544898440 W Broward BlvdPlantation, FL 33324Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)ZEIG, Dana A.Michael J Friend Dmd Pa(954) 915-8080Prov. No.: 0000121647158962 Cleary Blvd �Plantation, FL 33324Language: English, HebrewGender: FemaleNPI: 1497131122License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZERULIK, Joseph A.Joseph A Zerulik Dds(954) 581-4110Prov. No.: 0000004125547500 NW 5th StPlantation, FL 33317Gender: MaleNPI: 1801890710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000003721288440 W Broward BlvdPlantation, FL 33324Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Plantation (Cont.)ZYLBERING, Jason M.Sage Dental of Plantation(954) 472-8707Prov. No.: 0000011941508440 W Broward BlvdPlantation, FL 33324Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

Pompano Beach

ACOSTA-ORTIZ, RodolfoSunshine Dental Care(954) 972-6066Prov. No.: 0000050593671711 Hammondville Rd �Pompano Beach, FL 33069Gender: Not ReportedNPI: 1689782435License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 935-3138Accepts New Patients: YHospital Affiliation: N/A*

ADELSON, Charles J.Pompano Beach Family Dental(954) 974-2140Prov. No.: 0000056075661239 S Powerline Rd �Pompano Beach, FL 33069Gender: MaleNPI: 1659423796License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 974-5204Accepts New Patients: YHospital Affiliation: N/A*

193GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)AHMADI, Ahmad K.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000008590781650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1538275292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ALDER, Ernest S.Broward County HealthDepartment(954) 213-0639Prov. No.: 000012500165601 W Atlantic Blvd �Pompano Beach, FL 33060Gender: MaleNPI: 1609910678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121602641650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)ALVAREZ, Jonathan A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120968361650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

AMEER, LisaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000004426661650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1669404299License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ASSEFF, AndreaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003457711650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: Not ReportedNPI: 1063558096License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)AVILES, Ana V.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000125504951650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000007136411650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003970511650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)BACKER, Adriana D.Southeastern Dental AssociatesIV Pa(954) 946-7980Prov. No.: 0000124263112707 E Atlantic Blvd �Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1336503689License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: YHospital Affiliation: N/A*

BAEK, Kyung-JaEduardo C Blanco Dds Pa(954) 946-6626Prov. No.: 00000003740850 NE 26th Ave Ste 403 �Pompano Beach, FL 33062Language: EnglishGender: FemaleNPI: 1558443580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAEZ, JoelRestorative and ImplantDentistry(954) 972-1000Prov. No.: 000012036447161 S Pompano PkwyPompano Beach, FL 33069Gender: MaleNPI: 1356775522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 972-1889Accepts New Patients: YHospital Affiliation: N/A*

194 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)BEHAR, MarkFederal Dental Center(954) 941-4070Prov. No.: 000000144935950 N Federal Hwy Ste 202 �Pompano Beach, FL 33062Gender: MaleNPI: 1144336322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122099971650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120627641650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)BLANCO, Eduardo C.Eduardo C Blanco Dds Pa(954) 946-6626Prov. No.: 00000003740750 NE 26th Ave Ste 403 �Pompano Beach, FL 33062Language: EnglishGender: Not ReportedNPI: 1629150651License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BOCCUZZI, Jaline M.Jaline Boccuzzi Dds Pa(954) 941-4310Prov. No.: 0000001421212122 NE 2nd StPompano Beach, FL 33062Gender: FemaleNPI: 1881777571License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 941-9552Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000040294471650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)BOYD, Brian W.Brian W Boyd Dds(954) 943-0866Prov. No.: 0000001278122000 N Federal Hwy Ste 20Pompano Beach, FL 33062Gender: Not ReportedNPI: 1134259633License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000008590661650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BRETON, Luis F.Cyrus R Pettis Dmd(954) 781-4670Prov. No.: 0000011209202747 E Atlantic Blvd �Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1538396791License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-4729Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)BROWN, Cynthia A.Dr Cynthia A Brown(954) 941-5706Prov. No.: 0000002907461800 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1316142706License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 941-5708Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122489651650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BUNASSAR, Jenevieve M.Grand Dentistry of New PortRichey(954) 974-2140Prov. No.: 0000124433441239 S Powerline RdPompano Beach, FL 33069Gender: FemaleNPI: 1982056867License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 974-5204Accepts New Patients: YHospital Affiliation: N/A*

195GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)CAMEJO, JoaquinSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124717021650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Elzebir M.Broward County HealthDepartment(954) 213-0639Prov. No.: 000005793387601 W Atlantic Blvd �Pompano Beach, FL 33060Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Elzebir M.Broward County HealthDepartment(954) 213-0638Prov. No.: 000005793388205 NW 6th Ave �Pompano Beach, FL 33060Language: English, SpanishGender: FemaleNPI: 1396810883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 467-4704Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)CASTILLO, Juan I.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121516671650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121529791650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

CIMAND, TamiSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000007066011650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: Not ReportedNPI: 1558571380License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)CLAXTON, John P.John P Claxton Dds(954) 782-2440Prov. No.: 0000000192331605 S Cypress RdPompano Beach, FL 33060Language: EnglishGender: Not ReportedNPI: 1144432097License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 781-2694Accepts New Patients: YHospital Affiliation: N/A*

CLINE, Jack A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003493891650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Jonathan H.Nicole M Berger Dds(954) 785-1100Prov. No.: 000003908819572 E Mcnab Rd Ste 102Pompano Beach, FL 33060Gender: MaleNPI: 1144387804License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 785-1101Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)COHEN, Michael A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124250461650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

COLLAZO, MildredCyrus R Pettis Dmd(954) 781-4670Prov. No.: 0000049400942747 E Atlantic Blvd �Pompano Beach, FL 33062Gender: FemaleNPI: 1134415763License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-4729Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121412591650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

196 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)CORONADO, EfrainSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003047551650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of PompanoBeach P.A.(954) 946-4867Prov. No.: 0000123111631650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1871538751License: DN20255License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000039162341650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)CRUZ, Antonio R.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000017716161650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

CUARTAS, Sandra P.Sunshine Dental(954) 972-6066Prov. No.: 0000123235141711 Hammondville RdPompano Beach, FL 33069Gender: FemaleNPI: 1003008418License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUNHA, Renata F.Blue Ocean Dental(954) 840-6619Prov. No.: 0000018226751990 N Federal Hwy Ste B �Pompano Beach, FL 33062Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)DADACIU, CorneliaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122430361650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000024525321650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000045899531650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)DE OLIVEIRA, Gisele R.Gisele De Oliveira(954) 532-6637Prov. No.: 000001660056950 N Federal Hwy Ste 202Pompano Beach, FL 33062Gender: FemaleNPI: 1962692996License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 532-6638Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120053981650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DESENZE, Philip S.Philip S Desenze Dds Pa(954) 785-3210Prov. No.: 000000110340540 E Mcnab Rd Ste E �Pompano Beach, FL 33060Gender: MaleNPI: 1134385651License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 943-9261Accepts New Patients: YHospital Affiliation: N/A*

197GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)DIAZ, JanySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124454091650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122430371650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124364241650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)DRAIZIN, Claudia A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000119946811650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121105481650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

DULCEY, Monica A.Dental Smile Therapy(954) 785-1102Prov. No.: 0000121974901901 N Federal Hwy Unit 2Pompano Beach, FL 33062Language: English,Portuguese, SpanishGender: FemaleNPI: 1003195694License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 785-1344Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)DURKAN, Marcia A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000017722511650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

EHLERS, Scott A.Pompano Beach Family Dental(954) 974-2140Prov. No.: 0000083600061239 S Powerline Rd �Pompano Beach, FL 33069Gender: MaleNPI: 1538500749License: DN20221License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 974-5204Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000006962551650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000115515761650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

FONTECILLA, SofiaSoutheastern Dental AssociatesIV Pa(954) 946-7980Prov. No.: 0000124256462707 E Atlantic Blvd �Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1962780882License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000004252731650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

198 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)FRANCOIS, Shana A.Beautiful Smiles FamilyDentistry(954) 942-4048Prov. No.: 0000124926622631 E Atlantic BlvdPompano Beach, FL 33062Gender: FemaleNPI: 1770876803License: DN21815License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000008590851650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000004133581650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)GHANDOUR, DimaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122000381650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121179881650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GIRALDO, AndreaSunshine Dental Care(954) 972-6066Prov. No.: 0000003206531711 Hammondville Rd �Pompano Beach, FL 33069Language: EnglishGender: Not ReportedNPI: 1467516286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 935-3138Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)GONZALES, AngelicaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121952421650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122046571650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000012161041650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)GUL, Yousaf A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120492851650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124364261650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120734701650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

199GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)HALL, Richard C.Richard C Hall Dds(954) 782-8980Prov. No.: 0000001333932707 E Atlantic BlvdPompano Beach, FL 33062Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120480751650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

HANOMAN, Payal G.Broward County HealthDepartment(954) 213-0639Prov. No.: 000005793652601 W Atlantic Blvd �Pompano Beach, FL 33060Gender: FemaleNPI: 1992004808License: DN19272License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)HANOMAN, Payal G.Broward County HealthDepartment(954) 213-0638Prov. No.: 000005793656205 NW 6th Ave �Pompano Beach, FL 33060Gender: FemaleNPI: 1992004808License: DN19272License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 467-4704Accepts New Patients: YHospital Affiliation: N/A*

HARDEN, JaclynSoutheastern Dental AssociatesIV Pa(954) 946-7980Prov. No.: 0000124462092707 E Atlantic Blvd �Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1619130572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124519001650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)HELMY, James M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003872391650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122175821650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

HIBBERT, Conrad V.Pompano Dental Clinic(954) 979-3515Prov. No.: 0000000190932716 W Atlantic Blvd �Pompano Beach, FL 33069Gender: MaleNPI: 1245448307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)HOFFMAN, Bruce E.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000013201781650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120989791650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

HUTCHISON, Manon B.Manon Hutchison(954) 942-4048Prov. No.: 0000004279242631 E Atlantic BlvdPompano Beach, FL 33062Gender: FemaleNPI: 1144370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 788-5264Accepts New Patients: YHospital Affiliation: N/A*

200 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)IRAVANI, Mina F.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000125101541650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120067281650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122510651650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: NHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)JOH, JuliaJulia Joh Dmd(954) 781-6780Prov. No.: 0000022286264301 N Federal Hwy Ste 5Pompano Beach, FL 33064Gender: FemaleNPI: 1669781654License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 781-6781Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000113317721650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

KELLNER, Alan S.Alan Kellner(954) 946-9120Prov. No.: 0000121663662701 NE 14th Street CswyPompano Beach, FL 33062Gender: MaleNPI: 1508984626License: DN14054License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-6446Accepts New Patients: YHospital Affiliation: N/A*

KIM, HyunaCyrus R Pettis Dmd(954) 781-4670Prov. No.: 0000123255242747 E Atlantic Blvd �Pompano Beach, FL 33062Gender: FemaleNPI: 1962798785License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-4729Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)KLEIN, Peter B.Philip A Pine Dds and Assoc(954) 782-1992Prov. No.: 0000101208691600 E Atlantic Blvd �Pompano Beach, FL 33060Gender: MaleNPI: 1023235603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOREN, NatalieNatalie Koren(954) 580-2200Prov. No.: 0000007309913112 N Federal HwyPompano Beach, FL 33064Gender: Not ReportedNPI: 1003824145License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122430391650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)KUO, Sun K.Wayne Kuo(954) 946-7980Prov. No.: 0000124986271800 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: Russian, SpanishGender: FemaleNPI: 1366456808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121007031650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

LANGSTON, Kenneth W.Doctor Kenneth Langston(954) 941-4410Prov. No.: 0000001178572000 N Federal Hwy Ste 30Pompano Beach, FL 33062Gender: Not ReportedNPI: 1306059258License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 876-0146Accepts New Patients: YHospital Affiliation: N/A*

201GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)LEIBOVICI, JacobUs-1 Dental Doctors Pa(954) 580-2200Prov. No.: 0000002120793112 N Federal HwyPompano Beach, FL 33064Language: EnglishGender: MaleNPI: 1386736767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124449621650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121766461650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)LONDONO, Jennifer D.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003047571650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124399291650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000115511331650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)MANCUSO, RichardSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122093991650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000102149551650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

MASSO, OrffaOrffa Masso(954) 785-1102Prov. No.: 0000004438981901 N Federal Hwy Unit 2Pompano Beach, FL 33062Gender: Not ReportedNPI: 1336344050License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 785-1344Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)MCINTOSH FALCON, KatiuskaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124735531650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000115520361650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Dental Smile Therapy(954) 785-1102Prov. No.: 0000124204311901 N Federal Hwy Unit 2Pompano Beach, FL 33062Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

202 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)MONCRIEFFE, Tiffany I.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121182231650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

MORALES, Alexis O.Alexis Morales(954) 532-6637Prov. No.: 000012264698950 N Federal Hwy Ste 202Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1336498476License: 19924License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 532-6638Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, AlejandroAlejandro Munoz(954) 781-6120Prov. No.: 0000124810742722 NE 1st St Ste 1Pompano Beach, FL 33062Gender: MaleNPI: 1568828127License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)MUNOZ, Numa F.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122430401650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000012795981650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000002531351650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)NEWTON, EmilySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121934861650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

NUDELBERG, Michael E.Michael E Nudelberg Dmd(954) 942-4836Prov. No.: 000000118073100 SW 6th StPompano Beach, FL 33060Gender: Not ReportedNPI: 1265481741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 943-9190Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121738241650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)ORTIZ, Ana M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000012149071650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122415671650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

OZGA, Gary F.Gary F Ozga Dds(954) 942-0420Prov. No.: 0000000963011296 S Federal HwyPompano Beach, FL 33062Gender: MaleNPI: 1508813312License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 942-1121Accepts New Patients: YHospital Affiliation: N/A*

203GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)PARE, Elizabeth A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120002491650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

PEARSON, Sharon G.Pompano Dental Clinic(954) 979-3515Prov. No.: 0000000190952716 W Atlantic Blvd �Pompano Beach, FL 33069Gender: FemaleNPI: 1518096866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000026186561650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)PERKINS, Lindsay B.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000054834251650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

PETTIS, Cyrus R.Cyrus Pettis(954) 782-4001Prov. No.: 000000112438200 N Flagler AvePompano Beach, FL 33060Gender: MaleNPI: 1508071192License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 782-8702Accepts New Patients: YHospital Affiliation: N/A*

PETTIS, Cyrus R.Cyrus R Pettis Dmd(954) 781-4670Prov. No.: A000000250872747 E Atlantic Blvd �Pompano Beach, FL 33062Gender: MaleNPI: 1508071192License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-4729Accepts New Patients: YHospital Affiliation: N/A*

PINE, PhilipPhilip Pine(954) 782-1992Prov. No.: 0000122594331600 E Atlantic Blvd StePompano Beach, FL 33060Gender: Not ReportedNPI: 1558563312License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)PINE, Philip A.Philip A Pine Dds and Assoc(954) 782-1992Prov. No.: 0000000190541600 E Atlantic Blvd �Pompano Beach, FL 33060Language: EnglishGender: MaleNPI: 1093737363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINNOCK, Alyssa H.Broward County HealthDepartment(954) 213-0639Prov. No.: 000006233119601 W Atlantic Blvd �Pompano Beach, FL 33060Gender: FemaleNPI: 1003987157License: DN17610License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINNOCK, Alyssa H.Broward County HealthDepartment(954) 213-0638Prov. No.: 000006233120205 NW 6th Ave �Pompano Beach, FL 33060Gender: FemaleNPI: 1003987157License: DN17610License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 467-4704Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)PLANES, Alex A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121285401650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000123380311650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

PORRARO, Richard J.Richard J Porraro Dds(954) 942-4836Prov. No.: 000000107330100 SW 6th StPompano Beach, FL 33060Gender: Not ReportedNPI: 1609835149License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 943-9190Accepts New Patients: YHospital Affiliation: N/A*

204 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)PRICE, DanaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121917911650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

QUESADA, Robert E.Robert E Quesada Dmd(954) 782-8980Prov. No.: 0000011491842707 E Atlantic Blvd �Pompano Beach, FL 33062Language: English, SpanishGender: MaleNPI: 1871629220License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000020237361650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)RAMIREZ, Patricia H.Patricia H Ramirez Dds(954) 781-4670Prov. No.: 0000011443202747 E Atlantic BlvdPompano Beach, FL 33062Gender: FemaleNPI: 1467764407License: DN19105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 237-4729Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121728331650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121021761650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)RIEGER, Eric R.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120667341650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003047601650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122415681650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)RODRIGUEZ, Narda S.Pompano Beach Family Dental(954) 974-2140Prov. No.: 0000065121101239 S Powerline Rd �Pompano Beach, FL 33069Gender: FemaleNPI: 1548570831License: DN20013License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 974-5204Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000117737421650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000125260561650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

205GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)ROSHKIND, David M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121018931650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ROTH, Thomas A.Grand Dentistry of New PortRichey(954) 974-2140Prov. No.: 0000000446871291 S Powerline Rd �Pompano Beach, FL 33069Language: EnglishGender: MaleNPI: 1902876550License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROTH, Thomas A.Grand Dentistry of New PortRichey(954) 974-2140Prov. No.: 0000120836951239 S Powerline RdPompano Beach, FL 33069Language: EnglishGender: MaleNPI: 1902876550License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 974-5204Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)SALAZAR, Cecilia I.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000012975481650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121753151650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, Rosa S.Affordable Dental Denter ofBroward County(954) 941-7048Prov. No.: 0000001845432323 NE 26th Ave Ste 111 �Pompano Beach, FL 33062Language: EnglishGender: FemaleNPI: 1134434228License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 976-8553Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)SARRIS, John G.Elite Smile Design(954) 781-6120Prov. No.: 0000015512632722 NE 1st St Ste 1 �Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1699824219License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 781-6320Accepts New Patients: YHospital Affiliation: N/A*

SHEIKH, Jason O.Jason Sheikh(954) 781-4323Prov. No.: 0000122676962747 E Atlantic BlvdPompano Beach, FL 33062Gender: Not ReportedNPI: 1588854053License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHER, Sydney J.Southeastern Dental AssociatesIV Pa(954) 946-7980Prov. No.: 0000124256472707 E Atlantic Blvd �Pompano Beach, FL 33062Gender: FemaleNPI: 1437575701License: DN20485License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)SHIN, EstherSoutheastern Dental AssociatesIV Pa(954) 946-7980Prov. No.: 0000124256482707 E Atlantic Blvd �Pompano Beach, FL 33062Language: English, KoreanGender: FemaleNPI: 1912240169License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000007068911650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121185171650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

206 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)SIRAGE, Ahmed R.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121741401650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

SLOOTSKY, AlanRestorative and ImplantDentistry(954) 972-1000Prov. No.: 000000134386161 S Pompano PkwyPompano Beach, FL 33069Language: EnglishGender: MaleNPI: 1477585628License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 972-1889Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000007046891650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)SPITZIG, Colleen H.Charles Hambrook Dds(954) 781-0545Prov. No.: 000001073217722 E Mcnab RdPompano Beach, FL 33060Gender: FemaleNPI: 1154637916License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 781-2442Accepts New Patients: YHospital Affiliation: N/A*

STADLER, Natalia A.Natalia Alvarado Dds(954) 941-5550Prov. No.: A000000197192323 NE 26th Ave Ste 110Pompano Beach, FL 33062Gender: FemaleNPI: 1942427869License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121635231650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)STRONG, ShaniceSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124543201650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, HenrySage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003276361650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1255522124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124717031650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)TITHERINGTON, JessicaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124475921650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000125286401650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000122334711650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

207GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)TRUONG, Xen T.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120005901650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124364271650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000117742611650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)VAN DUYNE, Tracy L.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121306431650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000121461331650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000021561711650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)VLAHOS, Haralambos B.Haralambos Vlahos(954) 941-2490Prov. No.: 0000002190982701 NE 14th Street CswyPompano Beach, FL 33062Gender: MaleNPI: 1619005337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WANG, AlexanderSoutheastern Dental AssociatesIV Pa(954) 946-7980Prov. No.: 0000003876232707 E Atlantic Blvd �Pompano Beach, FL 33062Gender: MaleNPI: 1609936277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 783-1206Accepts New Patients: NHospital Affiliation: N/A*

YOUNG, SummerSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120480761650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)YU, Cynthia W.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000120193711650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000124544901650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ZAWADAZKY, Javier M.Sunshine Dental Care(954) 972-6066Prov. No.: 0000012969671711 Hammondville Rd �Pompano Beach, FL 33069Language: EnglishGender: MaleNPI: 1245541507License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 935-3138Accepts New Patients: YHospital Affiliation: N/A*

208 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Pompano Beach (Cont.)ZIEGLER, Neal B.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000003651921650 N Federal Hwy Ste 10Pompano Beach, FL 33062Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental Group ofPompano Beach(954) 946-4867Prov. No.: 0000008590501650 N Federal Hwy Ste 10Pompano Beach, FL 33062Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 946-4698Accepts New Patients: YHospital Affiliation: N/A*

Sunrise

ARNEDO, JohannaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001256442712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1104213909License: DN21079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)ARON, Robert S.Navid Bamdad(954) 741-0346Prov. No.: 0000004481594300 N University Dr Ste �Sunrise, FL 33351Gender: MaleNPI: 1811160641License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-9833Accepts New Patients: YHospital Affiliation: N/A*

ASERIEL, HaimSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001209971512801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1538561337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

ATKINSON, William A.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001222881812801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1942360862License: 17412License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

ATTIE, AbelardoSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001246912012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1225481450License: DN22122License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)BAEZ HENRY, CarlianetteSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001223698712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1235594961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BAKER, Ronia M.Beautiful Smiles Sunrise(954) 581-7555Prov. No.: 0000003447434229 NW 88th Ave �Sunrise, FL 33351Language: EnglishGender: FemaleNPI: 1194813220License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAMDAD, NavidNavid Bamdad(954) 741-0346Prov. No.: 0000017687834300 N University Dr Ste �Sunrise, FL 33351Gender: Not ReportedNPI: 1437340890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-9833Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)BIRD, OlgaShalom Sunset Dental Care(954) 572-1801Prov. No.: 0000000184366491 Sunset Strip Ste 1Sunrise, FL 33313Language: EnglishGender: FemaleNPI: 1578732822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

BLUM, Mark D.Mark D Blum Dds(954) 748-5448Prov. No.: 0000000199317800 W Oakland Park BlvdSunrise, FL 33351Gender: MaleNPI: 1548274251License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 748-0552Accepts New Patients: YHospital Affiliation: N/A*

BLUTH, Jordan E.Jordan E Bluth Dds(954) 742-7995Prov. No.: 0000000181346260 W Oakland Park BlvdSunrise, FL 33313Gender: MaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

209GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)BOILLOT, KathyHoward Finnk Dds Pa(954) 742-4600Prov. No.: 00001203853610071 Sunset StripSunrise, FL 33322Language: English, SpanishGender: FemaleNPI: 1306064399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRADLEY, AlijahSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001231122012801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1003224148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CALIFF, Randall T.Randall T Califf Dds Pa(954) 851-9829Prov. No.: 00000002038712578 W Sunrise BlvdSunrise, FL 33323Language: EnglishGender: Not ReportedNPI: 1124244470License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 851-0622Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)CASTELLO POLO, Blanca M.Shalom Sunset Dental Care(954) 572-1801Prov. No.: 0000122538196491 Sunset Strip Ste 1Sunrise, FL 33313Language: English, SpanishGender: FemaleNPI: 1710380316License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHAIS, William M.William M Chais Dds(954) 749-7555Prov. No.: 0000066609664229 NW 88th AveSunrise, FL 33351Language: EnglishGender: MaleNPI: 1346347085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHERRY, Robert A.Robert A Cherry Dds Fagd Pa(954) 846-2222Prov. No.: 00000021273312683 W Sunrise Blvd �Sunrise, FL 33323Gender: Not ReportedNPI: 1548478423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 327-7450Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)COHEN, Freyda B.Gental Dentistry of Tamarac(954) 720-0701Prov. No.: 00000165672910151 W Commercial Blvd �Sunrise, FL 33351Gender: FemaleNPI: 1073775334License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-0780Accepts New Patients: YHospital Affiliation: N/A*

COHEN, RonNavid Bamdad(954) 741-0346Prov. No.: 0000035888054300 N University Dr Ste �Sunrise, FL 33351Gender: MaleNPI: 1538332143License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-9833Accepts New Patients: NHospital Affiliation: N/A*

DIAZ, JanySawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001243855912801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

DIFILIPPO, StevenWeston Family Dental(954) 385-9240Prov. No.: 0000001592541350 SW 160th Ave �Sunrise, FL 33326Gender: MaleNPI: 1982771762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)DIFILIPPO, StevenWelleby Family Dental(954) 748-7100Prov. No.: 00000046569810127 W Oakland Park Blvd �Sunrise, FL 33351Gender: MaleNPI: 1982771762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 748-8470Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001216253912801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001225935112801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DURVE, AparnaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001250833112801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1437521580License: DN21629License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

210 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)ESCOBAR, Carlos F.Randall T Califf Dds Pa(954) 851-9829Prov. No.: 00001200615312578 W Sunrise BlvdSunrise, FL 33323Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 851-0622Accepts New Patients: YHospital Affiliation: N/A*

FADAVI, Sayed M.Broward Family Dental CareInc(954) 742-7995Prov. No.: 0000004081226260 W Oakland Park Blvd �Sunrise, FL 33313Language: EnglishGender: MaleNPI: 1245247097License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-2857Accepts New Patients: YHospital Affiliation: N/A*

FERRO, Claudia M.West Sunrise Dentistry(954) 648-2414Prov. No.: 0000122270159310 W Commercial BlvdSunrise, FL 33351Language: EnglishGender: FemaleNPI: 1053477752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-0815Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)FORNOS, Jorge A.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001224788312801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1831594415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

FORNOS, Jorge A.Sawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001244937412801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1831594415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FROHLINGER, StanleyStanley Frohlinger Dds(954) 742-0136Prov. No.: 0000001555767800 W Oakland Park BlvdSunrise, FL 33351Language: EnglishGender: MaleNPI: 1093760076License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 749-9675Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)FUERST, PeterPeter Fuerst Dds(954) 741-0700Prov. No.: 0000000490542706 N University DrSunrise, FL 33322Language: EnglishGender: MaleNPI: 1700963527License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-4969Accepts New Patients: YHospital Affiliation: N/A*

FULLER, Ellis L.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001244804212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1366466286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Francisco J.Sawgrass Dental(954) 846-7000Prov. No.: 00000124989312651 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1609005941License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-0811Accepts New Patients: YHospital Affiliation: N/A*

GILSON, Seth A.Howard Finnk Dds Pa(954) 742-4600Prov. No.: 00000517926310071 Sunset StripSunrise, FL 33322Gender: MaleNPI: 1386916211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)GOLDEN, JoshuaWest Sunrise Dentistry(954) 648-2414Prov. No.: 0000125597479310 W Commercial BlvdSunrise, FL 33351Language: SpanishGender: MaleNPI: 1669898573License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, AlexanderSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001224831412801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1285031930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, AlexanderSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001225756212801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1285031930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOMBAR, AnnaWest Sunrise Dentistry(954) 648-2414Prov. No.: 0000122419039310 W Commercial BlvdSunrise, FL 33351Gender: FemaleNPI: 1467715706License: DS039114License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-0815Accepts New Patients: YHospital Affiliation: N/A*

211GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)GONZALEZ, KellySawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001213040412801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1952717027License: DN20710License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, MonicaWest Sunrise Dentistry(954) 648-2414Prov. No.: 0000124342429310 W Commercial BlvdSunrise, FL 33351Gender: FemaleNPI: 1699115741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-0815Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, ReydelReydel Gonzalez(954) 851-9829Prov. No.: 00000882227612578 W Sunrise BlvdSunrise, FL 33323Language: EnglishGender: MaleNPI: 1225385370License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, YanelaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001215772812801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1811378359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)GORDON, Christopher A.Dental Innovations(954) 742-5355Prov. No.: 0000001728334956 NW 88th Ave �Sunrise, FL 33351Gender: MaleNPI: 1073723490License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-7658Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Robert W.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001218285812801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1578582359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Robert W.Sawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001226859412801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1578582359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GORDON, St ChristopherDental Innovations(954) 742-5355Prov. No.: 0000020543484956 NW 88th Ave �Sunrise, FL 33351Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-7658Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)GREEN, George D.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001245764412801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1609094580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

GUILARTE, Rhona E.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00000470578012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1619956323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001245006712801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HART, DarleneSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001202221412801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)HERNANDEZ BONNET, Christina S.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001213025512801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ-BARCELO, OdalisNavid Bamdad(954) 741-0346Prov. No.: 0000093959864300 N University Dr Ste �Sunrise, FL 33351Gender: Not ReportedNPI: 1295943694License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-9833Accepts New Patients: YHospital Affiliation: N/A*

HILALI, ManalGental Dentistry of Tamarac(954) 720-0701Prov. No.: 00000043443110151 W Commercial Blvd �Sunrise, FL 33351Gender: Not ReportedNPI: 1770775884License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-0780Accepts New Patients: YHospital Affiliation: N/A*

HORESH-WEISSER, EttieSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001231471712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: Not ReportedLicense: DN21340License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

212 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)IZQUIERDO, Claudia E.Pediatric Dental Service(954) 572-1500Prov. No.: 0000003187636775 Sunset Strip �Sunrise, FL 33313Gender: FemaleNPI: 1720123482License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 572-8501Accepts New Patients: YHospital Affiliation: N/A*

JENKINS, MartinSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001217572112801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1740514413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

JIVAN, MiteshHoward Finnk Dds Pa(954) 742-4600Prov. No.: 00000108255010071 Sunset StripSunrise, FL 33322Gender: Not ReportedNPI: 1154559334License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenWelleby Dental Associates PaDelman Mark(954) 748-7100Prov. No.: 00001220286110127 W Oakland Park BlvdSunrise, FL 33351Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 748-8470Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)KALAI, RonenSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001226501812801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1992111223License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001242524912801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

KOHN, HeatherHeather Kohn(954) 871-4474Prov. No.: 0000122643437800 W Oakland Park BlvdSunrise, FL 33351Gender: FemaleNPI: 1730592429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOHN, HeatherSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001246852012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1730592429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)KOPYNETS, ViktorSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001226481512801 W Sunrise Blvd SteSunrise, FL 33323Gender: Not ReportedNPI: 1154736890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOPYNETS, Viktor V.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001206311312801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1932517042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

KRASNOV, RostislavSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00000182036412801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1942267935License: 27827License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

KUNSTMANN, Vivian R.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001214971712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1104995539License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)KUSNICK, Steven J.Steven J Kusnick Dds Pa(954) 741-0707Prov. No.: 0000001112123531 NW 88th Ave �Sunrise, FL 33351Gender: MaleNPI: 1811056823License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-4611Accepts New Patients: YHospital Affiliation: N/A*

LAGO-SANCHEZ, IdelbisSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001242458412801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1003248824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

LARGEN, John F.John F Largen Dds(954) 846-9040Prov. No.: 00000001966812651 W Sunrise Blvd SteSunrise, FL 33323Gender: Not ReportedNPI: 1801217310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-1363Accepts New Patients: YHospital Affiliation: N/A*

LEONARD, Thomas P.Robert A Cherry Dds Fagd Pa(954) 846-2222Prov. No.: 00000128251312683 W Sunrise Blvd �Sunrise, FL 33323Gender: MaleNPI: 1831468735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 327-7450Accepts New Patients: YHospital Affiliation: N/A*

213GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)LICINA, ZeljkaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001200421612801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1013263292License: DN20101License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

LIPTON, Barry E.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001256410812801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1689676918License: DN12523License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Grace P.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001212632012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1407101462License: DN19810License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

MANZUR, KasimSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001246260212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1063828218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)MARSHALL, KristineSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001242194212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1396897385License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, GustavoSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001244590712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1831558964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

MASSRI, AbirGental Dentistry of Tamarac(954) 720-0701Prov. No.: 00000165750010151 W Commercial Blvd �Sunrise, FL 33351Language: EnglishGender: FemaleNPI: 1750579686License: DN17850License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-0780Accepts New Patients: YHospital Affiliation: N/A*

MATTHEWS, Irina V.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001205052612801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1891135331License: DN20142License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)MAXWELL, Michael G.Michael Maxwell Dmd(954) 845-2488Prov. No.: 00000014511913091 W Sunrise BlvdSunrise, FL 33323Gender: MaleNPI: 1477603389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 845-2991Accepts New Patients: YHospital Affiliation: N/A*

MCCANN, Katie L.West Sunrise Dentistry(954) 648-2414Prov. No.: 0000122176659310 W Commercial BlvdSunrise, FL 33351Gender: FemaleNPI: 1447571245License: DN014713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-0815Accepts New Patients: YHospital Affiliation: N/A*

MEHLER, Eric R.Eric Mehler(954) 741-5006Prov. No.: 0000000179547800 W Oakland Park BlvdSunrise, FL 33351Gender: MaleNPI: 1912090309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 572-6669Accepts New Patients: YHospital Affiliation: N/A*

MENENDEZ, NancyNancy Menendez(954) 900-1037Prov. No.: 0000125325488278 Sunset StripSunrise, FL 33322Gender: Not ReportedNPI: 1467707927License: DN20816License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)MERIKAS, AmandaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001220301712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

MERIKAS, AmandaSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001226123612801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001220800012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

NARBONE, Lina F.A Dental Art(954) 578-8815Prov. No.: 0000006320668903 W Oakland Park Blvd �Sunrise, FL 33351Gender: FemaleNPI: 1831336775License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

214 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)NGUYEN, James D.Pediatric Dental Service(954) 572-1500Prov. No.: 0000004098396775 Sunset Strip �Sunrise, FL 33313Gender: MaleNPI: 1174783278License: Not ReportedLicense Type: Not ReportedBoard Certified: NoEmail: Not ReportedFax: (954) 572-8501Accepts New Patients: YHospital Affiliation: N/A*

ONGLEY, Bettie Linda L.Jacavanda Sq Dentistry(954) 473-9161Prov. No.: 0000000190841945 N Pine Island Rd �Sunrise, FL 33322Language: EnglishGender: FemaleNPI: 1306868351License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORPHANOS, Nancy D.Sunrise Dental Services(954) 572-1500Prov. No.: 0000003131176775 Sunset StripSunrise, FL 33313Gender: FemaleNPI: 1497893028License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORPHANOS, Nancy D.Nancy D Orphanos Dds(954) 572-1500Prov. No.: 0000099380956765 Sunset StripSunrise, FL 33313Gender: FemaleNPI: 1497893028License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)OSPINA, CarolinaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001223193612801 W Sunrise Blvd Ste �Sunrise, FL 33323Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001243755312801 W Sunrise Blvd SteSunrise, FL 33323Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PANAHI, HarryGental Dentistry of Tamarac(954) 720-0701Prov. No.: 00001155037410151 W Commercial Blvd �Sunrise, FL 33351Gender: MaleNPI: 1932300688License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-0780Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)PANSURIYA, DharmendraSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001256119012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1932645736License: DN22018License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PASCHAL, Ashley M.Ashley M Paschal DmdProv. No.: 00001246253012683 W Sunrise Blvd �Sunrise, FL 33323Gender: FemaleNPI: 1306126396License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ, David R.David R Perez Dds(954) 741-0710Prov. No.: 00000013923810108 W Oakland Park BlvdSunrise, FL 33351Gender: FemaleNPI: 1942427323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ RODRIGUEZ, NellyWest Sunrise DentistryProv. No.: 0000124909139310 W Commercial Blvd �Sunrise, FL 33351Gender: FemaleNPI: 1063709533License: DN21780License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)PHAM, Minh B.West Sunrise Dentistry(954) 648-2414Prov. No.: 0000122176679310 W Commercial BlvdSunrise, FL 33351Gender: Not ReportedNPI: 1922193754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-0815Accepts New Patients: YHospital Affiliation: N/A*

PIEDRA, Alejandro J.William T Zenga DmdProv. No.: 0000124892162500 N University Dr �Ste 9Sunrise, FL 33322Gender: MaleNPI: 1639550056License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINERO-CORREA, Rosario M.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001256284312801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1013279769License: DN21700License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

215GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)PINTO, Yenile Y.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00000511963512801 W Sunrise Blvd Ste �Sunrise, FL 33323Language: English, Russian,SpanishGender: FemaleNPI: 1558633115License: DN19596License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

PINTO, Yenile Y.Sawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001248649112801 W Sunrise Blvd SteSunrise, FL 33323Language: Russian, SpanishGender: FemaleNPI: 1558633115License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINTO, Yenile Y.Sawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001251882512801 W Sunrise Blvd SteSunrise, FL 33323Language: Russian, SpanishGender: FemaleNPI: 1558633115License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)PRENDIVILLE, Mary T.Celia Figueroa(954) 846-7171Prov. No.: 00001233238412801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1992086771License: 9625License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, EvelynGental Dentistry of Tamarac(954) 720-0701Prov. No.: 00001216587910151 W Commercial Blvd �Sunrise, FL 33351Gender: FemaleNPI: 1598146755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-0780Accepts New Patients: YHospital Affiliation: N/A*

QADRI, SubuhiSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001220329412801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1346612561License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

QUESADA, PedroSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001250871212801 W Sunrise Blvd Ste �Sunrise, FL 33323Language: SpanishGender: MaleNPI: 1164898177License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)QUEVEDO, FernandoSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001218438012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, FernandoSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001226214012801 W Sunrise Blvd SteSunrise, FL 33323Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, RachelSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001220943712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1942683065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, RachelSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001226230412801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1942683065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)RAND, Matthew K.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00000505832112801 W Sunrise Blvd Ste �Sunrise, FL 33323Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

RAPPACCIOLI, CotyCoty Rappaccioli Dmd(954) 251-4849Prov. No.: 00000494031213713 W Sunrise BlvdSunrise, FL 33323Gender: MaleNPI: 1649473588License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAPPACCIOLI, CotyCoty Rappaccioli(954) 251-4849Prov. No.: 00001251486413713 W Sunrise BlvdSte 205Sunrise, FL 33323Gender: MaleNPI: 1649473588License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

216 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)REED, SamanthaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001256371812801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1104042456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REINHART, JoelSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001211161212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1033208392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

REISS, RichardRichard Reiss Dds(954) 389-9600Prov. No.: 00000002239515810 W State Road 84 �Sunrise, FL 33326Gender: MaleNPI: 1740229574License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 389-6928Accepts New Patients: NHospital Affiliation: N/A*

RIBOT, AlianaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001217563212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)RIZVI, Saba M.Affordable Dental Center Of(954) 578-6869Prov. No.: 0000002689188278 Sunset Strip �Sunrise, FL 33322Gender: FemaleNPI: 1174703300License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Nohora I.Rodmo Dental Llc(954) 581-7555Prov. No.: 0000018198054229 NW 88th Ave �Sunrise, FL 33351Language: English, SpanishGender: FemaleNPI: 1497984355License: DN18791License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 749-7557Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Nohora I.Randall T Califf Dds Pa(954) 851-9829Prov. No.: 00000464795712578 W Sunrise BlvdSunrise, FL 33323Language: English, SpanishGender: FemaleNPI: 1497984355License: DN18791License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 851-0622Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)ROSENTHAL, Allen H.Allen Rosenthal(954) 742-2577Prov. No.: 0000001449523836 N University DrSunrise, FL 33351Gender: MaleNPI: 1811009541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-2884Accepts New Patients: YHospital Affiliation: N/A*

RYAN PETERKIN, KathrynSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001217561212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1386939387License: DN19375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

SALDARRIAGA, LisaRobert A Cherry Dds Fagd Pa(954) 846-2222Prov. No.: 00001201836312683 W Sunrise Blvd �Sunrise, FL 33323Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 327-7450Accepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.Sawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001203812912801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)SEKERCIOGLU, Timur A.Sawgrass Dental(954) 846-7000Prov. No.: 00000117246612651 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1043480064License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-0811Accepts New Patients: YHospital Affiliation: N/A*

SEVEL, Dennis S.Weston Family Dental(954) 385-9240Prov. No.: 0000003498791350 SW 160th Ave �Sunrise, FL 33326Language: EnglishGender: MaleNPI: 1568665966License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHUROVA, MarinaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001219582212801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1265830590License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

SPIVAK, IrenaSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001233636412801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1932576113License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

217GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)STEIN, IlyaIlya Stein(954) 900-2059Prov. No.: 00001212631410108 W Oakland Park BlvdSunrise, FL 33351Gender: MaleNPI: 1235260407License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 440-2995Accepts New Patients: YHospital Affiliation: N/A*

STERN, Shmuel Z.Robert A Cherry Dds Fagd Pa(954) 846-2222Prov. No.: 00001208520112683 W Sunrise Blvd �Sunrise, FL 33323Gender: MaleNPI: 1821151812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 327-7450Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001248291812801 W Sunrise Blvd SteSunrise, FL 33323Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)TRIFUNOVIC, LadiliaLadilia Trifunovic Dmd Pllc(954) 749-2600Prov. No.: 0000062331427800 W Oakland Park BlvdSunrise, FL 33351Gender: FemaleNPI: 1184875544License: DN18492License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (954) 749-1855Accepts New Patients: YHospital Affiliation: N/A*

UZUNOVA-DIMOVA, KalinaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001215088612801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1245540947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

UZUNOVA-DIMOVA, KalinaSawgrass Mills Mall Dental Fl(954) 846-7171Prov. No.: 00001231409012801 W Sunrise Blvd SteSunrise, FL 33323Gender: FemaleNPI: 1245540947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALDMAN, VadimSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00000040820312801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1184860413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)VALDMAN, VadimSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001226847012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: Not ReportedNPI: 1841492634License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

VINUELA, LarryRandall T Califf Dds Pa(954) 851-9829Prov. No.: 00001201000112578 W Sunrise BlvdSunrise, FL 33323Language: English, SpanishGender: MaleNPI: 1356515035License: DN19253License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 851-0622Accepts New Patients: YHospital Affiliation: N/A*

WAHBA, DaliaSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001212992012801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: FemaleNPI: 1619382611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Sunrise (Cont.)WOHLSTEIN, DianaSawgrass Dental(954) 846-7000Prov. No.: 00000027685812651 W Sunrise Blvd Ste �Sunrise, FL 33323Language: EnglishGender: FemaleNPI: 1659573137License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-0811Accepts New Patients: YHospital Affiliation: N/A*

WOHLSTEIN, DianeSawgrass Dental(954) 846-7000Prov. No.: 00000205499012651 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-0811Accepts New Patients: YHospital Affiliation: N/A*

WOO, KyungSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001219551512801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1710362546License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

ZAND, MaximusSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001217688112801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1235381815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

218 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Sunrise (Cont.)ZARIFFARD, EhsanSawgrass Mills Mall Dental(954) 846-7171Prov. No.: 00001225083712801 W Sunrise Blvd Ste �Sunrise, FL 33323Gender: MaleNPI: 1528458932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 846-7170Accepts New Patients: YHospital Affiliation: N/A*

ZENGA, William T.William T Zenga Dmd(954) 741-8580Prov. No.: 0000000395782500 N University Dr SteSunrise, FL 33322Gender: Not ReportedNPI: 1780655241License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 741-8585Accepts New Patients: YHospital Affiliation: N/A*

Tamarac

ACKERMAN, Howard J.Howard J Ackerman Dds Pa(954) 722-4030Prov. No.: 0000001915498333 W Mcnab Rd Ste 119 �Tamarac, FL 33321Gender: Not ReportedNPI: 1841522760License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-4031Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)ADELSON, Charles J.Dr Thomas O’Neil(954) 720-9570Prov. No.: 0000019569367707 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1659423796License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996045779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122001195779 N University DrTamarac, FL 33321Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)AVILES, Ana V.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000125505025779 N University DrTamarac, FL 33321Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996035779 N University DrTamarac, FL 33321Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122458395779 N University DrTamarac, FL 33321Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)BERQUIST, Michael R.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996195779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BLARDONIS, ArmandoFamily & Cosmetic Dentistry(954) 720-2444Prov. No.: 0000002440895863 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1164745790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 597-1837Accepts New Patients: YHospital Affiliation: N/A*

BLIMBAUM, Joshua L.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125061177401 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1912379926License: DN21484License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

219GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)BOCKIAN, Joshua A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996185779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BOILLOT, KathyTamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000120502417351 W Oakland Park BlvdTamarac, FL 33319Language: English, SpanishGender: FemaleNPI: 1306064399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996175779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)BROWNE, AndrewSteven D Heinicke Dmd(954) 720-9570Prov. No.: 0000020858117707 N University Dr SteTamarac, FL 33321Gender: Not ReportedNPI: 1851679914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122489475779 N University DrTamarac, FL 33321Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BUSSELL, Alan J.Alan J Bussell Dds(954) 721-2330Prov. No.: 0000001211486269 N University Dr �Tamarac, FL 33321Gender: MaleNPI: 1487710612License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 721-0075Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Tamarac(954) 580-4848Prov. No.: 0000124716585779 N University DrTamarac, FL 33321Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)CASTELLO POLO, Blanca M.Blanca M Castello Polo Pa(954) 670-1170Prov. No.: 0000123296007800 N University Dr SteTamarac, FL 33321Language: English, SpanishGender: FemaleNPI: 1710380316License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 670-1171Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Carlos I.Carlos I Castillo Dds(954) 720-2444Prov. No.: 0000000455675863 N University DrTamarac, FL 33321Language: EnglishGender: Not ReportedNPI: 1922095884License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996155779 N University DrTamarac, FL 33321Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)COHEN, Michael A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124250775779 N University DrTamarac, FL 33321Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462335779 N University DrTamarac, FL 33321Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996125779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

220 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)CORREIA, Philip J.Woodmont Family Dentistry(954) 720-9570Prov. No.: 0000120837477707 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-5666Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122514055779 N University DrTamarac, FL 33321Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COUTRAS, ElevteriaTlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000121282636702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1689798431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996115779 N University DrTamarac, FL 33321Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)CRISCUOLO, StephenMohamed Sirage(954) 203-0120Prov. No.: 0000125537608311 NW 88th AveTamarac, FL 33321Gender: MaleNPI: 1053792168License: DN21814License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996105779 N University DrTamarac, FL 33321Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CUNHA, Renata F.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000122531516702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122514045779 N University DrTamarac, FL 33321Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)DANESHPAJOUH, SaraSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996095779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996085779 N University DrTamarac, FL 33321Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAVIS, Dillon A.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125055997401 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1891147914License: DN22113License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)DE PENA, LauraTamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000122670807351 W Oakland Park BlvdTamarac, FL 33319Language: English, SpanishGender: FemaleNPI: 1710328141License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462565779 N University DrTamarac, FL 33321Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DELEON, Ennio A.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000121263566702 N University DrTamarac, FL 33321Gender: MaleNPI: 1073834206License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

221GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)DEVACK, Justin101(954) 733-3188Prov. No.: 0000121299534600 W Commercial Blvd StTamarac, FL 33319Gender: Not ReportedNPI: 1346411428License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEVACK, Stephen L.101(954) 733-3188Prov. No.: 0000001464144600 W Commercial Blvd StTamarac, FL 33319Gender: Not ReportedNPI: 1669587952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

DIAZ, JanySage Dental of Tamarac(954) 580-4848Prov. No.: 0000124454135779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124363915779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)DRAIZIN, Claudia A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462555779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122458685779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DULAY, RajvinderBroward Dental Associates Inc(954) 722-9020Prov. No.: 0000002047468333 W Mcnab Rd Ste 126 �Tamarac, FL 33321Gender: FemaleNPI: 1841381233License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

EBERHARDT, Kelli E.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125054317401 N University Dr SteTamarac, FL 33321Gender: FemaleNPI: 1033561535License: DN22050License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)ENGELSBERG, David J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122475305779 N University DrTamarac, FL 33321Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ERNST, Irwin M.I Marvin Ernst Dds Pa(954) 722-0360Prov. No.: 0000001310357150 N Nob Hill RdTamarac, FL 33321Gender: Not ReportedNPI: 1952673782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-1305Accepts New Patients: YHospital Affiliation: N/A*

FARROKHI, AliTamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000122622247351 W Oakland Park BlvdTamarac, FL 33319Language: EnglishGender: MaleNPI: 1568745610License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)FERGUSON, Caitlin B.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000121039076702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1912331356License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996665779 N University DrTamarac, FL 33321Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FISH, Robert J.Robert J Fish Dds(954) 720-7700Prov. No.: 0000000184857737 N University Dr Ste �Tamarac, FL 33321Language: EnglishGender: Not ReportedNPI: 1649490905License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

222 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)FOX, Jeffrey M.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996655779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996645779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996635779 N University DrTamarac, FL 33321Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)GARTNER, Judith L.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000070407316702 N University Dr �Tamarac, FL 33321Language: EnglishGender: FemaleNPI: 1477668671License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122000505779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121996005779 N University DrTamarac, FL 33321Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GOLDENBERG, SandyTlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000122048316702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)GONZALES, AngelicaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122458405779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Christopher A.Tamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000120503607351 W Oakland Park BlvdTamarac, FL 33319Gender: MaleNPI: 1073723490License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

GORDON, St ChristopherTamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000125548517351 W Oakland Park BlvdTamarac, FL 33319Gender: Not ReportedNPI: 1356539449License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)GREEN, BeverlySage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462395779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995975779 N University DrTamarac, FL 33321Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995965779 N University DrTamarac, FL 33321Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124363935779 N University DrTamarac, FL 33321Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

223GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)GUTHRIE, KellyTlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000121752436702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Tamarac(954) 580-4848Prov. No.: 0000121921385779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HAMILTON, Todd A.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000125616646702 N University DrTamarac, FL 33321Gender: MaleNPI: 1093075681License: DN19617License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HARRIS-RODRIGUEZ, Dina R.Dina Harris-Rodriguez DmdPa(954) 722-9339Prov. No.: 0000011324417797 N University Dr Ste �Tamarac, FL 33321Gender: FemaleNPI: 1700173614License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-7399Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)HAYATE, JessicaTamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000121297477351 W Oakland Park BlvdTamarac, FL 33319Language: English, SpanishGender: FemaleNPI: 1700210630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124520185779 N University DrTamarac, FL 33321Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HEINICKE, Steven D.Steven D Heinicke Dmd(954) 720-9570Prov. No.: 0000004552567707 N University Dr SteTamarac, FL 33321Language: EnglishGender: Not ReportedNPI: 1306978721License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)HELFANT, JaredMilagros O Mendoza Dds(954) 742-5055Prov. No.: 0000012443007351 W Oakland Park BlvdTamarac, FL 33319Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HELFANT, JaredTlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000121268566702 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1770887077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

HERMAN, Joseph L.The Dental Place of TamaracInc(954) 722-0100Prov. No.: 0000122042977300 W Mcnab Rd Ste 115Tamarac, FL 33321Language: EnglishGender: MaleNPI: 1205015070License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-1237Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)HERMANNSSON, Steingrimur N.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122179635779 N University DrTamarac, FL 33321Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000125101945779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122510865779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

JACOBSOHN, Henry D.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000124259406702 N University DrTamarac, FL 33321Gender: Not ReportedNPI: 1295855211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

224 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)JUMA, ZaileenSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995915779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KANER, Keith H.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000069650886702 N University Dr �Tamarac, FL 33321Language: EnglishGender: MaleNPI: 1336204981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranTamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000120615507351 W Oakland Park BlvdTamarac, FL 33319Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)KLAREICH, Scott H.Scott H Klareich Dds(954) 720-0006Prov. No.: 0000001283008197 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1023133121License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 720-1502Accepts New Patients: NHospital Affiliation: N/A*

KLEIN, Peter B.Milagros O Mendoza Dds(954) 742-5055Prov. No.: 0000026179897351 W Oakland Park BlvdTamarac, FL 33319Gender: MaleNPI: 1023235603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124449475779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122111885779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)LONDONO, Jennifer D.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987085779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Laura E.Laura Londono(954) 670-1170Prov. No.: 0000124490177800 N University DrTamarac, FL 33321Language: English, SpanishGender: FemaleNPI: 1679982839License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124399215779 N University DrTamarac, FL 33321Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LOZADA, Katherine G.Woodmont Family Dentistry(954) 720-9570Prov. No.: 0000119961267707 N University Dr SteTamarac, FL 33321Gender: FemaleNPI: 1568801306License: DN20137License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-5666Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)MA, RobertSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121986965779 N University DrTamarac, FL 33321Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MAHDAVIEH, Sadaf N.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125055157401 N University Dr SteTamarac, FL 33321Gender: FemaleNPI: 1881047413License: DN22131License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122094185779 N University DrTamarac, FL 33321Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANDEL, Jonathan O.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000122539726702 N University DrTamarac, FL 33321Gender: MaleNPI: 1689088148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

225GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)MCINTOSH FALCON, KatiuskaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000124735505779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCKENZIE-LEWIS, Andrea A.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000124157676702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1972910537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

MILLER, Mitchell H.Tamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000122103617351 W Oakland Park BlvdTamarac, FL 33319Gender: MaleNPI: 1336554864License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995745779 N University DrTamarac, FL 33321Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)MONCRIEFFE, Tiffany I.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987045779 N University DrTamarac, FL 33321Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MOSKOWITZ, HarveyHarvey Moskowitz Dmd(954) 726-3200Prov. No.: 0000010549826209 W Commercial Blvd StTamarac, FL 33319Gender: MaleNPI: 1780704569License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 726-0372Accepts New Patients: YHospital Affiliation: N/A*

MOUALLEM, Alfred R.Alfred R Mouallem Dmd(954) 722-2950Prov. No.: 0000000334936610 N University Dr SteTamarac, FL 33321Gender: Not ReportedNPI: 1710088067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)NAGUIB, Michelle A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987185779 N University DrTamarac, FL 33321Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Tamarac(954) 580-4848Prov. No.: 0000121931835779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987125779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122458385779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)OSPINA, CarolinaTamarac Dental Associates Pa(954) 742-5055Prov. No.: 0000121331837351 W Oakland Park Blvd �Tamarac, FL 33319Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122416095779 N University DrTamarac, FL 33321Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaCarolina Ospina(954) 742-5055Prov. No.: 0000122679687351 W Oakland Park BlvdTamarac, FL 33319Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

226 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)PARE, Elizabeth A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995735779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PATEL, Jitendra L.Jitendra L Patel Dds(954) 733-9832Prov. No.: 0000000410524651 NW 31st Ave �Tamarac, FL 33309Language: EnglishGender: MaleNPI: 1417091521License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 733-6262Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987095779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)PIKE, Darren R.Dina Harris-Rodriguez DmdPa(954) 722-9339Prov. No.: 0000032756597797 N University Dr Ste �Tamarac, FL 33321Gender: MaleNPI: 1588831069License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 722-7399Accepts New Patients: YHospital Affiliation: N/A*

PINE, Philip A.Philip A Pine Dds(954) 742-5055Prov. No.: 0000039180537351 W Oakland Park BlvdTamarac, FL 33319Language: EnglishGender: MaleNPI: 1093737363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462465779 N University DrTamarac, FL 33321Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)POPPER, Drew C.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000123380305779 N University DrTamarac, FL 33321Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121917945779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122471425779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995715779 N University DrTamarac, FL 33321Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)RAMEAU, RejaneMetric Dental Llc(954) 677-3202Prov. No.: 0000121317354267 W Commercial BlvdTamarac, FL 33319Language: English, Other(Non-English)Gender: FemaleNPI: 1659541175License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987165779 N University DrTamarac, FL 33321Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000122516216702 N University DrTamarac, FL 33321Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

227GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)RAPPAPORT, David B.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995775779 N University DrTamarac, FL 33321Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

REDELIUS, FrankWoodmont Family Dentistry(954) 720-9570Prov. No.: 0000121651457707 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1548645641License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-5666Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462485779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995755779 N University DrTamarac, FL 33321Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)RING, Stephen G.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121986995779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RIOS KU HOP, Milagritos C.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000122531526702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122416105779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Tamarac(954) 580-4848Prov. No.: 0000125239325779 N University DrTamarac, FL 33321Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)ROSHKIND, David M.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995785779 N University DrTamarac, FL 33321Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROSTOCK, Jennifer L.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000125305896702 N University DrTamarac, FL 33321Gender: FemaleNPI: 1871704742License: DN16579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RUSSELL, Jean E.Woodmont Family Dentistry(954) 720-9570Prov. No.: 0000121455317707 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1932594041License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-5666Accepts New Patients: YHospital Affiliation: N/A*

SAN JORGE, AlejandroTamarac Family Dental Pa(954) 742-5055Prov. No.: 0000124591267351 W Oakland Park BlvdTamarac, FL 33319Language: EnglishGender: MaleNPI: 1518234780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5341Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)SANCHES, MelanieSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987175779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SAWISCH, Todd J.Garvar & Stewart(954) 721-7990Prov. No.: 0000121090757401 N University Dr SteTamarac, FL 33321Language: English, SpanishGender: MaleNPI: 1437196847License: DN15237License Type: DBP DentistBoard Certified: YesEmail: billing@drsawisch. comFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SCALERCIO, John J.South Florida Dental Centers(954) 722-7711Prov. No.: 0000003977886702 N University DrTamarac, FL 33321Gender: MaleNPI: 1942378252License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

SCHWARTZ, Edward L.Edward L Schwartz Dds Pa(954) 722-0100Prov. No.: 0000001240817300 W Mcnab Rd �Tamarac, FL 33321Gender: MaleNPI: 1851310544License: DN5776License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

228 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)SEVEL, Dennis S.Tamarac Family Dental CenterLlc(954) 742-5055Prov. No.: 0000121276987351 W Oakland Park BlvdTamarac, FL 33319Language: EnglishGender: MaleNPI: 1568665966License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 742-5361Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462495779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHROFF, Hitesh R.Drs Thaker and Shroff(954) 486-7025Prov. No.: 0000000192585473 N State Road 7 �Tamarac, FL 33319Gender: MaleNPI: 1154514917License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 485-2209Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)SHROFF, Hitesh R.Drs Thaker and Shroff(954) 720-9730Prov. No.: 00000001926210078 W Mcnab Rd �Tamarac, FL 33321Gender: MaleNPI: 1154514917License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIDDIQUI, Rasheed B.Metric Dental Llc(954) 677-3202Prov. No.: 0000120937274267 W Commercial BlvdTamarac, FL 33319Gender: MaleNPI: 1518309145License: DN20293License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987195779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462455779 N University DrTamarac, FL 33321Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)SNIDER, Erica M.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995765779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SOLLEE, ArthurSage Dental of Tamarac(954) 580-4848Prov. No.: 0000122458375779 N University DrTamarac, FL 33321Gender: MaleNPI: 1649585878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SORROZA, JenniferTlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000070407266702 N University Dr �Tamarac, FL 33321Gender: FemaleNPI: 1720247174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121986975779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)STRONG, ShaniceSage Dental of Tamarac(954) 580-4848Prov. No.: 0000124543055779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124716595779 N University DrTamarac, FL 33321Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TALCHIK JR, Paul S.Tlc Dental Tamarac Plc(954) 722-7711Prov. No.: 0000121263536702 N University DrTamarac, FL 33321Gender: MaleNPI: 1619144979License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 718-2220Accepts New Patients: YHospital Affiliation: N/A*

TANNEN, Mildred K.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125028117401 N University Dr SteTamarac, FL 33321Gender: FemaleNPI: 1285858415License: DN9001License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

229GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)THAKER, Durgeshkumar D.Drs Thaker and Shroff(954) 720-9730Prov. No.: 00000001926310078 Mcnab Rd �Tamarac, FL 33321Gender: MaleNPI: 1659541555License: DN 9492License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000124476055779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000124926415779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Tamarac(954) 580-4848Prov. No.: 0000124363945779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)URQUIZA, YeneirSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987075779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAN, KevinKevin Van Dds(954) 720-9570Prov. No.: 0000020873537707 N University DrTamarac, FL 33321Gender: Not ReportedNPI: 1730400433License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 724-5666Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987065779 N University DrTamarac, FL 33321Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VASILAROS, Marina E.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125062097401 N University Dr SteTamarac, FL 33321Gender: FemaleNPI: 1588042758License: DN21452License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)VAZANA, Todd A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987055779 N University DrTamarac, FL 33321Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987105779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VILK-SHAPIRO, DoraAlan J Bussell Dds(954) 721-2330Prov. No.: 0000003965216269 N University Dr �Tamarac, FL 33321Gender: FemaleNPI: 1003919879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 721-0075Accepts New Patients: YHospital Affiliation: N/A*

WEINSTOCK, Rebeca-AnnSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121915035779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1619169083License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Tamarac (Cont.)WOODWARD, Wyman R.Dental Health Group Pa(954) 721-6950Prov. No.: 0000125060047401 N University Dr SteTamarac, FL 33321Gender: MaleNPI: 1932255320License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Tamarac(954) 580-4848Prov. No.: 0000121987015779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000122462505779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Tamarac(954) 580-4848Prov. No.: 0000124544795779 N University DrTamarac, FL 33321Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

230 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Tamarac (Cont.)ZAYAS, FrancoisMetric Dental Llc(954) 677-3202Prov. No.: 0000121317364267 W Commercial BlvdTamarac, FL 33319Language: English, Other(Non-English), SpanishGender: Not ReportedNPI: 1649453978License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995905779 N University DrTamarac, FL 33321Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of Tamarac(954) 580-4848Prov. No.: 0000121995725779 N University DrTamarac, FL 33321Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

West Park

SANDS, James D.James D Sands Dds(954) 987-2700Prov. No.: 0000000243775890 Hallandale Beach BlvWest Park, FL 33023Language: EnglishGender: MaleNPI: 1326162918License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Weston

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176032366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Weston(954) 358-2822Prov. No.: 0000125505132366 Weston RdWeston, FL 33326Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)AZARI, Scott J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176042366 Weston RdWeston, FL 33326Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of Weston(954) 358-2822Prov. No.: 0000122382592366 Weston RdWeston, FL 33326Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERGER, Nicole M.Great Expressions DentalCenters(954) 349-1289Prov. No.: 0000004214464537 Weston RdWeston, FL 33331Gender: Not ReportedNPI: 1104906486License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)BERQUIST, Michael R.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122382602366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BLARDONIS, ArmandoWeston Dental Associates(954) 217-0288Prov. No.: 0000000186382751 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: MaleNPI: 1164745790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176052366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

231GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)BOLSKI, EliseLee M Friedel & Elise Bolski(954) 389-0511Prov. No.: 0000000613611605 Town Center Cir SteWeston, FL 33326Gender: FemaleNPI: 1013050392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 389-5323Accepts New Patients: YHospital Affiliation: N/A*

BONILLA, Javier E.Dental Design Services Pa(954) 217-8411Prov. No.: 00000036934017140 Royal Palm Blvd SteWeston, FL 33326Gender: MaleNPI: 1457521312License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 217-9243Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Weston(954) 358-2822Prov. No.: 0000122176062366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)BRETOS, Alexander L.Dental Partners of Weston Inc(954) 385-5855Prov. No.: 0000001384092721 Executive Park DrWeston, FL 33331Language: EnglishGender: Not ReportedNPI: 1790893030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 385-5258Accepts New Patients: YHospital Affiliation: N/A*

BRETOS, Alexander L.Alexander L Bretos Dmd(954) 385-5855Prov. No.: 0000041395772711 Executive Park Dr StWeston, FL 33331Language: EnglishGender: Not ReportedNPI: 1790893030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRITTAIN, Kristen M.Kristen Brittain Dds Pa(954) 385-8522Prov. No.: 0000001354942833 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: FemaleNPI: 1902010507License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 385-6053Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)BRODY, Robert A.Great Expressions DentalCenters(954) 349-1289Prov. No.: 0000003206284537 Weston RdWeston, FL 33331Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Weston(954) 358-2822Prov. No.: 0000124716662366 Weston RdWeston, FL 33326Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARBUNARU, AndresWeston Dental Care(954) 389-1212Prov. No.: 0000012485602235 N Commerce Pkwy �Weston, FL 33326Gender: MaleNPI: 1255563581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 389-6886Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)CASEY, Barbara L.Great Expressions DentalCenters(954) 349-1289Prov. No.: 0000124951754537 Weston RdWeston, FL 33331Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176092366 Weston RdWeston, FL 33326Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122213532366 Weston RdWeston, FL 33326Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

232 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)COHEN, Michael A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124250732366 Weston RdWeston, FL 33326Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COLLAZO, Ralph C.Dental Partners of Weston Inc(954) 385-5855Prov. No.: 0000002226172721 Executive Park DrWeston, FL 33331Language: EnglishGender: MaleNPI: 1720155955License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 385-5258Accepts New Patients: YHospital Affiliation: N/A*

COLLAZO, Ralph C.Alexander L Bretos Dmd(954) 385-5855Prov. No.: 0000041395782711 Executive Park Dr StWeston, FL 33331Language: EnglishGender: MaleNPI: 1720155955License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)COLLAZO, Ralph C.Alexander L Bretos Dds(954) 385-5855Prov. No.: 0000122648292721 Executive Park Dr StWeston, FL 33331Language: EnglishGender: MaleNPI: 1720155955License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 385-5258Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Weston(954) 358-2822Prov. No.: 0000122176212366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122513862366 Weston RdWeston, FL 33326Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)COWAN, Marc A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000123114122366 Weston RdWeston, FL 33326Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176232366 Weston RdWeston, FL 33326Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Weston(954) 358-2822Prov. No.: 0000122382612366 Weston RdWeston, FL 33326Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Weston(954) 358-2822Prov. No.: 0000122176242366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)DAROJAT, Zuhdiyah M.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176252366 Weston RdWeston, FL 33326Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DE LA RUA, LissetteGreat Expressions DentalCenters(954) 349-1289Prov. No.: 0000011654904537 Weston RdWeston, FL 33331Gender: FemaleNPI: 1619297892License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176262366 Weston RdWeston, FL 33326Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

233GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)DIAZ, JanySage Dental of Weston(954) 358-2822Prov. No.: 0000124454182366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Weston(954) 358-2822Prov. No.: 0000122382622366 Weston RdWeston, FL 33326Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124364032366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DORREGO, Daniel A.Weston Dental Associates(954) 217-0288Prov. No.: 0000001563072751 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: MaleNPI: 1477651297License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)DRAIZIN, Claudia A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176272366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Weston(954) 358-2822Prov. No.: 0000122176282366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122176292366 Weston RdWeston, FL 33326Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177942366 Weston RdWeston, FL 33326Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Weston(954) 358-2822Prov. No.: 0000122177952366 Weston RdWeston, FL 33326Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FOX, Eric G.Indian Trace Dental Associtaes(954) 217-9200Prov. No.: 00000025318946 Indian Trce Ste A �Weston, FL 33326Gender: MaleNPI: 1649202615License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Great Expressions DentalCenters(954) 349-1289Prov. No.: 0000003585594537 Weston RdWeston, FL 33331Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)FOX, Jeffrey M.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177962366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FRIEDEL, Lee M.Lee M Friedel & Elise Bolski(954) 389-0511Prov. No.: 0000000795691605 Town Center Cir SteWeston, FL 33326Gender: Not ReportedNPI: 1396888343License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 389-5323Accepts New Patients: YHospital Affiliation: N/A*

GARCES, CarolineGreat Expressions DentalCenters(954) 349-1289Prov. No.: 0000012469374537 Weston RdWeston, FL 33331Gender: FemaleNPI: 1215134952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

234 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)GARCIA-PORRAS, MarcelaSage Dental of Weston(954) 358-2822Prov. No.: 0000122177972366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177982366 Weston RdWeston, FL 33326Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Weston(954) 358-2822Prov. No.: 0000122178012366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Weston(954) 358-2822Prov. No.: 0000122178022366 Weston RdWeston, FL 33326Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)GONZALES, AngelicaSage Dental of Weston(954) 358-2822Prov. No.: 0000122178032366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of Weston(954) 358-2822Prov. No.: 0000122382632366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177762366 Weston RdWeston, FL 33326Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000123145632366 Weston RdWeston, FL 33326Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)GULTZ, Jerrold P.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124363832366 Weston RdWeston, FL 33326Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124520162366 Weston RdWeston, FL 33326Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122382642366 Weston RdWeston, FL 33326Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, MarioMario Hernandez Dds(954) 349-4993Prov. No.: 0000003970352575 Glades Cir Ste 8Weston, FL 33327Gender: MaleNPI: 1487820296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)HOFFMAN, Tara L.Great Expressions DentalCenters(954) 349-1289Prov. No.: 0000020889684537 Weston RdWeston, FL 33331Gender: FemaleNPI: 1487882379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HOGAN, HelenaGreat Expressions DentalCenters(954) 349-1289Prov. No.: 0000004533374537 Weston RdWeston, FL 33331Gender: FemaleNPI: 1851520456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HOHIMER JR, David M.Mark B Gilbert Dds(954) 389-1212Prov. No.: 0000002896562235 N Commerce Pkwy SteWeston, FL 33326Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

235GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)HOSSEINI, Heather G.Heather G Hosseini Dds(954) 389-9500Prov. No.: 0000000246201040 Weston Rd Ste 225Weston, FL 33326Gender: Not ReportedNPI: 1396134417License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 384-1045Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Weston(954) 358-2822Prov. No.: 0000125102052366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Weston(954) 358-2822Prov. No.: 0000122177792366 Weston RdWeston, FL 33326Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122510412366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)IZQUIERDO, Claudia E.Dental Design Services Pa(954) 217-8411Prov. No.: A0000002181817140 Royal Palm Blvd SteWeston, FL 33326Gender: FemaleNPI: 1720123482License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 217-9243Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Weston(954) 358-2822Prov. No.: 0000122177802366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Great Expressions DentalCenters(954) 349-1289Prov. No.: 0000121423544537 Weston RdWeston, FL 33331Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122382662366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)LEMINH, Chau J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124449532366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Weston(954) 358-2822Prov. No.: 0000122177822366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LIMOSANI, Mark A.Mark Limosani(954) 800-3453Prov. No.: 0000120567292711 Executive Park Dr StWeston, FL 33331Gender: Not ReportedNPI: 1083857338License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177832366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)LOPEZ, Manuel G.Weston Dental Associates(954) 217-0288Prov. No.: 0000000186372751 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Manuel G.Manuel G Lopez Dds(954) 217-0288Prov. No.: 00000391768846 Indian TrceWeston, FL 33326Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124399182366 Weston RdWeston, FL 33326Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

236 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)MA, RobertSage Dental of Weston(954) 358-2822Prov. No.: 0000122177842366 Weston RdWeston, FL 33326Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MAGARELLI, Raquel M.Sunrise Family Dental Center(954) 744-6936Prov. No.: 0000120689112300 N Commerce Pkwy SteWeston, FL 33326Language: English, SpanishGender: FemaleNPI: 1194062679License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 217-3299Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Weston(954) 358-2822Prov. No.: 0000122382672366 Weston RdWeston, FL 33326Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)MARTINEZ, Erika A.Erika A Martinez Dmd Pa(954) 384-8222Prov. No.: 0000002378381130 Weston Rd �Weston, FL 33326Gender: FemaleNPI: 1336557339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 384-9088Accepts New Patients: YHospital Affiliation: N/A*

MCCANN, Katie L.Weston Modern Dentistry Pa(954) 248-2895Prov. No.: 000012501366280 Indian Trce Ste AWeston, FL 33326Gender: FemaleNPI: 1447571245License: DN21364License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Weston(954) 358-2822Prov. No.: 0000124733412366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)MESA, Jorge E.Advantage Dental EstheticGroup(954) 384-7505Prov. No.: 00000013081817130 Royal Palm Blvd Ste �Weston, FL 33326Language: EnglishGender: MaleNPI: 1053348276License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177342366 Weston RdWeston, FL 33326Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MOOSAVI, AzitaFamily Dentistry II(954) 384-8484Prov. No.: 0000000254522625 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: Not ReportedNPI: 1477653285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 384-6980Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)NAGUIB, Michelle A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177352366 Weston RdWeston, FL 33326Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAVARRETE, EdgarIndian Trace Dental Associtaes(954) 217-9200Prov. No.: 00000046747746 Indian Trce Ste A �Weston, FL 33326Gender: Not ReportedNPI: 1265680888License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Weston(954) 358-2822Prov. No.: 0000122177362366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177392366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

237GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)ORTIZ, Ana M.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177402366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Weston(954) 358-2822Prov. No.: 0000122416302366 Weston RdWeston, FL 33326Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177462366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)PATEL, MinalbenGreat Expressions DentalCenters(954) 349-1289Prov. No.: 0000121357924537 Weston RdWeston, FL 33331Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Weston(954) 358-2822Prov. No.: 0000122177322366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177332366 Weston RdWeston, FL 33326Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)POPPER, Drew C.Sage Dental of Weston(954) 358-2822Prov. No.: 0000123380392366 Weston RdWeston, FL 33326Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Weston(954) 358-2822Prov. No.: 0000122177162366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177182366 Weston RdWeston, FL 33326Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAMOS, Brigette M.Family Cosmetic Dentistry(954) 659-9669Prov. No.: 00000024216916618 Saddle Club Rd �Weston, FL 33326Gender: FemaleNPI: 1093860850License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)RAND, Matthew K.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177192366 Weston RdWeston, FL 33326Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177202366 Weston RdWeston, FL 33326Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177222366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

238 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)RIEGER, Eric R.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177232366 Weston RdWeston, FL 33326Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177242366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122416312366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)RODRIGUEZ, Guillermo P.Family Dentistry II(954) 384-8484Prov. No.: 0000000254512625 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: MaleNPI: 1558492363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 384-6980Accepts New Patients: YHospital Affiliation: N/A*

ROMAN, KatherineDental Design Services Pa(954) 217-8411Prov. No.: 00001231637817140 Royal Palm Blvd SteWeston, FL 33326Gender: FemaleNPI: 1821473695License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 217-9243Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Weston(954) 358-2822Prov. No.: 0000125260592366 Weston RdWeston, FL 33326Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177252366 Weston RdWeston, FL 33326Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)SANCHES, MelanieSage Dental of Weston(954) 358-2822Prov. No.: 0000122177512366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177572366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Weston(954) 358-2822Prov. No.: 0000122177562366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177552366 Weston RdWeston, FL 33326Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)SIRAGE, Katherine L.Weston Modern Dentistry Pa(954) 248-2895Prov. No.: 000012560752280 Indian Trce Ste AWeston, FL 33326Gender: FemaleNPI: 1316329527License: DN21322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122177592366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SOLARTE, Yolanda P.Unique Dental Care Pa(954) 217-4939Prov. No.: 0000000491802701 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: FemaleNPI: 1063579548License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SOLLEE, ArthurSage Dental of Weston(954) 358-2822Prov. No.: 0000122177602366 Weston RdWeston, FL 33326Gender: MaleNPI: 1649585878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

239GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)STEINER, Samantha L.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122178892366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Weston(954) 358-2822Prov. No.: 0000124543182366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000124716672366 Weston RdWeston, FL 33326Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Weston(954) 358-2822Prov. No.: 0000124476482366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)TORRES, DianaGreat Expressions DentalCenters(954) 349-1289Prov. No.: 0000121101014537 Weston RdWeston, FL 33331Gender: FemaleNPI: 1083016257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 703-8160Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of WestonProv. No.: 0000125286682366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122382692366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Weston(954) 358-2822Prov. No.: 0000124363842366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)URQUIZA, YeneirSage Dental of Weston(954) 358-2822Prov. No.: 0000123142992366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VALLES, Nora H.Unique Dental Care Pa(954) 217-4939Prov. No.: 0000000491822701 Executive Park Dr St �Weston, FL 33331Language: EnglishGender: FemaleNPI: 1992868814License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122178912366 Weston RdWeston, FL 33326Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)VIEGO, RebecaGreat Expressions DentalCenters(954) 349-1289Prov. No.: 0000121832094537 Weston RdWeston, FL 33331Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122178932366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VILLA, RodolfoIndian Trace Dental Associtaes(954) 217-9200Prov. No.: 00000015811246 Indian Trce Ste A �Weston, FL 33326Gender: MaleNPI: 1093899171License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

240 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Weston (Cont.)YOUNG, SummerSage Dental of Weston(954) 358-2822Prov. No.: 0000122178942366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122178952366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Weston(954) 358-2822Prov. No.: 0000124544842366 Weston RdWeston, FL 33326Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122178972366 Weston RdWeston, FL 33326Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Weston (Cont.)ZYLBERING, Jason M.Sage Dental of Weston(954) 358-2822Prov. No.: 0000122178962366 Weston RdWeston, FL 33326Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

Wilton Manors

BARNES, Curtis W.Care Resource(954) 567-7141Prov. No.: 000010596186871 W Oakland Park BlvdWilton Manors, FL 33311Gender: MaleNPI: 1689798936License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 565-5624Accepts New Patients: YHospital Affiliation: N/A*

BARTNICK, Jeffrey M.Jeffrey M Bartnick Dds Pa(954) 563-8678Prov. No.: 0000000243541749 NE 26th StWilton Manors, FL 33305Language: EnglishGender: Not ReportedNPI: 1649481847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 566-0999Accepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Wilton Manors (Cont.)BRENER, Sandra R.Nsu-Pediatric Dental CareCenter at Kids(954) 390-7654Prov. No.: 000012036907819 NE 26th St Ste -CWilton Manors, FL 33305Language: EnglishGender: FemaleNPI: 1932356391License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASAS, ManuelCare Resource(954) 567-7141Prov. No.: 000010696109871 W Oakland Park BlvdWilton Manors, FL 33311Gender: MaleNPI: 1740420090License: DN18139License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 565-5624Accepts New Patients: YHospital Affiliation: N/A*

COSTABILE, Michael P.Michael P Costabile(954) 440-7799Prov. No.: 0000121686962404 Wilton DrWilton Manors, FL 33305Gender: MaleNPI: 1215135181License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Wilton Manors (Cont.)EDE-NICHOLS, DianeNsu-Pediatric Dental CareCenter at Kids(954) 390-7654Prov. No.: 000012036906819 NE 26th St Ste -CWilton Manors, FL 33305Language: EnglishGender: FemaleNPI: 1225145683License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GEORGIEV, George Y.Wilton Manors Dental(954) 564-4746Prov. No.: 0000085136912517 NE 9th Ave �Wilton Manors, FL 33305Gender: MaleNPI: 1881870319License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 564-4745Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Elizabeth M.Michael P Costabile(954) 440-7799Prov. No.: 0000123319302404 Wilton DrWilton Manors, FL 33305Gender: FemaleNPI: 1295129864License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

241GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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BROWARD COUNTY (Cont.)

Wilton Manors (Cont.)HANOMAN, Payal G.Broward County HealthDepartment(954) 332-7546Prov. No.: 000005793661900 W Oakland Park Blvd �Wilton Manors, FL 33311Gender: FemaleNPI: 1992004808License: DN19272License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JARAMILLO, Gabriel J.Gabriel Jaramillo(954) 533-6144Prov. No.: 000012314703512 W Oakland Park BlvdWilton Manors, FL 33311Gender: MaleNPI: 1205147238License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 530-6119Accepts New Patients: YHospital Affiliation: N/A*

PADILLA, Oscar A.Nsu-Pediatric Dental CareCenter at Kids(954) 390-7654Prov. No.: 000012036898819 NE 26th St Ste -CWilton Manors, FL 33305Gender: MaleNPI: 1669478863License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Wilton Manors (Cont.)PELTON, Ivan S.Gabriel Jaramillo(954) 533-6144Prov. No.: 000012164299512 W Oakland Park Blvd SWilton Manors, FL 33311Gender: MaleNPI: 1235243189License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 530-6119Accepts New Patients: YHospital Affiliation: N/A*

PINNOCK, Alyssa H.Broward County HealthDepartment(954) 332-7546Prov. No.: 000006233121900 W Oakland Park Blvd �Wilton Manors, FL 33311Gender: FemaleNPI: 1003987157License: DN17610License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUINTON, HarveyNsu-Pediatric Dental CareCenter at Kids(954) 390-7654Prov. No.: 000012036897819 NE 26th St Ste -CWilton Manors, FL 33305Language: EnglishGender: MaleNPI: 1982611752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWARD COUNTY (Cont.)

Wilton Manors (Cont.)SHEHADEH, EyadNsu-Pediatric Dental CareCenter at Kids(954) 390-7654Prov. No.: 000012036902819 NE 26th St Ste -CWilton Manors, FL 33305Gender: MaleNPI: 1750496261License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WARNER, David K.David K Warner Dds(954) 565-7666Prov. No.: 0000004552511946 Wilton Dr �Wilton Manors, FL 33305Language: EnglishGender: MaleNPI: 1225242274License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 565-7414Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY

Hobe Sound

DIMEO, Brian J.Dimeo Family Dental Pc(772) 388-0088Prov. No.: 0000018219415683 SE Crooked Oak Ave U �Hobe Sound, FL 33455Gender: MaleNPI: 1215059035License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Hobe Sound (Cont.)PICHLER, Daniel L.Daniel L Pichler Dds(772) 223-9202Prov. No.: 0000003642148138 SE Federal HwyHobe Sound, FL 33455Language: EnglishGender: MaleNPI: 1225150949License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 223-9813Accepts New Patients: YHospital Affiliation: N/A*

Indiantown

FERRO, Claudia M.Indiantown Dental(772) 597-4627Prov. No.: 00000107433715275 SW Adams AveIndiantown, FL 34956Language: EnglishGender: FemaleNPI: 1053477752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Jensen Beach

BRODY, Robert A.Dental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000000218053251 NW Federal HwyJensen Beach, FL 34957Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

242 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Jensen Beach (Cont.)CASEY, Barbara L.Great Expressions DentalCenters(772) 692-1447Prov. No.: 0000125040983251 NW Federal HwyJensen Beach, FL 34957Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLLOB, Harrison W.Dental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000120069823251 NW Federal HwyJensen Beach, FL 34957Gender: MaleNPI: 1891134441License: DN20164License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

GRIDER, Joseph R.Igor Pasisnitchenko Dds(772) 692-4002Prov. No.: 0000023747433476 NW Federal HwyJensen Beach, FL 34957Language: EnglishGender: MaleNPI: 1881895910License: DN18521License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Jensen Beach (Cont.)KELLOGG, David A.Dental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000121417653251 NW Federal HwyJensen Beach, FL 34957Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

KINDIG, Christopher W.Christopher W Kindig Dds(772) 334-3653Prov. No.: 0000004475063380 NE Sugarhill AveJensen Beach, FL 34957Gender: Not ReportedNPI: 1609963560License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KRAMER, Edilene P.Richard Kramer(772) 334-6020Prov. No.: 0000003653941852 NE Jensen Beach BlvdJensen Beach, FL 34957Gender: FemaleNPI: 1093940439License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 225-5700Accepts New Patients: YHospital Affiliation: N/A*

KRAMER, Richard S.Richard Kramer(772) 334-6020Prov. No.: 0000003150841852 NE Jensen Beach BlvdJensen Beach, FL 34957Gender: MaleNPI: 1083849582License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 225-5700Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Jensen Beach (Cont.)LUBA, Kevin J.Dental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000007393273251 NW Federal HwyJensen Beach, FL 34957Gender: MaleNPI: 1801040399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

MAGLIO, StephanieDental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000120484463251 NW Federal HwyJensen Beach, FL 34957Gender: FemaleNPI: 1235543398License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000121356313251 NW Federal HwyJensen Beach, FL 34957Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Jensen Beach (Cont.)SONCHAIWANICH, Keith C.Great Expressions DentalCenters(772) 692-1447Prov. No.: 0000125604253251 NW Federal HwyJensen Beach, FL 34957Gender: MaleNPI: 1790137859License: DN22051License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaDental Health Group @ JensenBeach(772) 692-1447Prov. No.: 0000121831933251 NW Federal HwyJensen Beach, FL 34957Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-8512Accepts New Patients: YHospital Affiliation: N/A*

Palm City

JONES, ThomasThomas Jones Dds(772) 286-8600Prov. No.: 0000002704502688 SW Immanuel DrPalm City, FL 34990Gender: Not ReportedNPI: 1598977928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

243GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Palm City (Cont.)LISI, Richard A.Dent-All of Palm City(772) 220-4100Prov. No.: 0000121985443662 SW 30th Ave Ste 3Palm City, FL 34990Language: English, SpanishGender: MaleNPI: 1962570341License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 220-4005Accepts New Patients: YHospital Affiliation: N/A*

SARNO, JohnDent-All of Palm City(772) 220-4100Prov. No.: 0000083600333662 SW 30th Ave Ste 3Palm City, FL 34990Gender: MaleNPI: 1043531379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 220-4005Accepts New Patients: YHospital Affiliation: N/A*

TURKE, Andrew L.Turke Advanced Dental Arts(772) 919-7444Prov. No.: 0000020215261201 SW Sunset TrlPalm City, FL 34990Gender: MaleNPI: 1376776278License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 365-2297Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart

ABRAHAM, Michael A.Aspen Dental(315) 454-6000Prov. No.: 0000121791722648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1104188937License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

ADDERLY, Erica J.Aspen Dental(772) 324-3414Prov. No.: 0000120451512648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1992135131License: DN20450License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AL-AZZAWI, DaliaSouth East Dental(772) 283-5360Prov. No.: 0000121611645905 SE Federal Hwy �Stuart, FL 34997Gender: FemaleNPI: 1952782989License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000121601952835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)ALVARADO-ROMERO POU, Melissa D.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121602674203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120968282835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jonathan A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120968394203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: MaleNPI: 1780017160License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)ARSHADI, EftekharAspen Dental(772) 324-3414Prov. No.: 0000120367152648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1497851851License: DN14696License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000125505014203 SE Federal Hwy Ste 1Stuart, FL 34997Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of Jensen BeachPllc(772) 405-6100Prov. No.: 0000125505232835 NW Federal HwyStuart, FL 34994Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

244 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)AYESH, KarimaSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054209392835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

AYESH, KarimaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054839944203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1437240777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054209412835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054839954203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)BACHA, ElizabethAspen Dental(315) 454-6000Prov. No.: 0000121081792648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1568719763License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

BACHA, ElizabethAspen Dental(866) 273-8204Prov. No.: 0000124260983951 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1568719763License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BANGASH, MaryamAspen Dental(772) 324-3414Prov. No.: 0000119974272648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1134568587License: 20272License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARNARD, Peter E.Perfect Smile Dental(772) 283-4427Prov. No.: 000011998285821 SE Ocean Blvd Ste EStuart, FL 34994Gender: FemaleNPI: 1750517462License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 288-5240Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)BENGOCHEA, ArmandoSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122100014203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122102482835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BENSON, EricEric Benson Dds(772) 692-1300Prov. No.: 0000003077331675 NW Federal HwyStuart, FL 34994Language: EnglishGender: Not ReportedNPI: 1750489134License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 692-1177Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)BERQUIST, Michael R.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120627422835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120630914203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000050593404203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

245GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)BOCKIAN, Joshua A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000050593462835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BOZORG, Tarranay M.South East Dental(772) 283-5360Prov. No.: 0000026204145905 SE Federal Hwy �Stuart, FL 34997Gender: FemaleNPI: 1134474745License: DN19862License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831222835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)BRATMAN, JerrySage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121153034203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122489464203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122489572835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)CAMEJO, JoaquinSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124716564203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Jensen BeachPllc(772) 405-6100Prov. No.: 0000124716822835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Great Expressions DentalCenters(772) 223-4003Prov. No.: 0000124911586035 SE Federal HwyStuart, FL 34997Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)CASTILLO, Juan I.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000121516232835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121516704203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CASTRO, Carlos D.Carlos Castro(772) 888-3764Prov. No.: 000012415769108 SW Monterey Rd Unit 5Stuart, FL 34994Language: EnglishGender: MaleNPI: 1639187578License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

246 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)CHILDERS, Carmen D.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121529814203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121530052835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CLINE, Jack A.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831272835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)CLINE, Jack A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054834614203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1790993392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124250652835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124250784203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)CONTESTABLE, Clement J.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121133432835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CONTESTABLE, Clement J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121153044203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1811208853License: DN19066License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000057928932835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)CORONADO, EfrainSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000057929184203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122333052835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122513954203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

247GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)COWAN, Marc A.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831442835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840004203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054834504203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000056064532835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)DADACIU, CorneliaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122343142835 NW Federal HwyStuart, FL 34994Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122404594203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831362835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)DANESHPAJOUH, SaraSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840014203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831392835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840024203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)DE LA ROSA, Andrew D.Aspen Dental(866) 273-8204Prov. No.: 0000124260953951 SE Federal HwyStuart, FL 34997Gender: MaleNPI: 1568710754License: DN1856176License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120053892835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120054024203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DELUCIA, AnthonyAnthony Delucia(772) 287-7077Prov. No.: 000000140003731 Colorado AveStuart, FL 34994Gender: MaleNPI: 1538214945License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 220-4702Accepts New Patients: YHospital Affiliation: N/A*

248 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)DIAZ, JanySage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000124454232835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124520824203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DICKINSON, Scott C.Aspen Dental(772) 324-3414Prov. No.: 0000104000402648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1942432729License: 6450License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122404604203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)DOOLEY, Jill C.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124355672835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124357404203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000119946902835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)DRAIZIN, Claudia A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000119946914203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121105382835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121105514203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)DURKAN, Marcia A.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054209622835 NW Federal HwyStuart, FL 34994Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840034203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

EHLERS, Scott A.South East Dental(772) 283-5360Prov. No.: 0000083600075905 SE Federal Hwy �Stuart, FL 34997Gender: MaleNPI: 1538500749License: DN20221License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

249GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)ENGELSBERG, David J.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000054209662835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000056074424203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ESTES, Joshua J.Aspen Dental(772) 324-3414Prov. No.: 0000104043372648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1912291071License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FATMI, NavedSouth East Dental(772) 283-5360Prov. No.: 0000011388595905 SE Federal Hwy �Stuart, FL 34997Gender: MaleNPI: 1558690974License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000115515852835 NW Federal HwyStuart, FL 34994Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000115515884203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

FLANARY, Robert C.Family Dentistry(772) 286-3088Prov. No.: 0000122120292385 SE Federal Hwy �Stuart, FL 34994Gender: MaleNPI: 1619184249License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)FOX, Jeffrey M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831412835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840044203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GANNE VENKATA, SravanthiAspen Dental(315) 454-6000Prov. No.: 0000120724732648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1972764967License: 19304License Type: DBP DentistBoard Certified: YesEmail: [email protected]: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)GARCIA-PORRAS, MarcelaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000056070284203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000056070702835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000056075112835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000056075364203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

250 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)GESICKI, Jon A.Aspen Dental(772) 324-3414Prov. No.: 0000120183432648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1225450216License: DN20522License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122000494203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122000672835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121179824203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)GILBERT, MarkSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000121180772835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

GIOL, Victor J.Giol & Jaffe Llc(772) 220-7555Prov. No.: 0000000070812474 SE Federal Hwy �Stuart, FL 34994Language: EnglishGender: MaleNPI: 1558458406License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 220-1016Accepts New Patients: YHospital Affiliation: N/A*

GOLDVASSER, YuriDntl Hlth Group @ Stuart(772) 223-4003Prov. No.: 0000002568106035 SE Federal HwyStuart, FL 34997Language: EnglishGender: MaleNPI: 1316991490License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 221-0685Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)GONZALES, AngelicaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121951972835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121951994203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122044472835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)GREEN, BeverlySage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122046614203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054209782835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840064203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GUERRINO, Danielle S.Aspen Dental(866) 273-8204Prov. No.: 0000124718933951 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1114301918License: DN21783License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

251GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)GUL, Yousaf A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120492712835 NW Federal HwyStuart, FL 34994Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120492884203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124355692835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)GULTZ, Jerrold P.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124358724203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GUPTA, ShailyAspen Dental(772) 324-3414Prov. No.: 0000120442342648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1144658360License: DN20468License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120734212835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120734734203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)HAMED, ShirinSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120479472835 NW Federal HwyStuart, FL 34994Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

HAMED, ShirinSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120480814203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, Farsi,TurkishGender: FemaleNPI: 1346654357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

HARLLEE, John B.John B Harllee Dds(561) 287-1671Prov. No.: 00000005767233 SE Osceola StStuart, FL 34994Gender: MaleNPI: 1689788432License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)HASPEL, Alan C.Alan C Haspel Dmd(772) 283-6757Prov. No.: 000002021287821 SE Ocean BlvdStuart, FL 34994Gender: MaleNPI: 1790986933License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HASPEL, Alan C.Strauss & Strauss Dmd Pa(772) 283-6757Prov. No.: 000003917246821 SE Ocean Blvd Ste AStuart, FL 34994Gender: MaleNPI: 1790986933License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 283-8701Accepts New Patients: YHospital Affiliation: N/A*

HEALD, Katie B.Aspen Dental(772) 324-3414Prov. No.: 0000113316442648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1013272749License: DN20304License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124519034203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

252 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)HEDSTROM, Brien D.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000124519342835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831612835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

HELMY, James M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054840084203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1730370818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122179624203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)HERMANNSSON, Steingrimur N.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122179772835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

HIRSOWITZ, Ryan G.Aspen Dental(315) 454-6000Prov. No.: 0000121904232648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1518344480License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

HIRSOWITZ, Ryan G.Aspen Dental(866) 273-8204Prov. No.: 0000124260993951 SE Federal HwyStuart, FL 34997Gender: MaleNPI: 1518344480License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Bruce E.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054829972835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: NHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)HOFFMAN, Bruce E.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054834534203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1790053635License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

HORN, David A.David A Horn Dds(772) 781-0835Prov. No.: 0000001869012836 SE Federal HwyStuart, FL 34994Gender: Not ReportedNPI: 1174666978License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120989824203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

HORWITZ, StevenSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120989872835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)IRAVANI, Mina F.Sage Dental of Jensen BeachPllc(772) 405-6100Prov. No.: 0000125101822835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000125101934203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120067112835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

253GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)ISRAEL, ElieSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120067344203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122510854203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: NHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122510882835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)JAFFE, Arlene R.Giol & Jaffe Llc(772) 220-7555Prov. No.: 0000000070842474 SE Federal Hwy �Stuart, FL 34994Language: EnglishGender: FemaleNPI: 1104913011License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 220-1016Accepts New Patients: YHospital Affiliation: N/A*

JAFFE, Eric N.Giol & Jaffe Llc(772) 220-7555Prov. No.: 0000088216582474 SE Federal Hwy �Stuart, FL 34994Gender: Not ReportedNPI: 1730347758License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 220-1016Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000113316672835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000113317844203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)KEEN, Ashley L.Aspen Dental(772) 324-3414Prov. No.: 0000117720402648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1720417918License: DN20427License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Dntl Hlth Group @ Stuart(772) 223-4003Prov. No.: 0000121423926035 SE Federal HwyStuart, FL 34997Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 221-0685Accepts New Patients: YHospital Affiliation: N/A*

KLEIN, Nicole R.Aspen Dental(772) 324-3414Prov. No.: 0000115514652648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1336588375License: DN20162License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000123364774203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)LAMB, NicoleSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121005334203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121007162835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LEIKIN, Steven J.South East Dental(772) 283-5360Prov. No.: 0000001302485905 SE Federal Hwy �Stuart, FL 34997Gender: MaleNPI: 1487761086License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

254 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)LEMINH, Chau J.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124447542835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124449464203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121766494203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)LEPORE, KrystinaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121769392835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LEWIS-MCKENZIE, Andrea A.Aspen Dental(866) 273-8204Prov. No.: 0000125101053951 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1972910537License: DN20754License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEWIS-MCKENZIE, Andrea A.Aspen Dental(772) 324-3414Prov. No.: 0000125101072648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1972910537License: DN20754License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831692835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)LONDONO, Jennifer D.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054837584203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124379984203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124382752835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)MA, RobertSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000115511272835 NW Federal HwyStuart, FL 34994Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000115511364203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122094174203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

255GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)MANCUSO, RichardSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122095532835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000101207212835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARCOS, Juan C.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000101207234203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: MaleNPI: 1912137928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)MARIUS, Jean Mary R.Aspen Dental(772) 324-3414Prov. No.: 0000120447912648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1295966380License: DN20443License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCDONOUGH, Lauren A.Aspen Dental(772) 324-3414Prov. No.: 0000119993662648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1568802510License: DN20301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCDONOUGH, Lauren A.Aspen Dental(866) 273-8204Prov. No.: 0000124260973951 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1568802510License: DN20301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124735494203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)MCINTOSH FALCON, KatiuskaSage Dental of Jensen BeachPllc(772) 405-6100Prov. No.: 0000124735572835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MILLER, Anthony R.South East Dental(772) 283-5360Prov. No.: 0000120556985905 SE Federal Hwy �Stuart, FL 34997Gender: MaleNPI: 1417363904License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOESCHING, Wayne G.South East Dental(772) 283-5360Prov. No.: 0000119981445905 SE Federal Hwy �Stuart, FL 34997Gender: MaleNPI: 1215995469License: DN8579License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)MOHR, Eric E.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000115520552835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MOHR, Eric E.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000115520564203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121182264203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

256 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)MONCRIEFFE, Tiffany I.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121182302835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122404624203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MURRAY, Robert I.R Ian Murray Dmd Llc(772) 287-5222Prov. No.: 0000004475671038 SE Ocean Blvd Ste AStuart, FL 34996Gender: Not ReportedNPI: 1215018908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 287-5222Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)NAGUIB, Michelle A.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054209902835 NW Federal HwyStuart, FL 34994Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000056059054203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

NAPOLI, Marisa M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054832472835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)NAPOLI, Marisa M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120903954203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1730281130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

NARYSHKIN, GeorgeGeorge F Naryshkin Dmd(772) 463-1555Prov. No.: 000000361433401 SE Ocean BlvdStuart, FL 34994Language: EnglishGender: MaleNPI: 1730395773License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121931792835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)NEWTON, EmilySage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121931824203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

NILES, Summer N.Aspen Dental(772) 324-3414Prov. No.: 0000124659222648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1669825113License: DN22179License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NILES, Summer N.Aspen Dental(866) 273-8204Prov. No.: 0000124659233951 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1669825113License: DN22179License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000121738162835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

257GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)ORTEGA, Laura O.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121738264203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054829992835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054839654203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)OSPINA, CarolinaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122415254203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122420052835 NW Federal HwyStuart, FL 34994Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120002232835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)PARE, Elizabeth A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120002574203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDntl Hlth Group @ Stuart(772) 223-4003Prov. No.: 0000121357496035 SE Federal HwyStuart, FL 34997Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 221-0685Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831782835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120094644203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)PERKINS, Lindsay B.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054210012835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

PERKINS, Lindsay B.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000056058834203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1962630137License: DN18787License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

PIMENTEL, Paul A.Aspen Dental(772) 324-3414Prov. No.: 0000120084592648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1295794907License: DN17338License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121284154203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

258 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)PLANES, Alex A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121285312835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000123380344203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental(772) 405-6100Prov. No.: 0000123381322835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121917884203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)PRICE, DanaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121918002835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831202835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054837614203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)RAND, Matthew K.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000102149482835 NW Federal HwyStuart, FL 34994Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000102149604203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000121728262835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)RAPPAPORT, David B.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121728364203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121021794203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121023182835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

259GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)RIEGER, Eric R.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120666812835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120666974203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000054210052835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)RING, Stephen G.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054838064203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122415004203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000122420082835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)RODRIGUEZ, Narda S.South East Dental(772) 283-5360Prov. No.: 0000120600595905 SE Federal Hwy �Stuart, FL 34997Gender: FemaleNPI: 1548570831License: DN20013License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000117736992835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000117737474203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)ROQUE-RUANO, MaikelSage Dental of Jensen BeachPllc(772) 405-6100Prov. No.: 0000125260442835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000125260474203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121018964203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

260 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)ROSHKIND, David M.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121020532835 NW Federal HwyStuart, FL 34994Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054830062835 NW Federal HwyStuart, FL 34994Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054839694203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)SALEHI, MojganMojgan Salehi(772) 286-3088Prov. No.: 0000122686462385 SE Federal Hwy # 1Stuart, FL 34994Gender: Not ReportedNPI: 1285860056License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SAN JUAN, Fernando O.Aspen Dental(772) 324-3414Prov. No.: 0000124718952648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1972906550License: DN20988License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121752902835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121753184203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)SAVELLI, Juan E.Juan E Savelli Dds(772) 223-4646Prov. No.: 000000261014900 SE Ocean Blvd Ste 216Stuart, FL 34994Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHENFIELD, Raymond J.Raymond Shenfield Dds Pa(772) 283-6245Prov. No.: 0000001670342183 SE Ocean Blvd �Stuart, FL 34996Gender: MaleNPI: 1023059656License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000066611262835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)SHOFNOS, Charles I.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121153054203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121185204203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121185332835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

261GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)SIRAGE, Ahmed R.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121737812835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121737924203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Shannon L.Dntl Hlth Group @ Stuart(772) 223-4003Prov. No.: 0000003266906035 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1760563431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 221-0685Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054831992835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)SNIDER, Erica M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054839724203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SONCHAIWANICH, Keith C.Dntl Hlth Group @ Stuart(772) 223-4003Prov. No.: 0000124578986035 SE Federal HwyStuart, FL 34997Gender: MaleNPI: 1790137859License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 221-0685Accepts New Patients: YHospital Affiliation: N/A*

STEFANCZYK, BarbaraAspen Dental(315) 454-6000Prov. No.: 0000120682812648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1699061432License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000121635172835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)STEINER, Samantha L.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121635264203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124543032835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124543044203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

SUIT, Allyson R.Aspen Dental(772) 324-3414Prov. No.: 0000119956212648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1265867279License: DN20391License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)SURI, Niki G.Aspen Dental(772) 324-3414Prov. No.: 0000120016632648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1316129182License: DN15069License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124716574203 SE Federal Hwy Ste 1Stuart, FL 34997Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of Jensen BeachPllc(772) 405-6100Prov. No.: 0000124716832835 NW Federal HwyStuart, FL 34994Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

262 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)TABIS, LaurenAspen Dental(772) 324-3414Prov. No.: 0000117711702648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1417212945License: DN19711License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124476044203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124476532835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000125286444203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)TORRES, Lina T.Sage Dental of Jensen BeachPllcProv. No.: 0000125286502835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRAN, Quyen A.Star Dental(772) 219-7775Prov. No.: 0000004139183406 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1528287927License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 219-7776Accepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000122404634203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

TRUONG, Xen T.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120005784203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1376973388License: DN20399License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)TUBIO, AbigailSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124354604203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124355702835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

TYSON, John T.John T Tyson Dds(772) 283-8555Prov. No.: 0000000263092614 SE Willoughby BlvdStuart, FL 34994Language: EnglishGender: MaleNPI: 1487699534License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 283-9288Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)UMOREN, Anne-Marie U.Aspen Dental(315) 454-6000Prov. No.: 0000121805752648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1942616453License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (315) 454-4483Accepts New Patients: YHospital Affiliation: N/A*

UPADHYAYA, AparnaaAspen Dental(772) 324-3414Prov. No.: 0000117719652648 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1619313418License: DN20292License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000117742342835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000117742674203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

263GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)VAN DUYNE, Tracy L.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121306174203 SE Federal Hwy Ste 1Stuart, FL 34997Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121306332835 NW Federal HwyStuart, FL 34994Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000121461264203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)VAZANA, Todd A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000121461792835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaDntl Hlth Group @ Stuart(772) 223-4003Prov. No.: 0000121831346035 SE Federal HwyStuart, FL 34997Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 221-0685Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000054210192835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)VIGNOLA, Jennifer A.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054837664203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

VULUGUNDAM, SrikarAspen Dental(772) 324-3414Prov. No.: 0000115499092648 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1629414222License: DN20290License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000120479522835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120480824203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)YU, Cynthia W.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000120193642835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000120193744203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000124543452835 NW Federal HwyStuart, FL 34994Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000124544784203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

264 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MARTIN COUNTY (Cont.)

Stuart (Cont.)ZIEGLER, Neal B.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054838394203 SE Federal Hwy Ste 1Stuart, FL 34997Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental Group of JensenBeach Pllc(772) 405-6100Prov. No.: 0000056080482835 NW Federal HwyStuart, FL 34994Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of Jensen Beach(772) 405-6100Prov. No.: 0000054832122835 NW Federal HwyStuart, FL 34994Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 405-6110Accepts New Patients: YHospital Affiliation: N/A*

MARTIN COUNTY (Cont.)

Stuart (Cont.)ZYLBERING, Jason M.Sage Dental of Stuart Pllc(772) 672-8801Prov. No.: 0000054837684203 SE Federal Hwy Ste 1Stuart, FL 34997Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (772) 672-8801Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY

Aventura

ALTER, Julie A.Julie Alter(305) 931-8255Prov. No.: 00000073639319495 Biscayne Blvd Ste 4Aventura, FL 33180Language: English, SpanishGender: FemaleNPI: 1215006481License: DN16654License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 936-5971Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, ElibethDentaland of Aventura(305) 935-1400Prov. No.: 0000012810772960 Aventura BlvdAventura, FL 33180Gender: FemaleNPI: 1831487339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)BAHMADI MOGHADOAM, NedaValeria Soltanik Dmd(305) 466-2334Prov. No.: 0000121151112999 NE 191st St Ste 350 �Aventura, FL 33180Language: English, Farsi,FrenchGender: FemaleNPI: 1417246273License: DN19275License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 466-2359Accepts New Patients: YHospital Affiliation: N/A*

BISTRITZ, David S.David S Bistritz Dds(305) 933-2501Prov. No.: 00000011917018171 Biscayne BlvdAventura, FL 33160Gender: MaleNPI: 1750409025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-0429Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Robert J.Robert Cohen(305) 932-1214Prov. No.: 0000000190462925 Aventura Blvd Ste 20 �Aventura, FL 33180Gender: MaleNPI: 1710078589License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 682-7972Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)CUNHA, Renata F.Dentaland of Aventura(305) 935-1400Prov. No.: 0000121056582960 Aventura BlvdAventura, FL 33180Gender: FemaleNPI: 1366761389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizDental Center at Aventura(305) 682-1554Prov. No.: 00000143278519086 NE 29th AveAventura, FL 33180Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-4352Accepts New Patients: YHospital Affiliation: N/A*

ERIKS, Ty J.Dentaland of Aventura(305) 935-1400Prov. No.: 0000121331702960 Aventura BlvdAventura, FL 33180Language: English, SpanishGender: MaleNPI: 1235427493License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

265GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)FROST, Jimena P.Jimena Frost(305) 998-7992Prov. No.: 00001211467217501 Biscayne Blvd SuitAventura, FL 33160Language: English, SpanishGender: FemaleNPI: 1184014631License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, Luisa F.Great Expressions DentalCenters(305) 935-1400Prov. No.: 00001251100419913 Biscayne BlvdAventura, FL 33180Language: French, SpanishGender: FemaleNPI: 1740614163License: DN21006License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GODOY, Yami A.Dental Center at Aventura(305) 682-1554Prov. No.: 00001203094419086 NE 29th AveAventura, FL 33180Language: EnglishGender: Not ReportedNPI: 1831248004License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-4352Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)GUZMAN, Nestor E.Dental Center at Aventura(305) 682-1554Prov. No.: 00000046704019086 NE 29th AveAventura, FL 33180Gender: MaleNPI: 1558477919License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-4352Accepts New Patients: YHospital Affiliation: N/A*

HARATZ, AdelaPembroke Pines Dental Health(786) 433-5232Prov. No.: 0000016567012775 NE 187th St Ste 4Aventura, FL 33180Language: EnglishGender: FemaleNPI: 1316187784License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 437-4573Accepts New Patients: NHospital Affiliation: N/A*

HORTA, ReinaldoReinaldo Horta Dds(305) 931-5252Prov. No.: 00000035917317971 Biscayne Blvd Ste 1Aventura, FL 33160Language: EnglishGender: Not ReportedNPI: 1386790202License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)LISI, Richard A.Dentaland of Aventura(305) 935-1400Prov. No.: 0000121056592960 Aventura BlvdAventura, FL 33180Language: English, SpanishGender: MaleNPI: 1962570341License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

LLAPUR, CarlosDental Center at Aventura(305) 682-1554Prov. No.: 00001206137719086 NE 29th AveAventura, FL 33180Gender: MaleNPI: 1275947913License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-4352Accepts New Patients: YHospital Affiliation: N/A*

LLEO, Pedro D.Dental Center at Aventura(305) 682-1554Prov. No.: 00000071599819086 NE 29th AveAventura, FL 33180Gender: MaleNPI: 1942306394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-4352Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)MAZZARELLA, Daniel S.Mazz D Corp(305) 937-6453Prov. No.: 00000018615120616 Biscayne Blvd �Aventura, FL 33180Language: EnglishGender: MaleNPI: 1932131109License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-6062Accepts New Patients: YHospital Affiliation: N/A*

MORALES, Ronald J.Dentaland of Aventura(305) 935-1400Prov. No.: 0000121056602960 Aventura BlvdAventura, FL 33180Language: EnglishGender: Not ReportedNPI: 1215156260License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Dentaland of Aventura(305) 935-1400Prov. No.: 0000121097062960 Aventura BlvdAventura, FL 33180Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

266 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)SAENZ, Regina H.Dentaland Aventura Llc(305) 935-1400Prov. No.: 00001225039119913 Biscayne BlvdAventura, FL 33180Gender: FemaleNPI: 1417047218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

SALOMON, DaniellaMitchell J Farr Dmd(305) 893-4315Prov. No.: 00000113753717971 Biscayne Blvd Ste 1Aventura, FL 33160Gender: FemaleNPI: 1265602031License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SMITH, Larysa K.Dentaland of Aventura(305) 935-1400Prov. No.: 0000013651492960 Aventura BlvdAventura, FL 33180Gender: FemaleNPI: 1710036819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 932-6464Accepts New Patients: YHospital Affiliation: N/A*

SOLTANIK, FernandoValeria Soltanik Dmd(305) 466-2334Prov. No.: 0000102122952999 NE 191st St Ste 350 �Aventura, FL 33180Gender: MaleNPI: 1053753574License: DN20295License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-2359Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)SOLTANIK, ValeriaValeria Soltanik Dmd(305) 466-2334Prov. No.: 0000002033072999 NE 191st St Ste 350 �Aventura, FL 33180Gender: FemaleNPI: 1982810149License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-2359Accepts New Patients: YHospital Affiliation: N/A*

TEHRANI, Kamin A.Valeria Soltanik Dmd(305) 466-2334Prov. No.: 0000006954512999 NE 191st St Ste 350 �Aventura, FL 33180Gender: MaleNPI: 1982787917License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-2359Accepts New Patients: YHospital Affiliation: N/A*

TRIANA, Lauren D.Valeria Soltanik Dmd(305) 466-2334Prov. No.: 0000017236982999 NE 191st St Ste 350 �Aventura, FL 33180Language: EnglishGender: FemaleNPI: 1952534158License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-2359Accepts New Patients: YHospital Affiliation: N/A*

WEIDER, Gary R.Gary R Weider Dmd(305) 935-2122Prov. No.: 00000025725121355 E Dixie Hwy Ste 105Aventura, FL 33180Gender: MaleNPI: 1952497190License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-4226Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Aventura (Cont.)WOHLSTEIN, DianaDiana Wohlstein Dmd Pllc(305) 931-5626Prov. No.: 0000104048322925 Aventura Blvd Ste 20Aventura, FL 33180Language: EnglishGender: FemaleNPI: 1659573137License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Bay Harbor Islands

AZAR, Francisco J.Xavier Azar Dds(305) 866-3030Prov. No.: 0000001459091048 Kane ConcourseBay Harbor Islands, FL 33154Language: EnglishGender: MaleNPI: 1679671713License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: drx@azardentistry. comFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BACKER, Adriana D.Southeastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000124272861160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Language: English, SpanishGender: FemaleNPI: 1336503689License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Bay Harbor Islands (Cont.)BARBER, JanetxiaSoutheastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000125627551160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Gender: FemaleNPI: 1912388133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONTRERAS, Marco A.Condor Dental Services Inc(305) 868-4600Prov. No.: 0000121958011045 Kane Concourse Ste 1Bay Harbor Islands, FL 33154Language: English, SpanishGender: MaleNPI: 1568788800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 368-6994Accepts New Patients: YHospital Affiliation: N/A*

EPSTEIN, Peter H.Peter H Epstein Dmd(305) 866-9998Prov. No.: 0000001421281025 Kane Concourse Ste 2Bay Harbor Islands, FL 33154Gender: MaleNPI: 1952441198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 867-2593Accepts New Patients: YHospital Affiliation: N/A*

267GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Bay Harbor Islands (Cont.)FONTECILLA, SofiaSoutheastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000124272831160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Language: English, SpanishGender: FemaleNPI: 1962780882License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

FRAGA, DaynetSoutheastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000120292781160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Language: English, SpanishGender: FemaleNPI: 1407288319License: DN20279License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

HARDEN, JaclynSoutheastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000124461071160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Language: English, SpanishGender: FemaleNPI: 1619130572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Bay Harbor Islands (Cont.)MANDEL, Jonathan O.Neil A Friedman Dmd(305) 615-5722Prov. No.: 0000123151581048 Kane ConcourseBay Harbor Islands, FL 33154Gender: MaleNPI: 1689088148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

POVEROMO, MelMel D Poveromo Dds(305) 866-7127Prov. No.: 0000028251571160 Kane Concourse Ste 2Bay Harbor Islands, FL 33154Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHER, Sydney J.Southeastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000121455571160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Gender: FemaleNPI: 1437575701License: DN20485License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Bay Harbor Islands (Cont.)SHIN, EstherSoutheastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000124272841160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Language: English, KoreanGender: FemaleNPI: 1912240169License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

TUMAN, Jonathan M.Bay Harbor Complete Dntst(305) 865-7166Prov. No.: 0000000196961111 Kane Concourse Ste 5 �Bay Harbor Islands, FL 33154Gender: Not ReportedNPI: 1558445023License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WANG, Christina W.Southeastern Dental AssociatesV Pa(305) 866-7127Prov. No.: 0000020889101160 Kane Concourse Ste 2 �Bay Harbor Islands, FL 33154Language: EnglishGender: FemaleNPI: 1942563325License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 868-5011Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Carol City

WEBB, Delroy W.Dade Family Dental(305) 621-1400Prov. No.: 0000000197021830 NW 183rd St �Carol City, FL 33056Language: EnglishGender: MaleNPI: 1881602415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Coconut Grove

MENDEZ, JocelynJocelyn Mendez Dds Pa(305) 460-4499Prov. No.: 0000003882512820 Oak Ave �Coconut Grove, FL 33133Language: EnglishGender: FemaleNPI: 1073789368License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 441-0883Accepts New Patients: NHospital Affiliation: N/A*

MESIA, Juan C.Luciana E Ravazzi(305) 859-0990Prov. No.: 0000026179122601 S Bayshore Dr Ste 76Coconut Grove, FL 33133Gender: MaleNPI: 1952513533License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

268 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coconut Grove (Cont.)RAVAZZI, Luciana E.Bruno Sharp Dds(305) 857-0990Prov. No.: 0000004181252601 S Bayshore Dr Ste 76Coconut Grove, FL 33133Gender: Not ReportedNPI: 1871789701License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Coral Gables

AGREDA, AngelAngel Agreda Dds(305) 567-0236Prov. No.: 0000000188705171 SW 8th StCoral Gables, FL 33134Language: EnglishGender: MaleNPI: 1699883199License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALBERTO, JoseSmile Center of Coral Gables(305) 443-2662Prov. No.: 000012060407258 Andalusia AveCoral Gables, FL 33134Gender: Not ReportedNPI: 1447434832License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 443-2668Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)ALVAREZ, ElibethCarlos Gutierrez(786) 452-1748Prov. No.: 000012333064151 Giralda AveCoral Gables, FL 33134Gender: FemaleNPI: 1831487339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 452-1750Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Maria J.Dental Group of South FloridaInc(305) 444-8591Prov. No.: 000000333600747 Ponce De Leon Blvd St �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1124165303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-6988Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Pablo R.Dental Group of South FloridaInc(305) 444-8591Prov. No.: 000000019794747 Ponce De Leon Blvd St �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1265765655License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-6988Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)ALVAREZ-PENABAD, PeggyPeggy Alvarez-Penabad DdsPa(305) 548-8690Prov. No.: 0000120759584651 Ponce De Leon Blvd SCoral Gables, FL 33146Gender: FemaleNPI: 1205260601License: DN20378License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 548-8689Accepts New Patients: YHospital Affiliation: N/A*

ARAN, Gabriela G.Gabriela G Aran Dds Pllc(305) 443-7501Prov. No.: 0000012453983815 SW 8th StCoral Gables, FL 33134Gender: FemaleNPI: 1386762763License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 443-2888Accepts New Patients: YHospital Affiliation: N/A*

ARGUELLO, Vigarny A.Unique Dental Spa(305) 541-3030Prov. No.: 0000014325324011 W Flagler St Ste 202 �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1710275235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 541-0333Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)ARZOLA, VanessaVanessa Arzola Dmd Pa(305) 446-5676Prov. No.: 000012026133401 Miracle Mile Suite 41Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1295816924License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVALOS, Nicolas G.Nicolas Avalos Dmd Pa(305) 446-6900Prov. No.: 00000001895734 S Douglas Rd �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1396837092License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental(786) 507-4440Prov. No.: 0000125505071 Alhambra Plz Ste 25Coral Gables, FL 33134Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

269GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)AZARI, Scott J.Sage Dental(786) 507-4440Prov. No.: 0000124918941 Alhambra Plz Ste 25Coral Gables, FL 33134Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARZAGA, LizetteLizette Barzaga(305) 445-6006Prov. No.: 000012127715147 Alhambra Cir Ste 201Coral Gables, FL 33134Gender: MaleNPI: 1396995528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 460-7006Accepts New Patients: YHospital Affiliation: N/A*

BIRD, Juan C.Juan C Bird Dmd Pa(305) 648-9190Prov. No.: 000000201975401 Coral Way Ste 411Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1881615359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (304) 648-9191Accepts New Patients: NHospital Affiliation: N/A*

BLANCO, Diana R.900(305) 456-4592Prov. No.: 000001106479401 Miracle Mile Ste 209Coral Gables, FL 33134Gender: FemaleNPI: 1659536043License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 360-6953Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)BOSS, StephenGreat Expressions DentalCenters(305) 858-2545Prov. No.: 0000122304712501 Coral WayCoral Gables, FL 33145Gender: MaleNPI: 1396158580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: YHospital Affiliation: N/A*

BOSSEL, Jennifer Y.Unique Dental Spa(305) 541-3030Prov. No.: 0000025784124011 W Flagler St Ste 202 �Coral Gables, FL 33134Language: English, French,Italian, SpanishGender: FemaleNPI: 1528325362License: DN19276License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 541-0333Accepts New Patients: YHospital Affiliation: N/A*

BOTERO, AlexandraFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000124425424300 W Flagler St Ste 201Coral Gables, FL 33134Gender: FemaleNPI: 1053666065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)BRETOS, AlexanderMark Coulter(305) 264-1200Prov. No.: 0000071951395511 SW 8th St Ste 201Coral Gables, FL 33134Gender: MaleNPI: 1487669826License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Great Expressions DentalCenters(305) 858-2545Prov. No.: 0000011566512501 Coral WayCoral Gables, FL 33145Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: NHospital Affiliation: N/A*

CABALLERO, Mario J.Jorge Powell Dds(305) 854-1721Prov. No.: 0000123175092438 Coral WayCoral Gables, FL 33145Language: SpanishGender: MaleNPI: 1205921004License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)CACERES, JohannyOral & Facial Surgery ofMiami Llc(305) 552-1193Prov. No.: 0000095746013860 SW 8th St Ste 201Coral Gables, FL 33134Gender: MaleNPI: 1588865240License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 443-0008Accepts New Patients: YHospital Affiliation: N/A*

CARBIA, Maribel C.Maribel Carbia(305) 666-0006Prov. No.: 0000120980564100 Salzedo St Ste 20Coral Gables, FL 33146Gender: FemaleNPI: 1174799001License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARRILLO, CatalinaGreat Expressions DentalCenters(305) 858-2545Prov. No.: 0000000185382501 Coral WayCoral Gables, FL 33145Language: EnglishGender: FemaleNPI: 1457421711License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: NHospital Affiliation: N/A*

270 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)CAYON, Alicia B.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000121995274300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: FemaleNPI: 1467865022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

CHAVEZ, Jean-PaulJean Paul Chavez Dds(305) 444-4300Prov. No.: 000001768858555 Biltmore Way Ste 102Coral Gables, FL 33134Gender: MaleNPI: 1164715363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-1245Accepts New Patients: YHospital Affiliation: N/A*

COOPER, Angela M.Angela Cooper Vega Dds(305) 266-4566Prov. No.: 0000001342745589 SW 8th StCoral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1912994914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 266-4122Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)CORDOVA-PENA, Noris C.Dental Cosmetic Spa Corp(786) 452-1748Prov. No.: 000012438829151 Giralda Ave �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1669754578License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORREA, Adrian J.Souviron Groh Dental LeadersPa(305) 442-1177Prov. No.: 000005300666336 Alhambra CirCoral Gables, FL 33134Gender: MaleNPI: 1780965368License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORTIZA SARDINAS, YoanFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000120828114300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: MaleNPI: 1992118657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)COTELO-PARDO, YanepsiJubidental Services(305) 444-3074Prov. No.: 000012106200299 Alhambra Cir Ste 202Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1881986891License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-3078Accepts New Patients: YHospital Affiliation: N/A*

COULTER, MarkMark Coulter(305) 264-1200Prov. No.: 0000122575935511 SW 8th St Ste 201Coral Gables, FL 33134Gender: Not ReportedNPI: 1588820989License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COULTER, Mark G.Dental Partners of Galbes(786) 390-0888Prov. No.: 0000004020295511 SW 8th St �Coral Gables, FL 33134Gender: MaleNPI: 1346484474License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental(305) 774-6477Prov. No.: 000000018441401 Miracle Mile Ste 301Coral Gables, FL 33134Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)CRUZ, Antonio R.Sage Dental(786) 507-4440Prov. No.: 0000124918931 Alhambra Plz Ste 25Coral Gables, FL 33134Gender: MaleNPI: 1053435156License: DN 12876License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Karen G.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000019231624300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

DAEE, Armin C.Armin Daee Dmd Pa(305) 670-1011Prov. No.: 0000120567694950 S Le Jeune Rd Ste BCoral Gables, FL 33146Gender: MaleNPI: 1043502883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-1012Accepts New Patients: YHospital Affiliation: N/A*

271GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)DE AGUIRRE, Elizabeth M.Elizabeth M De Aguirre Dds(305) 446-2226Prov. No.: 000001826302806 S Douglas Rd Ste 150Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1467434746License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DELGADO, LigmingFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000019232964300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: MaleNPI: 1548396658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, Jose M.Great Expressions DentalCenters(305) 858-2545Prov. No.: 0000002625502501 Coral WayCoral Gables, FL 33145Language: EnglishGender: MaleNPI: 1689708463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)DIPASTINA, AngelaGreat Expressions DentalCenters(305) 858-2545Prov. No.: 0000124423562501 Coral WayCoral Gables, FL 33145Gender: FemaleNPI: 1871942920License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: YHospital Affiliation: N/A*

ESPARRAGOZA, RamiroRamiro Esparragoza Dds(305) 441-5359Prov. No.: 000000721641401 Miracle Mile Ste 211Coral Gables, FL 33134Gender: Not ReportedNPI: 1265564777License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FELIPE, FaustoRolando Useba Dds(305) 442-0020Prov. No.: 0000045885583934 SW 8th St Ste 204Coral Gables, FL 33134Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)FERNANDEZ, Alvaro O.Alvaro Fernandez-Carol DdsPa(305) 443-2993Prov. No.: 000000366807401 Miracle Mile Ste 211 �Coral Gables, FL 33134Language: EnglishGender: Not ReportedNPI: 1851568455License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

FERNANDEZ, Alvaro O.Alvaro Fernandez-Carol DdsPa(305) 443-2993Prov. No.: 000012500583401 Miracle Mile Ste 301Coral Gables, FL 33134Language: SpanishGender: Not ReportedNPI: 1851568455License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, Maria C.Maria C Fernandez Dds(305) 446-1067Prov. No.: 0000000184104830 SW 8th St �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1790826683License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 446-0687Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)FERNANDEZ DOMINGUEZ, GiselleFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000121302614300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: FemaleNPI: 1235484890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

FORNS, Alfredo R.Alfredo R Forns Dds(305) 442-8481Prov. No.: 000000124886124 Almeria AveCoral Gables, FL 33134Gender: MaleNPI: 1255525408License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 442-4029Accepts New Patients: YHospital Affiliation: N/A*

GARCES, CarolineGreat Expressions DentalCenters(305) 858-2545Prov. No.: 0000004428192501 Coral WayCoral Gables, FL 33145Gender: FemaleNPI: 1215134952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: NHospital Affiliation: N/A*

GARCIA, Rebeca M.University Dental Group(305) 661-8240Prov. No.: 0000004693411430 S Dixie Hwy Ste 312 �Coral Gables, FL 33146Gender: FemaleNPI: 1346411774License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 661-8785Accepts New Patients: YHospital Affiliation: N/A*

272 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)GARROTE, RogelioFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 0000124903794300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: MaleNPI: 1144671470License: DN21977License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GIL ARAUJO, Eduardo F.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000024494964300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GOMARA, Luis A.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000003806484300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1659381879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, AgustinAgustin Gonzalez Dds(786) 552-9918Prov. No.: 0000002830973934 SW 8th St Ste 305Coral Gables, FL 33134Gender: Not ReportedNPI: 1396964789License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)GONZALEZ, Ana I.Ana Gonzalez(305) 442-4810Prov. No.: 0000121993663934 SW 8th StCoral Gables, FL 33134Gender: FemaleNPI: 1285845883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Raul C.Smile Studio Assoc Dentistry(305) 856-1488Prov. No.: 0000001553131760 Coral WayCoral Gables, FL 33145Gender: FemaleNPI: 1407036601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Ricardo C.Ricardo C Gonzalez Dds(305) 445-1144Prov. No.: 0000004356342600 S Douglas Rd Ste 910Coral Gables, FL 33134Gender: MaleNPI: 1164624326License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 445-9183Accepts New Patients: YHospital Affiliation: N/A*

GRIDER, Joseph R.Vanessa Arzola Dds(305) 446-5676Prov. No.: 000012072032401 Coral Way Ste 410Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1881895910License: DN18521License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 446-2276Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)GUERRA, Daniel A.Great Expressions DentalCenters(305) 858-2545Prov. No.: 0000056698032501 Coral WayCoral Gables, FL 33145Gender: MaleNPI: 1386908291License: DN19818License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: NHospital Affiliation: N/A*

GUERRA, Edy A.Edy A Guerra Dds(305) 643-1444Prov. No.: 0000000190234011 W Flagler St Ste 506Coral Gables, FL 33134Language: English, Italian,SpanishGender: Not ReportedNPI: 1174749691License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-0447Accepts New Patients: YHospital Affiliation: N/A*

HAYATE, JessicaFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000120815614300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1700210630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)HAYECK, Maria-DoloresDr Maria-Dolores Hayeck(305) 444-2120Prov. No.: 000000019711336 Sevilla Ave �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1730207101License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, LiliamFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000124245714300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1538521778License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ BONNET, Christina S.Elizabeth M De Aguirre Dds(305) 446-2226Prov. No.: 000012561805806 S Douglas Rd Ste 150Coral Gables, FL 33134Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

273GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)HERNANDEZ-JEREZ, GemaGema Hernanadez Dds(786) 360-6812Prov. No.: 000012009528401 Coral Way Ste 305Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1699020347License: DN19881License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IDALMES, GarciaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 0000125146634300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental(786) 507-4440Prov. No.: 0000125101191 Alhambra Plz Ste 25Coral Gables, FL 33134Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IWANOWSKI, MurielMuriel Iwanowski(305) 669-4422Prov. No.: 0000004423455965 Ponce De Leon BlvdCoral Gables, FL 33146Gender: Not ReportedNPI: 1992962583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)JIMENEZ, Manuel A.Jimenez Manuel A(305) 667-5539Prov. No.: 0000062990914950 S Le Jeune RdCoral Gables, FL 33146Gender: MaleNPI: 1033452370License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 667-5593Accepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Great Expressions DentalCenters(305) 858-2545Prov. No.: 0000121418262501 Coral WayCoral Gables, FL 33145Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: NHospital Affiliation: N/A*

LEMUS, Isel G.Lemus Dental Group Llc(305) 442-9333Prov. No.: 0000122526215171 SW 8th StCoral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1033541537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 567-0236Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)LOPEZ, Manuel G.Manuel G Lopez Dds(305) 774-7273Prov. No.: 0000003682473190 Ponce De Leon BlvdCoral Gables, FL 33134Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 774-7274Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ-GALAN, Maria R.Dr Maria R Lopez-Galan Pa(305) 665-1655Prov. No.: 0000000190444689 Ponce De Leon Blvd S �Coral Gables, FL 33146Language: EnglishGender: FemaleNPI: 1992917934License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LUJAN, Olga R.Olga R Lujan Dds(305) 448-3598Prov. No.: 0000002674623735 SW 8th St Ste 202Coral Gables, FL 33134Gender: Not ReportedNPI: 1891846119License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 448-3698Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)MANIGLIA, Marielba D.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000121294974300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: FemaleNPI: 1063793644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARIN JIMENEZ, Laura M.Smile Center of Coral Gables(305) 443-2662Prov. No.: 000012100010258 Andalusia AveCoral Gables, FL 33134Gender: FemaleNPI: 1457751075License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 443-2668Accepts New Patients: YHospital Affiliation: N/A*

MARQUEZ-IGLESIAS, FelicitaFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000120578414300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1740619402License: DN 20430License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ClaudiaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 0000125077254300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: FemaleNPI: 1294175794License: DN21886License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

274 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)MARTINEZ, KarenGables Family Dental(305) 529-9295Prov. No.: 0000120814802990 Coral WayCoral Gables, FL 33145Gender: FemaleNPI: 1336294032License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 529-2551Accepts New Patients: NHospital Affiliation: N/A*

MARTINEZ, KarenKaren Martinez Dmd Pa(305) 446-5676Prov. No.: 000012175351401 Coral Way Ste 410Coral Gables, FL 33134Gender: FemaleNPI: 1336294032License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 446-5265Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Miguel A.Family and CosmeticDentistry(305) 460-7060Prov. No.: 0000124416604300 W Flagler St Ste 201Coral Gables, FL 33134Gender: MaleNPI: 1043408271License: DN18073License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Milton F.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000020172244300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: MaleNPI: 1346326972License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)MARTINEZ, ZunithFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000122418824300 W Flagler St Ste 201Coral Gables, FL 33134Gender: FemaleNPI: 1487035085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARX, Maria T.Maria T Marx Dds(305) 444-8188Prov. No.: 000000021751555 Biltmore Way Ste 103 �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1124248257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-8918Accepts New Patients: YHospital Affiliation: N/A*

MIRO, Claudio L.Claudio L Miro Dds(305) 442-7444Prov. No.: 000000408366564 SW 42nd AveCoral Gables, FL 33134Gender: MaleNPI: 1417024118License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)MIRO, KiaraClaudio L Miro Dds(305) 442-7444Prov. No.: 000000721614564 SW 42nd AveCoral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1427078625License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MORALES, Marco J.Esther Santana Dmd Pa(305) 447-9199Prov. No.: 000001167009348 Alhambra CirCoral Gables, FL 33134Gender: MaleNPI: 1760447064License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MORALES, Richard D.University Dental Group(305) 661-8240Prov. No.: 0000004519521430 S Dixie Hwy Ste 312 �Coral Gables, FL 33146Gender: MaleNPI: 1750431771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 661-8785Accepts New Patients: YHospital Affiliation: N/A*

MORALES GEORGE, EstherWalter E Ortiz-Colon Dds(305) 444-6203Prov. No.: 0000025779303727 SW 8th St Ste 101Coral Gables, FL 33134Gender: Not ReportedNPI: 1629197389License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)MOREJON, HectorFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000012423214300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1861706129License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

NAHMAD, MauriceMaurice Nahmad Dds(305) 448-1999Prov. No.: 000002577931747 Ponce De Leon Blvd StCoral Gables, FL 33134Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAZARIO LUGO, Beatriz T.Maigrely Abreu-HernandezDmd Pa & Dr Lui(305) 662-7702Prov. No.: 0000121486305965 Ponce De Leon Blvd �Coral Gables, FL 33146Gender: FemaleNPI: 1255340279License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 662-2552Accepts New Patients: YHospital Affiliation: N/A*

275GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)NOY, Isabel C.Gables Dental Clinic(305) 444-9951Prov. No.: 0000000190495450 SW 8th St Ste 201 �Coral Gables, FL 33134Language: EnglishGender: Not ReportedNPI: 1033212519License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OPPENHEIMER, Jahn H.Jahn H Oppenheimer Dds(305) 448-7778Prov. No.: 00001207072630 Miracle MileCoral Gables, FL 33134Language: EnglishGender: Not ReportedNPI: 1417171091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OPPENHEIMER, Jahn H.Jahn H Oppenheimer Dds(305) 341-0061Prov. No.: 0000121669692415 Galiano StCoral Gables, FL 33134Language: EnglishGender: Not ReportedNPI: 1417171091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)ORTA, InesGables Family Dental(305) 529-9295Prov. No.: 0000120860512990 Coral WayCoral Gables, FL 33145Gender: FemaleNPI: 1881836963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 529-2551Accepts New Patients: NHospital Affiliation: N/A*

ORTIZ-COLON, Walter E.Walter E Ortiz-Colon Dds(305) 444-6203Prov. No.: 0000000214673727 SW 8th St Ste 101Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1245359991License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenGreat Expressions DentalCenters(305) 858-2545Prov. No.: 0000121356262501 Coral WayCoral Gables, FL 33145Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)PEDROLETTI, FredMelzer Means and Layne OsGrp(305) 667-1191Prov. No.: 0000121060981500 San Remo Ave Ste 150Coral Gables, FL 33146Gender: MaleNPI: 1265751036License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PENA MARRO, MileidisFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000124416374300 W Flagler St Ste 201Coral Gables, FL 33134Gender: FemaleNPI: 1750730388License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000022994264300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)PIOTROWSKI, Peter J.Peter J Piotrowski Dds(305) 774-6477Prov. No.: 000000238856401 Miracle Mile Ste 209Coral Gables, FL 33134Gender: Not ReportedNPI: 1316059884License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

POWELL, Jorge L.Jorge L Powell Dmd(305) 854-1721Prov. No.: 0000000243902438 Coral WayCoral Gables, FL 33145Language: EnglishGender: MaleNPI: 1982765756License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 854-4344Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, EvelynFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000124610564300 W Flagler St Ste 201Coral Gables, FL 33134Gender: FemaleNPI: 1598146755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

276 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)PRIETO, EvelynFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000124824774300 W Flagler St Ste 201Coral Gables, FL 33134Gender: Not ReportedNPI: 1598146755License: DN21249License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUINTANA, Rafael J.Dr Rafael J Quintana(305) 854-1721Prov. No.: 0000000188432438 Coral Way �Coral Gables, FL 33145Language: EnglishGender: MaleNPI: 1215096235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAPPACCIOLI, CotyGables Family Dental(305) 529-9295Prov. No.: 0000016604152990 Coral WayCoral Gables, FL 33145Gender: MaleNPI: 1649473588License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 529-2551Accepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)REYES, OmarysFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000121931364300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: MaleNPI: 1073871968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000124350434300 W Flagler St Ste 201Coral Gables, FL 33134Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, AmauryAmaury Rodriguez Dds(305) 445-1405Prov. No.: 0000000179533944 W Flagler St �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1437251568License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 445-1406Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)RODRIGUEZ, Guillermo P.Guillermo Rodriguez(305) 441-7700Prov. No.: 0000003150953934 SW 8th St Ste 306Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1558492363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 441-7900Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, JulietaDivine Smiles Llc(305) 242-1481Prov. No.: 000012554625124 Almeria AveCoral Gables, FL 33134Gender: FemaleNPI: 1285019521License: DN21497License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Maria A.Maria A Rodriguez(305) 444-1842Prov. No.: 0000000179553934 SW 8th St Ste 205 �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1821157850License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)RODRIGUEZ, VickyVicky Rodriguez Dds(305) 445-8459Prov. No.: 000000018847177 SW 42nd AveCoral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1912041195License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 445-9917Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ-BEC, Judith R.Judith R Rodriguez-Bec Dds(305) 445-8707Prov. No.: 000000020629600 SW 42nd AveCoral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1427124692License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ-MARTIN, Henry A.Dental Group of South FloridaInc(305) 444-8591Prov. No.: 000000219473747 Ponce De Leon Blvd St �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1467549444License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-6988Accepts New Patients: YHospital Affiliation: N/A*

277GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)ROMAN, Jenny J.Maximo A Roman Dds(305) 448-1999Prov. No.: 000000188395747 Ponce De Leon Blvd St �Coral Gables, FL 33134Gender: FemaleNPI: 1801008933License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROMAN, Maximo A.Maximo A Roman Dds(305) 448-1999Prov. No.: 000000028054747 Ponce De Leon Blvd St �Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1578676144License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALCINES, Damaris G.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000003806504300 W Flagler St Ste 201 �Coral Gables, FL 33134Gender: FemaleNPI: 1891705091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)SALDARRIAGA, LisaFamily & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000019256684300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SAN JORGE, AlejandroAlejandro San Jorge Dds(305) 448-7119Prov. No.: 000000020393801 Monterey St Ste 201Coral Gables, FL 33134Language: EnglishGender: MaleNPI: 1518234780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 448-7387Accepts New Patients: YHospital Affiliation: N/A*

SANTANA, DavidFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 0000124893234300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)SARDA, Mariamilagros M.Mariamilagros Sarda(305) 443-4841Prov. No.: 000000018106299 Alhambra Cir Ste 205 �Coral Gables, FL 33134Language: EnglishGender: Not ReportedNPI: 1275735151License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 443-4808Accepts New Patients: YHospital Affiliation: N/A*

SARDUY, Luis O.Sarduy Dental Center(305) 221-2219Prov. No.: 0000000214495539 SW 8th StCoral Gables, FL 33134Gender: MaleNPI: 1861596157License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SARDUY, Luis O.Esthetic Dental Clinic(305) 448-3698Prov. No.: 0000039197853735 SW 8th St Ste 202Coral Gables, FL 33134Gender: MaleNPI: 1861596157License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)SHAYAN, Maria M.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000022993184300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SILVA, BerthaBertha Silva Dds(305) 446-4660Prov. No.: 0000025778605522 SW 8th StCoral Gables, FL 33134Gender: Not ReportedNPI: 1265501811License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIPKIN, Lloyd A.Steven Polasky Dds(954) 565-7555Prov. No.: 0000123113282501 Coral WayCoral Gables, FL 33145Language: EnglishGender: MaleNPI: 1104046176License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

278 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)SOKOLOFF, ArthurArthur Sokoloff Dds(305) 443-2993Prov. No.: 000000160646401 Miracle Mile Ste 211Coral Gables, FL 33134Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 443-2460Accepts New Patients: NHospital Affiliation: N/A*

SOLER, Rosa M.Florida Healthy Smiles(305) 569-9966Prov. No.: 000000711615555 Biltmore Way Ste 105 �Coral Gables, FL 33134Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 647-6471Accepts New Patients: YHospital Affiliation: N/A*

TOBON-ANGEL, EliasGables Smile Dental(305) 529-9595Prov. No.: 000000128678401 Miracle Mile Ste 109Coral Gables, FL 33134Language: English, SpanishGender: MaleNPI: 1689794885License: DN14672License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)TOBON-ANGEL, EliasGables Family Dental(305) 529-9295Prov. No.: 0000003668942990 Coral WayCoral Gables, FL 33145Language: English, SpanishGender: MaleNPI: 1689794885License: DN14672License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 529-2551Accepts New Patients: YHospital Affiliation: N/A*

TORRES-RIVERA, IrisIris Torres-Rivera Dmd(305) 446-1047Prov. No.: 000000025402475 Biltmore Way Ste 110Coral Gables, FL 33134Language: EnglishGender: Not ReportedNPI: 1376556407License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, Alexander D.Claudio L Miro Dds(305) 442-7444Prov. No.: 000000721617564 SW 42nd AveCoral Gables, FL 33134Language: EnglishGender: MaleNPI: 1043231996License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)UCROS, GermanLiza Aguilar Dds(305) 858-2545Prov. No.: 0000016555872501 Coral WayCoral Gables, FL 33145Gender: MaleNPI: 1558570499License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

VACHARAKIAT, MalissaGables Dental Care Inc(305) 443-7501Prov. No.: 0000003817553815 SW 8th St �Coral Gables, FL 33134Gender: FemaleNPI: 1609959873License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALDES, MarilynEstetica Dental Gables Inc(305) 445-5515Prov. No.: 000001679298470 Biltmore Way Ste 200Coral Gables, FL 33134Gender: FemaleNPI: 1104103910License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALDES, MarilynEstetica Dental Gables Inc(305) 445-5515Prov. No.: 000012329452470 Biltmore Way Ste 104Coral Gables, FL 33134Gender: FemaleNPI: 1104103910License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 445-5518Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)VALDES, Martha B.Family & Cosmetic Dentistry(305) 460-7060Prov. No.: 0000120491524300 W Flagler St Ste 201 �Coral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1649605585License: DN20482License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

VALENCIA, NellyNelly Valencia Dds(305) 649-4249Prov. No.: 0000120496884011 W Flagler St Ste 201Coral Gables, FL 33134Language: EnglishGender: FemaleNPI: 1861600033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VELASCO, Norka S.Norka Velasco(786) 703-9430Prov. No.: 0000122352311805 Ponce De Leon Blvd SCoral Gables, FL 33134Language: English, SpanishGender: FemaleNPI: 1881933240License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 870-5961Accepts New Patients: YHospital Affiliation: N/A*

279GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Coral Gables (Cont.)VIEGO, RebecaGreat Expressions DentalCenters(305) 858-2545Prov. No.: 0000121832032501 Coral WayCoral Gables, FL 33145Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-0958Accepts New Patients: YHospital Affiliation: N/A*

YAZBACK, Ali Y.University Dental Group(305) 661-8240Prov. No.: 0000124842441430 S Dixie Hwy Ste 312 �Coral Gables, FL 33146Gender: MaleNPI: 1851773220License: DN21282License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental(786) 507-4440Prov. No.: 0000124918961 Alhambra Plz Ste 25Coral Gables, FL 33134Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Crossings

TORRES, Lina T.Sage Dental(786) 621-5800Prov. No.: 00001252866712554 SW 88th StCrossings, FL 33186Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Cutler Bay

ALFONZO, Fara A.Fara Alfonzo(305) 256-1303Prov. No.: 00000001863519151 S Dixie Hwy Ste 206Cutler Bay, FL 33157Language: English, SpanishGender: FemaleNPI: 1851447684License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARNEDO, JohannaSouthland Mall Dental(305) 232-3737Prov. No.: 00001256453020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1104213909License: DN21079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)ASERIEL, HaimVadim Valdman(305) 232-3737Prov. No.: 00001209968820505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: MaleNPI: 1538561337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

ATKINSON, William A.Southland Mall Dental(305) 232-3737Prov. No.: 00001222882220505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1942360862License: 17412License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

ATTIE, AbelardoSouthland Mall Dental(305) 232-3737Prov. No.: 00001247300520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1225481450License: DN22122License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAEZ HENRY, CarlianetteSouthland Mall Dental(305) 232-3737Prov. No.: 00001223688520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1235594961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)BARBER, JanetxiaGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001224613220335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: FemaleNPI: 1912388133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

BLARDONIS, ArmandoBl Dental Associates Llc(305) 254-1500Prov. No.: 00000139905711000 SW 211th St �Cutler Bay, FL 33189Language: EnglishGender: MaleNPI: 1164745790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Great Expressions DentalCenters(305) 238-6777Prov. No.: 00000369501720335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

280 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)CABANZON, David J.Towncare Dental of Culter Bay(305) 233-1118Prov. No.: 00000016438520533 Old Cutler RdCutler Bay, FL 33189Gender: MaleNPI: 1609913953License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMPBELL, LisaCommunity Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001204331610300 SW 216th StCutler Bay, FL 33190Gender: FemaleNPI: 1659594497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaTowncare Dental of Culter Bay(305) 233-1118Prov. No.: 00000166036720533 Old Cutler RdCutler Bay, FL 33189Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)CHIN-THOMPSON, Angella R.Community Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001207738910300 SW 216th StCutler Bay, FL 33190Gender: Not ReportedNPI: 1215150909License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORPAS, Alfredo D.South Dade Family Dentistry(305) 259-9130Prov. No.: 00000026809618543 S Dixie HwyCutler Bay, FL 33157Language: EnglishGender: MaleNPI: 1124115837License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 259-9120Accepts New Patients: NHospital Affiliation: N/A*

CULLEN, William C.Southland Mall Dental(305) 232-3737Prov. No.: 00001205364520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1013110535License: DN7894License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)DIAZ, JanySouthland Mall Dental(305) 232-3737Prov. No.: 00001243748520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySouthland Mall Dental(305) 232-3737Prov. No.: 00001216253320505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

DURVE, AparnaSouthland Mall Dental(305) 232-3737Prov. No.: 00001246101220505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1437521580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

DURVE, AparnaSouthland Mall Dental(305) 232-3737Prov. No.: 00001250816320505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1437521580License: DN21629License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)FATMI, NavedTowncare Dental of Culter Bay(305) 233-1118Prov. No.: 00000127958720533 Old Cutler RdCutler Bay, FL 33189Gender: MaleNPI: 1558690974License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

FERRER TORRES, DarioGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001243397420335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: MaleNPI: 1750708129License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

FORNOS, Jorge A.Southland Mall Dental(305) 232-3737Prov. No.: 00001224778520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1831594415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

FULLER, Ellis L.Southland Mall Dental(305) 232-3737Prov. No.: 00001244933620505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: MaleNPI: 1366466286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

281GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)GIRALDO, Juan C.Pointe Royale Dntl Clinic(954) 742-2962Prov. No.: 00000046787219151 S Dixie Hwy Ste 206Cutler Bay, FL 33157Gender: MaleNPI: 1568652105License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, AlexanderSouthland Mall Dental(305) 232-3737Prov. No.: 00001224814220505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1285031930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, KellyVadim Valdman(305) 232-3737Prov. No.: 00001213040720505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: Not ReportedNPI: 1952717027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, MonicaGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001224028420335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: FemaleNPI: 1699115741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)GONZALEZ, YanelaSouthland Mall Dental(305) 232-3737Prov. No.: 00001215778720505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1811378359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Robert W.Southland Mall Dental(305) 232-3737Prov. No.: 00001218286220505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1578582359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

GUILARTE, Rhona E.Southland Mall Dental(305) 232-3737Prov. No.: 00000482345420505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1619956323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

HART, DarleneSouthland Mall Dental(305) 232-3737Prov. No.: 00000511961120505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)HAYATE, JessicaSouthland Mall Dental(305) 232-3737Prov. No.: 00001208172020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Language: English, SpanishGender: FemaleNPI: 1700210630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ BONNET, Christina S.Vadim Valdman(305) 232-3737Prov. No.: 00001213039820505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

HORESH-WEISSER, EttieSouthland Mall Dental(305) 232-3737Prov. No.: 00001231484820505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: Not ReportedLicense: DN21340License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JENKINS, MartinSouthland Mall Dental(305) 232-3737Prov. No.: 00001217574920505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1740514413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)JOHNSON, Robert B.Community Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001206208110300 SW 216th StCutler Bay, FL 33190Gender: Not ReportedNPI: 1275600686License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Great Expressions DentalCenters(305) 238-6777Prov. No.: 00001214236720335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranSouthland Mall Dental(305) 232-3737Prov. No.: 00001242489020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

282 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)KOHN, HeatherSouthland Mall Dental(305) 232-3737Prov. No.: 00001246866920505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1730592429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KOPYNETS, Viktor V.Vadim Valdman(305) 232-3737Prov. No.: 00001209968620505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: MaleNPI: 1932517042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

KRASNOV, RostislavSouthland Mall Dental(305) 232-3737Prov. No.: 00000436189820505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1942267935License: 27827License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

KUNSTMANN, Vivian R.Southland Mall Dental(305) 232-3737Prov. No.: 00001214972020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1104995539License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)LAGO-SANCHEZ, IdelbisSouthland Mall Dental(305) 232-3737Prov. No.: 00001242457720505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1003248824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

LANG, TomasCommunity Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001205971510300 SW 216th StCutler Bay, FL 33190Gender: MaleNPI: 1386758886License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LICINA, ZeljkaSouthland Mall Dental(305) 232-3737Prov. No.: 00001200402820505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1013263292License: DN20101License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

LIPTON, Barry E.Southland Mall Dental(305) 232-3737Prov. No.: 00001256452420505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1689676918License: DN12523License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)LOPEZ, Manuel G.Bl Dental Associates Llc(305) 254-1500Prov. No.: 00000146478411000 SW 211th St �Cutler Bay, FL 33189Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ DE VICTORIA, MilliedCommunity Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00000085846610300 SW 216th StCutler Bay, FL 33190Gender: FemaleNPI: 1467405423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LUIS, MichelleGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001219195920335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: FemaleNPI: 1417323247License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)MANZUR, KasimSouthland Mall DentalProv. No.: 00001246304020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1063828218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANZUR, LamyaGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00000002173620335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Language: EnglishGender: Not ReportedNPI: 1699826305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

MARSHALL, KristineSouthland Mall Dental(305) 232-3737Prov. No.: 00001242190720505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1396897385License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, GustavoSouthland Mall Dental(305) 232-3737Prov. No.: 00001244612320505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1831558964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

283GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)MENDOZA, IreniaSouth Dade Family Dentistry(305) 259-9130Prov. No.: 00000045232218543 S Dixie HwyCutler Bay, FL 33157Gender: FemaleNPI: 1124256920License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 259-9120Accepts New Patients: NHospital Affiliation: N/A*

MERIKAS, AmandaSouthland Mall Dental(305) 232-3737Prov. No.: 00001221781920505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIRANDA, AlejandraCommunity Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001205980610300 SW 216th StCutler Bay, FL 33190Gender: FemaleNPI: 1558328823License: DN13131License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidSouthland Mall Dental(305) 232-3737Prov. No.: 00001221782020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)NAPOD-TESTA, Blair B.Orthodontic Specialists ofSouth Florida(813) 659-4929Prov. No.: 00001246108518549 S Dixie Hwy �Cutler Bay, FL 33157Gender: FemaleNPI: 1962547620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 378-5531Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSouthland Mall Dental(305) 232-3737Prov. No.: 00001223219120505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

PANSURIYA, DharmendraSouthland Mall Dental(305) 232-3737Prov. No.: 00001256079920505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1932645736License: DN22018License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)PATEL, MinalbenGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001213591620335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

PAUL, Alexander D.Towncare Dental of Cutler Bay(305) 233-1118Prov. No.: 00001247184020533 Old Cutler RdCutler Bay, FL 33189Gender: MaleNPI: 1255611596License: DN21752License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINERO-CORREA, Rosario M.Southland Mall Dental(305) 232-3737Prov. No.: 00001256230820505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1013279769License: DN21700License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)PINTO, Yenile Y.Southland Mall Dental(305) 232-3737Prov. No.: 00000560536520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Language: English, Russian,SpanishGender: FemaleNPI: 1558633115License: DN19596License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

QADRI, SubuhiSouthland Mall Dental(305) 232-3737Prov. No.: 00001220324420505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1346612561License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

QUESADA, PedroSouthland Mall Dental(305) 232-3737Prov. No.: 00001250856220505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Language: SpanishGender: MaleNPI: 1164898177License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

284 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)QUEVEDO, FernandoSouthland Mall Dental(305) 232-3737Prov. No.: 00001218382720505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, RachelSouthland Mall Dental(305) 232-3737Prov. No.: 00001220946020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1942683065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Southland Mall Dental(305) 232-3737Prov. No.: 00000436190620505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)REED, SamanthaSouthland Mall Dental(305) 232-3737Prov. No.: 00001256385020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1104042456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REINHART, JoelSouthland Mall Dental(305) 232-3737Prov. No.: 00001211174320505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1033208392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaSouthland Mall Dental(305) 232-3737Prov. No.: 00001217421520505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)ROSENBERG, Sarah L.Bl Dental Associates Llc(305) 254-1500Prov. No.: 00001210036011000 SW 211th St �Cutler Bay, FL 33189Language: English, SpanishGender: FemaleNPI: 1497919492License: DN18239License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

RUIZ-CESTERO, Sarabel M.Community Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001205971710300 SW 216th StCutler Bay, FL 33190Language: EnglishGender: FemaleNPI: 1992718282License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RYAN PETERKIN, KathrynSouthland Mall Dental(305) 232-3737Prov. No.: 00001217574720505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1386939387License: DN19375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)SAENZ, Regina H.Cutler Bay Dental SpecialityPllc(786) 619-1159Prov. No.: 00001246638120529 Old Cutler RdCutler Bay, FL 33189Gender: FemaleNPI: 1417047218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.Vadim Valdman(305) 232-3737Prov. No.: 00001209968420505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

SARMIENTO, JeffreyCommunity Health of SouthDade(305) 253-5100Prov. No.: 00001247389510300 SW 216th StCutler Bay, FL 33190Gender: MaleNPI: 1184177560License: DN22214License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

285GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)SHUROVA, MarinaSouthland Mall Dental(305) 232-3737Prov. No.: 00001219581720505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1265830590License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

TORRES, DianaGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001207246120335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: FemaleNPI: 1083016257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneFortune Smiles Inc(305) 259-9210Prov. No.: 00001225077918543 S Dixie HwyCutler Bay, FL 33157Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TYDIR, MichelleTowncare Dental of Culter Bay(305) 233-1118Prov. No.: 00000124684020533 Old Cutler RdCutler Bay, FL 33189Gender: FemaleNPI: 1326296278License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)UZUNOVA-DIMOVA, KalinaSouthland Mall Dental(305) 232-3737Prov. No.: 00001217024020505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: FemaleNPI: 1245540947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

VALDMAN, VadimSouthland Mall Dental(305) 232-3737Prov. No.: 00000245181820505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1184860413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaGreat Expressions DentalCenters(305) 238-6777Prov. No.: 00001216497720335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

WAHBA, DaliaVadim Valdman(305) 232-3737Prov. No.: 00001212976120505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: FemaleNPI: 1619382611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)WATSON-HAMILTON, Sheri S.Sheir S Watson -Hamilton(305) 378-5544Prov. No.: 00000038057011373 SW 211th St Ste 10& �Cutler Bay, FL 33189Gender: FemaleNPI: 1053580639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 378-5596Accepts New Patients: YHospital Affiliation: N/A*

WATSON-HAMILTON, Sheri S.Community Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001205971810300 SW 216th StCutler Bay, FL 33190Gender: FemaleNPI: 1053580639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WEYRAUCH, Michael S.Great Expressions DentalCenters(305) 238-6777Prov. No.: 00000201950520335 Old Cutler Rd Ste 2Cutler Bay, FL 33189Gender: MaleNPI: 1780948224License: 22DI02547500License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-4055Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)WILLIAMS, Keith A.Community Health of SouthFlorida Inc(305) 253-5100Prov. No.: 00001205980710300 SW 216th StCutler Bay, FL 33190Language: EnglishGender: MaleNPI: 1629296793License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WOO, KyungSouthland Mall Dental(305) 232-3737Prov. No.: 00001219553620505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1710362546License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

ZAND, MaximusSouthland Mall Dental(305) 232-3737Prov. No.: 00001217688620505 S Dixie Hwy Ste 168 �Cutler Bay, FL 33189Gender: MaleNPI: 1235381815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

286 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Cutler Bay (Cont.)ZARIFFARD, EhsanVadim Valdman(305) 232-3737Prov. No.: 00001221210920505 S Dixie Hwy Ste 168Cutler Bay, FL 33189Gender: MaleNPI: 1528458932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-3735Accepts New Patients: YHospital Affiliation: N/A*

Doral

ALVARADO-ROMERO POU, Melissa D.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415905335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, ElibethDental Cosmetic Spa Corp(786) 452-1748Prov. No.: 0000121681568601 Nm 58th St Unt 102Doral, FL 33166Gender: FemaleNPI: 1831487339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)ARGUELLES, LourdesCathy D Hamilton Dds Pa(305) 225-5050Prov. No.: 0000006934892600 NW 87th Ave Ste 29Doral, FL 33172Language: EnglishGender: FemaleNPI: 1932410396License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARNEDO, JohannaMiami International MallDental(305) 597-8787Prov. No.: 0000125645711455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1104213909License: DN21079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASERIEL, HaimMiami International MallDental(305) 597-8787Prov. No.: 0000120817291455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1538561337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)ATKINSON, William A.Miami International MallDental(305) 597-8787Prov. No.: 0000122288761455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1942360862License: 17412License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

ATTIE, AbelardoMiami International MallDental(305) 597-8787Prov. No.: 0000124729461455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1225481450License: DN22122License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000125505165335 NW 87th Ave Ste C103 �Doral, FL 33178Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)AZARI, Scott J.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415925335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BAEZ HENRY, CarlianetteMiami International MallDental(305) 597-8787Prov. No.: 0000122369891455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1235594961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

BARRERA, Martha E.J M Dental Group(305) 584-8666Prov. No.: 0000000394141470 NW 107th Ave Ste G �Doral, FL 33172Language: EnglishGender: FemaleNPI: 1790023562License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

287GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)BENGOCHEA, ArmandoSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415945335 NW 87th Ave Ste C103Doral, FL 33178Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BENNETT, David A.David A Bennett Dds(305) 593-6520Prov. No.: 00000016482010305 NW 41st St Ste 207Doral, FL 33178Gender: MaleNPI: 1760491351License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 593-6855Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415935335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)BOCKIAN, Joshua A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415955335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRADY, TiffanyAmerican Pediatric DentalDoral Inc(844) 304-5437Prov. No.: 0000121808637950 NW 53rd St Ste 200Doral, FL 33166Gender: FemaleNPI: 1407292824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 417-1338Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415845335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)BRETOS, Alexander L.Doral Dental Partners(786) 331-7055Prov. No.: 00000020964910620 NW 19th St �Doral, FL 33172Language: EnglishGender: Not ReportedNPI: 1790893030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124716525335 NW 87th Ave Ste C103 �Doral, FL 33178Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARDENAS SARRACINO, Astrid H.American Pediatric DentalDoral Inc(844) 304-5437Prov. No.: 0000125109777950 NW 53rd St Ste 200Doral, FL 33166Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)CASTILLO, Juan I.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415885335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122425905335 NW 87th Ave Ste C103Doral, FL 33178Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124250715335 NW 87th Ave Ste C103Doral, FL 33178Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

288 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)COLLAZO, Ralph C.Doral Dental Partners(786) 331-7055Prov. No.: 00000020965010620 NW 19th St �Doral, FL 33172Language: EnglishGender: MaleNPI: 1720155955License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122425915335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122425925335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)CRUZ, Antonio R.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122421955335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CUEVAS, Kenia M.Kenia M Cuevas Dds Pa(305) 463-8220Prov. No.: 0000011354743650 NW 82nd Ave Ste 202 �Doral, FL 33166Language: EnglishGender: FemaleNPI: 1750571790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CULLEN, William C.Miami International MallDental(305) 597-8787Prov. No.: 0000120536761455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1013110535License: DN7894License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)DADACIU, CorneliaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122421965335 NW 87th Ave Ste C103Doral, FL 33178Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122421975335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122421985335 NW 87th Ave Ste C103Doral, FL 33178Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)DEAN, Craig J.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122421995335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanyMiami International MallDental(305) 597-8787Prov. No.: 0000124374591455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124454305335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

289GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)DIRE, AnthonyMiami International MallDental(305) 597-8787Prov. No.: 0000121625371455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422005335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124364305335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)DRAIZIN, Claudia A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422015335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423015335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423025335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)DURVE, AparnaMiami International MallDental(305) 597-8787Prov. No.: 0000124610141455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1437521580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

DURVE, AparnaMiami International MallDental(305) 597-8787Prov. No.: 0000125081561455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1437521580License: DN21629License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423045335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423055335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FORNOS, Jorge A.Miami International MallDental(305) 597-8787Prov. No.: 0000122477871455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1831594415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423065335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

290 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)FULLER, Ellis L.Miami International MallDental(305) 597-8787Prov. No.: 0000124480131455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1366466286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GAERTNER, AndyAndy Gaertner(305) 477-7655Prov. No.: 0000122409557902 NW 36th St Ste 209Doral, FL 33166Language: Dutch, English,French, HebrewGender: MaleNPI: 1033347497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 477-7654Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-CASTELLANOS, JacquelineCathy D Hamilton Dds Pa(305) 225-5050Prov. No.: 0000006926912600 NW 87th Ave Ste 29Doral, FL 33172Language: EnglishGender: FemaleNPI: 1487795472License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 593-8825Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)GARCIA-PORRAS, MarcelaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423075335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423085335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GHANDOUR, DimaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423115335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)GILBERT, MarkSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122423125335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, AlexanderMiami International MallDental(305) 597-8787Prov. No.: 0000122481351455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1285031930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422525335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)GONZALEZ, KellyMiami International MallDental(305) 597-8787Prov. No.: 0000121304051455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: Not ReportedNPI: 1952717027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Raul C.Smile Studio AssociatesDentistry(305) 594-4418Prov. No.: 0000011425674201 NW 107th Ave �Doral, FL 33178Gender: FemaleNPI: 1407036601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 594-4483Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, YanelaMiami International MallDental(305) 597-8787Prov. No.: 0000121577841455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1811378359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

291GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)GORDON, Robert W.Altamonte Mall Dental(407) 261-0201Prov. No.: 0000121834821455 NW 107th Ave Ste 584Doral, FL 33172Gender: MaleNPI: 1578582359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (407) 261-0207Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422545335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GREEN, George D.Miami International MallDental(305) 597-8787Prov. No.: 0000124906961455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1609094580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)GUERRERO, Luis A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422555335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUILARTE, Rhona E.Miami International MallDental(305) 597-8787Prov. No.: 0000048234471455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1619956323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422565335 NW 87th Ave Ste C103Doral, FL 33178Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)GULTZ, Jerrold P.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124364325335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HART, DarleneMiami International MallDental(305) 597-8787Prov. No.: 0000051196071455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

HAYATE, JessicaMiami International MallDental(305) 597-8787Prov. No.: 0000120816991455 NW 107th Ave Ste 584 �Doral, FL 33172Language: English, SpanishGender: FemaleNPI: 1700210630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)HEDSTROM, Brien D.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124519295335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422585335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Norberto J.J M Dental Group(305) 584-8666Prov. No.: 0000000394131470 NW 107th Ave Ste G �Doral, FL 33172Language: EnglishGender: MaleNPI: 1285693267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

292 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)HERNANDEZ BONNET, Christina S.Miami International MallDental(305) 597-8787Prov. No.: 0000121303961455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

HORESH-WEISSER, EttieMiami International MallDental(305) 597-8787Prov. No.: 0000123146531455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: Not ReportedLicense: DN21340License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IGLESIAS, Katty C.Katty C Iglesias Dmd(305) 225-5050Prov. No.: 0000119957972600 NW 87th Ave Ste 29Doral, FL 33172Language: EnglishGender: FemaleNPI: 1063717734License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 593-8825Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)IRAVANI, Mina F.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000125101235335 NW 87th Ave Ste C103 �Doral, FL 33178Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422605335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422615335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)JENKINS, MartinMiami International MallDental(305) 597-8787Prov. No.: 0000121757251455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1740514413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranMiami International MallDental(305) 597-8787Prov. No.: 0000124249271455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

KOHN, HeatherMiami International MallDental(305) 597-8787Prov. No.: 0000124688751455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1730592429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)KOPYNETS, Viktor V.Miami International MallDental(305) 597-8787Prov. No.: 0000120625431455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1932517042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422065335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KRASNOV, RostislavMiami International MallDental(305) 597-8787Prov. No.: 0000018203681455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1942267935License: 27827License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

293GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)KRIKORIAN, Charles R.Dental Specialists of DoralGroup Co(786) 355-4401Prov. No.: 00000579331310305 NW 41st St Ste 207Doral, FL 33178Gender: MaleNPI: 1720272081License: DN15836License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (786) 593-6855Accepts New Patients: YHospital Affiliation: N/A*

KUNSTMANN, Vivian R.Miami International MallDental(305) 597-8787Prov. No.: 0000121497411455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1104995539License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

LAGO-SANCHEZ, IdelbisMiami International MallDental(305) 597-8787Prov. No.: 0000124245811455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1003248824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)LANDA, Rene L.The Little Tooth Doctor(305) 513-4058Prov. No.: 00000390993010717 NW 58th St �Doral, FL 33178Language: English, SpanishGender: MaleNPI: 1215166368License: DN18735License Type: DBP DentistBoard Certified: NoEmail: [email protected]: (305) 639-2931Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124447475335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422085335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)LICINA, ZeljkaMiami International MallDental(305) 597-8787Prov. No.: 0000120040321455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1013263292License: DN20101License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

LIPTON, Barry E.Miami International MallDental(305) 597-8787Prov. No.: 0000125645271455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1689676918License: DN12523License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422095335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)LOPEZ, Grace P.Miami International MallDental(305) 597-8787Prov. No.: 0000065865141455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1407101462License: DN19810License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124399325335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422105335 NW 87th Ave Ste C103Doral, FL 33178Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

294 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)MANCUSO, RichardSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422115335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANZUR, KasimMiami International MallDental(305) 597-8787Prov. No.: 0000124857071455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1063828218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARSHALL, KristineMiami International MallDental(305) 597-8787Prov. No.: 0000124219041455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1396897385License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)MARTINEZ, GustavoMiami International MallDental(305) 597-8787Prov. No.: 0000124461251455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1831558964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124735885335 NW 87th Ave Ste C103 �Doral, FL 33178Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MEJIA VALENCIA, Ana M.American Pediatric DentalDoral Inc(305) 407-2134Prov. No.: 0000124247067950 NW 53rd St Ste 200Doral, FL 33166Language: English, SpanishGender: FemaleNPI: 1073942629License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 417-1338Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)MERIKAS, AmandaMiami International MallDental(305) 597-8787Prov. No.: 0000122178231455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422125335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidMiami International MallDental(305) 597-8787Prov. No.: 0000122178241455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)NAGUIB, Michelle A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422135335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422145335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NOVARA, JeanetteJeanette Novara(305) 960-7734Prov. No.: 0000120250717800 NW 25th St Ste 11Doral, FL 33122Gender: FemaleNPI: 1467730978License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

295GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)ORTEGA, Laura O.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422255335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422265335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, Angela M.Angela Ospina Dds(305) 513-4116Prov. No.: 0000024501718601 NW 58th St Unit 102Doral, FL 33166Gender: FemaleNPI: 1508042649License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 331-8508Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)OSPINA, CarolinaMiami International MallDental(305) 597-8787Prov. No.: 0000122321931455 NW 107th Ave Ste 584 �Doral, FL 33172Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415575335 NW 87th Ave Ste C103Doral, FL 33178Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PANSURIYA, DharmendraMiami International MallDental(305) 597-8787Prov. No.: 0000125607891455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1932645736License: DN22018License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)PARE, Elizabeth A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422425335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422435335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-MARTI, Hector I.Doral Isle Dentist Pa(305) 471-7575Prov. No.: 00000009667710769 NW 58th St Ste B103Doral, FL 33178Language: EnglishGender: MaleNPI: 1689690273License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)PINERO-CORREA, Rosario M.Miami International MallDental(305) 597-8787Prov. No.: 0000125623101455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1013279769License: DN21700License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PINTO, Yenile Y.Miami International MallDental(305) 597-8787Prov. No.: 0000056055321455 NW 107th Ave Ste 584 �Doral, FL 33172Language: English, Russian,SpanishGender: FemaleNPI: 1558633115License: DN19596License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000123381505335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

296 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)PRICE, DanaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422465335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

QADRI, SubuhiMiami International MallDental(305) 597-8787Prov. No.: 0000122032921455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1346612561License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

QUESADA, PedroMiami International MallDental(305) 597-8787Prov. No.: 0000125085971455 NW 107th Ave Ste 584 �Doral, FL 33172Language: SpanishGender: MaleNPI: 1164898177License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)QUEVEDO, FernandoMiami International MallDental(305) 597-8787Prov. No.: 0000121838291455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, RachelMiami International MallDental(305) 597-8787Prov. No.: 0000122094621455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1942683065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422485335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)RAND, Matthew K.Miami International MallDental(305) 597-8787Prov. No.: 0000043619081455 NW 107th Ave Ste 584 �Doral, FL 33172Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422495335 NW 87th Ave Ste C103Doral, FL 33178Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422505335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)REED, SamanthaMiami International MallDental(305) 597-8787Prov. No.: 0000125638541455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1104042456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REINHART, JoelMiami International MallDental(305) 597-8787Prov. No.: 0000121117401455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1033208392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422675335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

297GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)RIBOT, AlianaMiami International MallDental(305) 597-8787Prov. No.: 0000121756291455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

RICO ROJAS, Diana M.Jeanette Novara(305) 960-7734Prov. No.: 0000120810187800 NW 25th St Ste 11Doral, FL 33122Gender: FemaleNPI: 1770831315License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422685335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)RING, Stephen G.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422695335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122415545335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000125239245335 NW 87th Ave Ste C103 �Doral, FL 33178Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)ROSHKIND, David M.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422705335 NW 87th Ave Ste C103Doral, FL 33178Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RYAN PETERKIN, KathrynMiami International MallDental(305) 597-8787Prov. No.: 0000121757241455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1386939387License: DN19375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.Miami International MallDental(305) 597-8787Prov. No.: 0000120379511455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)SANCHES, MelanieSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422725335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SANTOS, Tania R.Esthetic Dental Spa(305) 463-0234Prov. No.: 0000120017468601 Nm 58th St Unt 102 �Doral, FL 33166Language: English,Portuguese, SpanishGender: FemaleNPI: 1326473232License: DN20390License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (786) 452-1750Accepts New Patients: NHospital Affiliation: N/A*

SANTOS, Tania R.Santos Dental(305) 456-5494Prov. No.: 0000124273359831 NW 58th St Unit 138Doral, FL 33178Language: English,Portuguese, SpanishGender: FemaleNPI: 1326473232License: DN20390License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 468-1488Accepts New Patients: YHospital Affiliation: N/A*

298 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)SHOFNOS, Charles I.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422775335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHUROVA, MarinaMiami International MallDental(305) 597-8787Prov. No.: 0000121958201455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1265830590License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422765335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)SIRAGE, Ahmed R.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422755335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422815335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422875335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)STRONG, ShaniceSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124542965335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124716535335 NW 87th Ave Ste C103 �Doral, FL 33178Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

THOMAS, AntonyAmerican Pediatric DentalGroup 27-0921791(844) 304-5437Prov. No.: 0000125165547950 NW 53rd St Ste 200Doral, FL 33166Gender: MaleNPI: 1477808186License: DN22248License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)TITHERINGTON, JessicaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124475965335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000125478485335 NW 87th Ave Ste C103 �Doral, FL 33178Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422895335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

299GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)TUBIO, AbigailSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124364335335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422905335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

UZUNOVA-DIMOVA, KalinaMiami International MallDental(305) 597-8787Prov. No.: 0000121663971455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1245540947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)VALDMAN, VadimMiami International MallDental(305) 597-8787Prov. No.: 0000003429311455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1184860413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

VALIENTE, LizetteAmerican Pediatric DentalDoral Inc(844) 304-5437Prov. No.: 0000120803917950 NW 53rd St Ste 200Doral, FL 33166Language: EnglishGender: FemaleNPI: 1851547863License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (954) 417-1338Accepts New Patients: NHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124489845335 NW 87th AveDoral, FL 33178Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)VAZANA, Todd A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124515245335 NW 87th AveDoral, FL 33178Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VEGAS, GabrielaAmerican Pediatric DentalDoral Inc(844) 304-5437Prov. No.: 0000125189097950 NW 53rd St Ste 200Doral, FL 33166Gender: FemaleNPI: 1407273881License: DN21826License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VELIS, Jorge A.Gemini Dental(305) 629-9909Prov. No.: 00000009351810449 NW 41st St �Doral, FL 33178Gender: MaleNPI: 1083825954License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)VERA, Anny B.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124489905335 NW 87th AveDoral, FL 33178Language: English, SpanishGender: FemaleNPI: 1265680706License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422915335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

WAHBA, DaliaMiami International MallDental(305) 597-8787Prov. No.: 0000121297591455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: FemaleNPI: 1619382611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

300 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)WOO, KyungMiami International MallDental(305) 597-8787Prov. No.: 0000121958821455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1710362546License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422935335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422945335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)ZAND, MaximusMiami International MallDental(305) 597-8787Prov. No.: 0000121766031455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1235381815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

ZARIFFARD, EhsanMiami International MallDental(305) 597-8787Prov. No.: 0000122120421455 NW 107th Ave Ste 584 �Doral, FL 33172Gender: MaleNPI: 1528458932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 597-8617Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000124543335335 NW 87th Ave Ste C103Doral, FL 33178Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Doral (Cont.)ZIEGLER, Neal B.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422965335 NW 87th Ave Ste C103Doral, FL 33178Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of DowntownDoral(786) 456-1710Prov. No.: 0000122422955335 NW 87th Ave Ste C103Doral, FL 33178Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (461) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

El Portal

MACAJOUX, Jean R.Dade Dental Services Inc(305) 758-5878Prov. No.: 0000002251928555 NE 2nd AveEl Portal, FL 33138Language: EnglishGender: MaleNPI: 1235275843License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Florida City

CHIN-THOMPSON, Angella R.Community Health of SouthFlorida(305) 246-4607Prov. No.: 00001207739719300 SW 376th StFlorida City, FL 33034Gender: Not ReportedNPI: 1215150909License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DE LA CRUZ, Alejandro I.The Family Dental Care Cn(305) 242-1200Prov. No.: 000000413478646 W Palm Dr Ste 200Florida City, FL 33034Language: EnglishGender: MaleNPI: 1013152016License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 242-8782Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ-RUBIO, EduardoThe Family Dental Care Cn(305) 242-1200Prov. No.: 000000042620646 W Palm Dr Ste 200Florida City, FL 33034Language: EnglishGender: Not ReportedNPI: 1922120542License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 242-8782Accepts New Patients: YHospital Affiliation: N/A*

301GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Florida City (Cont.)JOHNSON, Robert B.Community Health of SouthFlorida(305) 246-4607Prov. No.: 00000034159319300 SW 376th StFlorida City, FL 33034Gender: Not ReportedNPI: 1275600686License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 248-4715Accepts New Patients: YHospital Affiliation: N/A*

LAU, VicenteCommunity Health of SouthFlorida(305) 246-4607Prov. No.: 00001249724519300 SW 376th StFlorida City, FL 33034Gender: MaleNPI: 1932653334License: DN22283License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIRANDA, AlejandraCommunity Health of SouthFlorida(305) 246-4607Prov. No.: 00001205981019300 SW 376th StFlorida City, FL 33034Gender: FemaleNPI: 1558328823License: DN13131License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Florida City (Cont.)SARMIENTO, JeffreyCommunity Health of SouthFlorida(305) 246-4607Prov. No.: 00001248458119300 SW 376th StFlorida City, FL 33034Gender: MaleNPI: 1184177560License: DN22214License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WATSON-HAMILTON, Sheri S.Community Health of SouthFlorida(305) 246-4607Prov. No.: 00000073551419300 SW 376th StFlorida City, FL 33034Gender: FemaleNPI: 1053580639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 248-4715Accepts New Patients: YHospital Affiliation: N/A*

Hialeah

ABRAHAMS, Howard N.Dental Center of Florida(305) 231-0545Prov. No.: 0000016563263750 W 16th Ave Ste 236UHialeah, FL 33012Gender: MaleNPI: 1528219755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 231-8654Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)AGREDA, AngelC S M Dental #2(305) 885-8044Prov. No.: 0000000188711124 W 29th St �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1699883199License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AGUILAR, Lina A.Towncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000011226924186 W 12th AveHialeah, FL 33012Gender: FemaleNPI: 1730408881License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

ALAWA, Abdul A.A Aziz Alawa Dds Msd(305) 558-0388Prov. No.: 00000001932616770 NW 67th AveHialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1366544793License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 512-0443Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ALEMAN, Alex E.Caplin & Gober Dentistry(305) 821-2611Prov. No.: 0000000181106600 W 12th Ave �Hialeah, FL 33012Language: EnglishGender: Not ReportedNPI: 1639252208License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

ALVARADO, YailenMj Dental(305) 825-7447Prov. No.: 0000124287222360 W 68th St Ste 124Hialeah, FL 33016Gender: FemaleNPI: 1700235363License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 534-9399Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, ElibethTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000047060374186 W 12th AveHialeah, FL 33012Gender: FemaleNPI: 1831487339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

302 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ALVAREZ, PedroPedro Alvarez Dds andAssociates Pa(305) 885-5026Prov. No.: A00000024328610 E 4th AveHialeah, FL 33010Language: EnglishGender: MaleNPI: 1235271255License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Rosa A.Excellence In Dental Care Pa(305) 557-6661Prov. No.: 0000002922723762 W 12th AveHialeah, FL 33012Gender: Not ReportedNPI: 1306944533License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVAREZTORRE, GloriaDade South Dental Inc(305) 362-0444Prov. No.: 0000000253884765 W 8th Ave �Hialeah, FL 33012Language: EnglishGender: Not ReportedNPI: 1336225259License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ANGULO, Liliana M.Smile Perfect Dental Spa Pa(305) 846-9126Prov. No.: 000000361896614 E 49th StHialeah, FL 33013Gender: FemaleNPI: 1841494648License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARNEDO, JohannaWestland Mall Dental(305) 828-7779Prov. No.: 0000125645321665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1104213909License: DN21079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARRIOLA, Antonio J.Proffessional Dental Svcs(305) 556-9919Prov. No.: 0000000200991231 W 44th Pl �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1841350212License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ASERIEL, HaimWestland Mall Dental(305) 828-7779Prov. No.: 0000120817121665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1538561337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ATKINSON, William A.Westland Mall Dental(305) 828-7779Prov. No.: 0000122288781665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1942360862License: 17412License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

ATTIE, AbelardoWestland Mall Dental(305) 828-7779Prov. No.: 0000124730071665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1225481450License: DN22122License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAEZ HENRY, CarlianetteWestland Mall Dental(305) 828-7779Prov. No.: 0000122369901665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1235594961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)BARCIA, Antonio R.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 000012549812901 E 10th Ave Ste 39Hialeah, FL 33010Language: SpanishGender: MaleNPI: 1306052626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BENABE, VanessaBenabe Vanessa(305) 558-3811Prov. No.: 0000000205901075 E 4th Ave �Hialeah, FL 33010Language: EnglishGender: FemaleNPI: 1366510174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BETANCOURT, Mayra G.Mayra G Betancourt Dds Inc(305) 826-2758Prov. No.: 00000028908517701 NW 78th AveHialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1487773198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

303GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)BLANCO, MariaMariana Gabaldon Dds(305) 393-8121Prov. No.: 000012072790522 E 25th StHialeah, FL 33013Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaVeritas Dental Pa(304) 393-8121Prov. No.: 000012153247664 E 25th St Ste 103Hialeah, FL 33013Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

BLARDONIS, ArmandoBl Dental Associates Llc(305) 826-0660Prov. No.: 0000121276153233 Palm Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1164745790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)BOBADILLA, Patricia M.Alpha Dental Group Inc(786) 238-7406Prov. No.: 0000121754804999 W 8th Ave Ste 1Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1124039672License: 14173License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 238-7429Accepts New Patients: YHospital Affiliation: N/A*

BORGES, Jorge F.Veritas Dental Pa(304) 393-8121Prov. No.: 000012198516664 E 25th St Ste 103Hialeah, FL 33013Gender: Not ReportedNPI: 1144361916License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

BOTERO, AlexandraFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124425622900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1053666065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)BRAVO, Raquel A.Saenz Dental Inc(305) 885-9787Prov. No.: 000000462126752 W 29th StHialeah, FL 33012Language: EnglishGender: FemaleNPI: 1538312525License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 885-7682Accepts New Patients: YHospital Affiliation: N/A*

BRIDGE, Donna M.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 000012549810901 E 10th Ave Ste 39Hialeah, FL 33010Gender: FemaleNPI: 1497967608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CALDERON, Erik O.Hialeah Dental Center Pa(305) 823-2661Prov. No.: 0000121276251518 W 49th St �Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1942596416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 823-2761Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CALVO, Jose R.Jose R Calvo Dds Pa(305) 823-9982Prov. No.: 000000025937266 E 49th St �Hialeah, FL 33013Language: EnglishGender: MaleNPI: 1831100452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CALZADILLA, EldaElda Calzadilla Dds(305) 557-6711Prov. No.: 000000019082580 E 49th StHialeah, FL 33013Language: EnglishGender: Not ReportedNPI: 1578990347License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CALZADILLA, EldaElda Calzadilla Dds(305) 557-6711Prov. No.: 000003916737580 E 46th StHialeah, FL 33013Language: EnglishGender: Not ReportedNPI: 1578990347License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

304 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CAMPOS, BernardoBernardo Campos Dds(305) 557-5282Prov. No.: 0000007234291462 W 84th StHialeah, FL 33014Gender: MaleNPI: 1851403273License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 557-4712Accepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaCaplin & Gober Dentistry(305) 821-2611Prov. No.: 0000047060386600 W 12th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000120391734186 W 12th AveHialeah, FL 33012Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CARDENAS, Elio A.Smile Perfect Dental HealthCenter(305) 557-6711Prov. No.: 000000686024580 E 49th St �Hialeah, FL 33013Gender: Not ReportedNPI: 1134287659License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 681-3371Accepts New Patients: YHospital Affiliation: N/A*

CASANOVA, ElenaSmile Savers Inc(305) 887-0660Prov. No.: 00000001895451 E 1st Ave Ste B �Hialeah, FL 33010Language: EnglishGender: Not ReportedNPI: 1508979030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTELLANOS-GONZALEZ, MadeleineMadeleineCastellanos-Gonzalez Dds(305) 820-4080Prov. No.: 0000000206042140 W 68th St Ste 202Hialeah, FL 33016Language: EnglishGender: Not ReportedNPI: 1487798930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 822-5236Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CASTILLO, Minerva J.Minerva J Castillo Pa(305) 888-1458Prov. No.: 0000004424521370 E 4th Ave �Hialeah, FL 33010Gender: FemaleNPI: 1851586119License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 235-0257Accepts New Patients: YHospital Affiliation: N/A*

CAYON, Alicia B.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000122092512900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1467865022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

COBA, RichardRichard Coba(305) 820-0068Prov. No.: 0000011237436847 W 4th Ave �Hialeah, FL 33014Gender: MaleNPI: 1730402595License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COHEN, RonHialeah Dental Health Center(305) 821-7811Prov. No.: 000002617700935 W 49th St Ste 101 �Hialeah, FL 33012Gender: MaleNPI: 1538332143License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)COLLAZO, YoarisBella Smile Dental Inc(305) 826-2024Prov. No.: 00001226570910550 NW 77th Ct Ste 220Hialeah, FL 33016Gender: Not ReportedNPI: 1679982748License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COLLAZO, Yoaris R.Jr Dental Office Inc(786) 431-5000Prov. No.: 0000124750746847 W 4th AveHialeah, FL 33014Gender: MaleNPI: 1679982748License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CONDE, YitsyHealthy Smile Dental Care Llc(786) 345-2040Prov. No.: 0000125143473412 W 84th St Ste 110Hialeah, FL 33018Gender: FemaleNPI: 1760737324License: DN20585License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

305GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CORTIZA SARDINAS, YoanFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000120828252900 W 12th Ave Ste 27Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1992118657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

COSTA, Manuel E.Manuel E Costa Dds(305) 769-0252Prov. No.: 000000018480791 E 48th St �Hialeah, FL 33013Language: EnglishGender: MaleNPI: 1659495307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 953-0707Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Karen G.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000019231592900 W 12th Ave Ste 27Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CRUZ, YarelieHialeah Dental Building(305) 823-9982Prov. No.: 000012518105266 E 49th St �Hialeah, FL 33013Gender: Not ReportedNPI: 1124433305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUARTAS, Sandra P.Caplin & Gober Dentistry(305) 821-2611Prov. No.: 0000003702536600 W 12th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1003008418License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

CUENCA, AnnieA & R Dental Center ofHialeah(305) 883-4880Prov. No.: 000012060709765 E 9th StHialeah, FL 33010Language: English, SpanishGender: FemaleNPI: 1871806273License: DN19137License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (786) 356-6761Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)CULLEN, William C.Westland Mall Dental(305) 828-7779Prov. No.: 0000120536461665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1013110535License: DN7894License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

CUTINO, JavierHialeah Dental Building(305) 823-9982Prov. No.: 000012535115266 E 49th St �Hialeah, FL 33013Gender: Not ReportedNPI: 1588111207License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAMIAN, GianninaRoxana Rodriguez Dds(305) 823-1882Prov. No.: 0000002718744240 W 16th Ave �Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1336296110License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0275Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)DE AGUIRRE, Elizabeth M.Expert Smiles Center(305) 826-3255Prov. No.: 0000003882742750 W 68th St Ste 108 �Hialeah, FL 33016Language: EnglishGender: FemaleNPI: 1467434746License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 826-3898Accepts New Patients: YHospital Affiliation: N/A*

DE PENA, LauraProgressive Dental(305) 829-0100Prov. No.: 00001223699218600 NW 87th Ave Unit 12Hialeah, FL 33015Language: English, SpanishGender: FemaleNPI: 1710328141License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 829-7979Accepts New Patients: YHospital Affiliation: N/A*

DE SOUZA, MarvinaDental American Group(305) 556-6100Prov. No.: 0000004220681246 W 68th St �Hialeah, FL 33014Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

306 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)DEL VALLE, Jose M.Jose M Del Valle Dds(305) 556-1770Prov. No.: 0000000184713918 W 12th AveHialeah, FL 33012Language: EnglishGender: MaleNPI: 1912052382License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-1755Accepts New Patients: YHospital Affiliation: N/A*

DELGADO, LigmingFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000019232942900 W 12th Ave Ste 27Hialeah, FL 33012Gender: MaleNPI: 1548396658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

DEQUESADA, Diana R.Jr Dental Office Inc(786) 431-5000Prov. No.: 0000124391176847 W 4th AveHialeah, FL 33014Gender: FemaleNPI: 1992105688License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5061Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)DEWITT, David E.David E Dewitt Dds Pa(305) 558-2261Prov. No.: 0000001557304841 W 4th Ave �Hialeah, FL 33012Gender: MaleNPI: 1548372139License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanyWestland Mall Dental(305) 828-7779Prov. No.: 0000124374621665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonyWestland Mall Dental(305) 828-7779Prov. No.: 0000121625381665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

DIRLA, FlorinGerman Fernandez Dmd(305) 456-6474Prov. No.: 0000016792414201 Palm Ave Ste 2DHialeah, FL 33012Gender: Not ReportedNPI: 1104058668License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 960-7079Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)DONGO, Victor J.Victor J Dongo Dmd Fagd(305) 512-3700Prov. No.: 0000001215223307 W 80th StHialeah, FL 33018Language: English, SpanishGender: MaleNPI: 1134335961License: DN14564License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 512-8555Accepts New Patients: YHospital Affiliation: N/A*

DORREGO, Daniel A.Daniel A Dorrego Dds Pa(305) 558-3811Prov. No.: 0000000184531075 E 4th AveHialeah, FL 33010Language: EnglishGender: MaleNPI: 1477651297License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizDental American Group(305) 556-6100Prov. No.: 0000007231361573 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)DURVE, AparnaWestland Mall Dental(305) 828-7779Prov. No.: 0000124610161665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1437521580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

DURVE, AparnaWestland Mall Dental(305) 828-7779Prov. No.: 0000125081591665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1437521580License: DN21629License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

EDUARDO, Jose F.Dental American Group(305) 556-6100Prov. No.: 0000122387701573 W 49th St �Hialeah, FL 33012Gender: MaleNPI: 1033105986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

EGUSQUIZA, RicardoDental Services Plus Inc(786) 539-6935Prov. No.: 0000007241485376 W 16th AveHialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1912084732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

307GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)EGUSQUIZA, RicardoBella Smile Dental Inc(305) 826-2024Prov. No.: 00001204980010550 NW 77th Ct Ste 220Hialeah, FL 33016Language: English, SpanishGender: MaleNPI: 1912084732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENG, Martha C.Miami Smile Studio(786) 391-4566Prov. No.: 000012129973427 Hialeah Dr �Hialeah, FL 33010Gender: FemaleNPI: 1730345091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 391-4590Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Dental American Group(305) 556-6100Prov. No.: 0000004547871246 W 68th St �Hialeah, FL 33014Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Dental American Group(305) 556-6100Prov. No.: 0000008597231573 W 49th St �Hialeah, FL 33012Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ESPINET-KUSNIER, ElaineTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000071944764186 W 12th AveHialeah, FL 33012Gender: FemaleNPI: 1891047379License: DN19873License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

FABELO, Luis O.Luis O Fabelo Dds(305) 821-6388Prov. No.: 0000003759636848 NW 169th StHialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1508886037License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 821-6429Accepts New Patients: YHospital Affiliation: N/A*

FAGET, David A.Hialeah Dental Health Center(305) 821-7811Prov. No.: 000000285877935 W 49th St Ste 101 �Hialeah, FL 33012Gender: Not ReportedNPI: 1811224397License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)FELIPE, Luis F.Luis F Felipe Dds(305) 556-3512Prov. No.: 0000000259093333 W 4th AveHialeah, FL 33012Language: EnglishGender: MaleNPI: 1023284015License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 887-3491Accepts New Patients: YHospital Affiliation: N/A*

FELIPE, Luis F.Luis F Felipe Dds(305) 556-3512Prov. No.: 0000007238973333W W 4th AveHialeah, FL 33012Language: EnglishGender: MaleNPI: 1023284015License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, GermanGerman Fernandez Dmd(305) 456-6474Prov. No.: 0000013100324201 Palm Ave Ste 2DHialeah, FL 33012Gender: Not ReportedNPI: 1457647554License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 960-7079Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)FERNANDEZ, MariolyMarioly Fernandez(305) 824-9199Prov. No.: 0000012974634355 W 16th AveHialeah, FL 33012Gender: FemaleNPI: 1235424904License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 824-8885Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ DOMINGUEZ, GiselleFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000121302602900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1235484890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ DOMINGUEZ, GiselleGiselle Dominguez(305) 825-7447Prov. No.: 0000121555402360 W 68th St Ste 124Hialeah, FL 33016Gender: FemaleNPI: 1235484890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERRER-LEON, NataliaDr Otero Dental Centers(305) 819-0008Prov. No.: 0000019581101490 W 49th Pl �Hialeah, FL 33012Gender: FemaleNPI: 1134240518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0309Accepts New Patients: YHospital Affiliation: N/A*

308 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)FIGUEREDO, Maria H.M H Figueredo Dmd Pa(305) 558-2133Prov. No.: 0000003031875924 W 16th AveHialeah, FL 33012Gender: FemaleNPI: 1144313602License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-1306Accepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.101(305) 827-0434Prov. No.: 000012142613400 W 65th StHialeah, FL 33012Language: EnglishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 827-0434Accepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.Palm Dental Center(305) 556-5600Prov. No.: 0000125001027150 W 20th Ave Ste 102Hialeah, FL 33016Language: SpanishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)FIGUEROA, Celia C.Towncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000125002264186 W 12th AveHialeah, FL 33012Language: SpanishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FORNOS, Jorge A.Westland Mall Dental(305) 828-7779Prov. No.: 0000122477901665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1831594415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

FRANCO, Michael P.Michael P Franco Dds Pa(305) 828-0023Prov. No.: 0000000997512360 W 68th St Ste 124Hialeah, FL 33016Gender: MaleNPI: 1235471780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-0023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)FRANCO, Michael P.Michael P Franco Dds Pa(305) 828-0023Prov. No.: 0000121510651800W 68st Suite 115Hialeah, FL 33014Gender: MaleNPI: 1235471780License: DN 12899License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRIEDMAN, Rene J.Universal Dental Group(305) 821-3344Prov. No.: 0000015361901935 W 60th StHialeah, FL 33012Language: EnglishGender: FemaleNPI: 1689890436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRIEDMAN, Rene J.Superior Dental Team(786) 360-6262Prov. No.: 000002782872148 Hialeah DrHialeah, FL 33010Language: EnglishGender: FemaleNPI: 1689890436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 762-2948Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)FULLER, Ellis L.Westland Mall Dental(305) 828-7779Prov. No.: 0000124493351665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1366466286License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FUNDORA, Yolaivys V.Dental American Group(305) 556-6100Prov. No.: 0000083596701573 W 49th St �Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1285074112License: DN20186License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

GABALDON, MarianaDental Boost Llc(305) 822-4607Prov. No.: 000005060274344 W 65th StHialeah, FL 33012Gender: FemaleNPI: 1316112436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 822-5205Accepts New Patients: YHospital Affiliation: N/A*

309GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GARCIA, AngelFrancois Zayas Dds(305) 558-9995Prov. No.: 0000016553742387 W 68th St Ste 302Hialeah, FL 33016Gender: MaleNPI: 1225221179License: DN14443License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, Juan M.Juan M Garcia Dds(305) 821-2261Prov. No.: 0000000182591490 W 49th Pl Ste 450Hialeah, FL 33012Gender: Not ReportedNPI: 1598858805License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-8570Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Juan M.Juan M Garcia Dds(305) 821-2261Prov. No.: 0000003334906450 W 21st Ct Ste 300Hialeah, FL 33016Gender: Not ReportedNPI: 1598858805License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-8570Accepts New Patients: YHospital Affiliation: N/A*

GARCIA FERNANDEZ, AliuskaMariana Gabaldon Dds(305) 393-8121Prov. No.: 000012130015522 E 25th StHialeah, FL 33013Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GARCIA FERNANDEZ, AliuskaVeritas Dental Pa(304) 393-8121Prov. No.: 000012199365664 E 25th St Ste 103Hialeah, FL 33013Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

GARCIA PINO, DeliaDental American Group(305) 556-6100Prov. No.: 0000124349671573 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1639413206License: DN19931License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-JAM, YailinAmazing Touch Dental CareCorp(786) 257-1646Prov. No.: 0000125415891955 W 68th StHialeah, FL 33014Gender: FemaleNPI: 1104239235License: DN22294License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GARROTE, RogelioFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124905582900 W 12th Ave Ste 27Hialeah, FL 33012Gender: MaleNPI: 1144671470License: DN21977License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GEDEON, Rose M.Hialeah Dental Center Pa(305) 823-2661Prov. No.: 0000124379031518 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1063547545License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 823-2761Accepts New Patients: YHospital Affiliation: N/A*

GEORGE, Deborah V.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 000012549809901 E 10th Ave Ste 39Hialeah, FL 33010Gender: FemaleNPI: 1720149180License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GIL ARAUJO, Eduardo F.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000024494972900 W 12th Ave Ste 12Hialeah, FL 33012Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GIL ARAUJO, Eduardo F.Mj Dental(305) 825-7447Prov. No.: 0000121657052360 W 68th St Ste 124Hialeah, FL 33016Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 534-9399Accepts New Patients: YHospital Affiliation: N/A*

GOLDENBERG, SandyHialeah Dental Center Pa(305) 823-2661Prov. No.: 0000120747221518 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1184819682License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 823-2761Accepts New Patients: YHospital Affiliation: N/A*

GOLDSTEIN, AlexanderWestland Mall Dental(305) 828-7779Prov. No.: 0000122481381665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1285031930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

310 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GOMARA, Luis A.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000003977772900 W 12th Ave Ste 27Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1659381879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Adrian O.Dr Otero Dental Centers(305) 819-0008Prov. No.: 0000040300651490 W 49th Pl Ste 220 �Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1750635637License: DN19996License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0309Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosDental American Group(305) 556-6100Prov. No.: 0000125301101573 W 49th St �Hialeah, FL 33012Gender: MaleNPI: 1093180028License: DN22301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GONZALEZ, DarlenIdalmes Perez Dds Pa(305) 888-8555Prov. No.: 0000125017551141 Palm AveHialeah, FL 33010Gender: FemaleNPI: 1649623034License: DN22185License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, EdelioEdelio Gonzalez Dmd Pa(305) 826-9642Prov. No.: 0000003065351191 W 37th St Ste 5Hialeah, FL 33012Language: EnglishGender: Not ReportedNPI: 1871905034License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, HanselAlpha Dental Group Inc(786) 238-7406Prov. No.: 0000120097134999 W 8th Ave Ste 1Hialeah, FL 33012Language: English, Italian,SpanishGender: MaleNPI: 1245571736License: DN19852License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 238-7429Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GONZALEZ, KellyWestland Mall Dental(305) 828-7779Prov. No.: 0000121304061665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: Not ReportedNPI: 1952717027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, LilianDental American Group(305) 556-6100Prov. No.: 0000000433891246 W 68th St �Hialeah, FL 33014Language: EnglishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, LilianDental American Group(305) 556-6100Prov. No.: 0000008597221573 W 49th St �Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GONZALEZ, Maria F.Dr Otero Dental Centers(305) 819-0008Prov. No.: 0000019580981490 W 49th Pl �Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0309Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Maria F.Dr. Otero Dental Centers(305) 819-0008Prov. No.: 0000125023861490 W 49th Pl Ste 220 �Hialeah, FL 33012Language: Portuguese, SpanishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, YanelaWestland Mall Dental(305) 828-7779Prov. No.: 0000121577851665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1811378359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

311GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GONZALEZ, YaniceYanice Gomez Dmd Pa(305) 888-1458Prov. No.: 0000004134041370 E 4th Ave �Hialeah, FL 33010Gender: FemaleNPI: 1669523767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (954) 384-5890Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Robert W.Westland Mall Dental(305) 828-7779Prov. No.: 0000121828661665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1578582359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

GREEN, George D.Westland Mall Dental(305) 828-7779Prov. No.: 0000124906991665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1609094580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUERRA CRESPO, Beatriz D.Amazing Touch Dental CareCorp(786) 257-1646Prov. No.: 0000124363131955 W 68th StHialeah, FL 33014Gender: FemaleNPI: 1376960658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-7676Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)GUILARTE, Rhona E.Westland Mall Dental(305) 828-7779Prov. No.: 0000048234551665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1619956323License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Jorge M.Jorge M Gutierrez Dds(305) 362-5559Prov. No.: 0000000351223822 W 16th Ave �Hialeah, FL 33012Gender: MaleNPI: 1043304587License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 362-2255Accepts New Patients: YHospital Affiliation: N/A*

HART, DarleneWestland Mall Dental(305) 828-7779Prov. No.: 0000051196091665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1528295987License: DN 19566License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

HAYATE, JessicaWestland Mall Dental(305) 828-7779Prov. No.: 0000120817001665 W 49th St Ste 1484 �Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1700210630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)HENDERSON, Gilsa H.Gilsa Henderson(305) 558-1171Prov. No.: 0000016792974963 W 6th Ave �Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1336332782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 558-1173Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, IdaliaWorld Dental Care Corp(305) 888-1458Prov. No.: 0000121276471370 E 4th Ave �Hialeah, FL 33010Language: English, SpanishGender: FemaleNPI: 1992069371License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 235-0257Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, LiliamFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124245232900 W 12th Ave Ste 27Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1538521778License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)HERNANDEZ BONNET, Christina S.Westland Mall Dental(305) 828-7779Prov. No.: 0000121303971665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ-JEREZ, GemaFlorida Care Health CenterCorp(305) 364-8600Prov. No.: 00001205295411300 NW 87th Ct Ste 141Hialeah, FL 33018Language: English, SpanishGender: FemaleNPI: 1699020347License: DN19881License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-8604Accepts New Patients: YHospital Affiliation: N/A*

HERRERA, IngridWestland Mall Dental(305) 828-7779Prov. No.: 0000104001881665 W 49th St Ste 1484 �Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1326472648License: DN20267License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

312 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)HERRERA CASAS, SunildaAmazing Touch Dental CareCorp(786) 257-1646Prov. No.: 0000124340831955 W 68th StHialeah, FL 33014Gender: FemaleNPI: 1447673629License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-7676Accepts New Patients: YHospital Affiliation: N/A*

HORESH-WEISSER, EttieWestland Mall Dental(305) 828-7779Prov. No.: 0000123146501665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: Not ReportedLicense: DN21340License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IDALMES, GarciaFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000125146672900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)IRIZARRY, Maria D.Dental American Group(305) 556-6100Prov. No.: 0000120899581573 W 49th St �Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1760756779License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

JENKINS, MartinWestland Mall Dental(305) 828-7779Prov. No.: 0000121757811665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1740514413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranWestland Mall Dental(305) 828-7779Prov. No.: 0000124248721665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

KOCH, DanieleVeritas Dental Pa(304) 393-8121Prov. No.: 000012192427664 E 25th St Ste 103Hialeah, FL 33013Gender: FemaleNPI: 1760628515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)KOPYNETS, Viktor V.Westland Mall Dental(305) 828-7779Prov. No.: 0000120755781665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1932517042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

KRASNOV, RostislavWestland Mall Dental(305) 828-7779Prov. No.: 0000018203671665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1942267935License: 27827License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

KRAVITZ, EugeneKravitz Dental(305) 822-9696Prov. No.: 00000001923018482 NW 67th Ave �Hialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1043496490License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KRAVITZ, Lauren M.Kravitz Dental(305) 822-9696Prov. No.: 00000001923218482 NW 67th Ave �Hialeah, FL 33015Gender: FemaleNPI: 1720255896License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)KUNSTMANN, Vivian R.Westland Mall Dental(305) 828-7779Prov. No.: 0000121497431665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1104995539License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

LAGO-SANCHEZ, IdelbisWestland Mall Dental(305) 828-7779Prov. No.: 0000124245791665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1003248824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

LAURENCE, PeterDade South Dental Inc(305) 362-0444Prov. No.: 0000006307534765 W 8th Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1700962065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

313GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)LEA PLAZA, RodolfoVeritas Dental Pa(304) 393-8121Prov. No.: 000012192425664 E 25th St Ste 103Hialeah, FL 33013Language: English, SpanishGender: MaleNPI: 1932407103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

LEA PLAZA, RodolfoRodolfo Leaplaza(305) 827-0434Prov. No.: 000012199966400 W 65th StHialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1932407103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 827-1501Accepts New Patients: YHospital Affiliation: N/A*

LEBRON, Vanessa E.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 000012549807901 E 10th Ave Ste 39Hialeah, FL 33010Gender: FemaleNPI: 1619336369License: DN21713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)LEMUS, AnalidysHialeah Dental Building(305) 823-9982Prov. No.: 000012535910266 E 49th St �Hialeah, FL 33013Gender: FemaleNPI: 1710431234License: DN22160License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LICINA, ZeljkaWestland Mall Dental(305) 828-7779Prov. No.: 0000120040291665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1013263292License: DN20101License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

LIPTON, Barry E.Westland Mall Dental(305) 828-7779Prov. No.: 0000125645231665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1689676918License: DN12523License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LIZASO, SusanaSusana Lizaso Dds(305) 556-6055Prov. No.: 0000000184874999 W 8th Ave Ste 28Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1174602429License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-6440Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)LLEO, Pedro D.Pedro Alvarez Dds andAssociates Pa(305) 885-5026Prov. No.: 000000254731610 E 4th AveHialeah, FL 33010Gender: MaleNPI: 1942306394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LLEO, Pedro D.Towncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000011333044186 W 12th AveHialeah, FL 33012Gender: MaleNPI: 1942306394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

LLEO, Pedro D.Caplin & Gober Dentistry(305) 821-2611Prov. No.: 0000013226426600 W 12th Ave �Hialeah, FL 33012Gender: MaleNPI: 1942306394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)LLEO, Pedro D.Superior Dental Team(786) 360-6262Prov. No.: 000012086086148 Hialeah DrHialeah, FL 33010Gender: MaleNPI: 1942306394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 762-2948Accepts New Patients: YHospital Affiliation: N/A*

LLEO, Pedro D.Simple Smiles Llc(305) 381-5412Prov. No.: 00001250009818400 NW 75th Pl Ste 121Hialeah, FL 33015Gender: MaleNPI: 1942306394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LLORENS, Javier J.Javier J Llorens(305) 888-9807Prov. No.: 000000020585717 E 9th StHialeah, FL 33010Language: EnglishGender: MaleNPI: 1326224593License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Grace P.Westland Mall Dental(305) 828-7779Prov. No.: 0000065865131665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1407101462License: DN19810License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

314 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)LOPEZ, Grace P.Progressive Dental(305) 829-0100Prov. No.: 00001224187418600 NW 87th Ave Unit 12Hialeah, FL 33015Gender: FemaleNPI: 1407101462License: DN19810License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 829-7979Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Manuel G.Bl Dental Associates Llc(305) 826-0660Prov. No.: 0000121276493233 Palm Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, MaribelDental American Group(305) 556-6100Prov. No.: 0000026180271573 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1598966921License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)LUPU, MatthewMiami Dental Centers - SmallGroup(305) 821-3344Prov. No.: 0000013101801935 W 60th StHialeah, FL 33012Gender: Not ReportedNPI: 1699065169License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 821-3311Accepts New Patients: YHospital Affiliation: N/A*

MACAGNO, JessicaDental Center of Florida(305) 231-0545Prov. No.: 0000063654673750 W 16th Ave Ste 236UHialeah, FL 33012Gender: FemaleNPI: 1356680342License: DN19974License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 231-8654Accepts New Patients: YHospital Affiliation: N/A*

MACAGNO, JessicaMiami Dental Centers - SmallGroup(305) 821-3344Prov. No.: 0000124873051935 W 60th StHialeah, FL 33012Gender: FemaleNPI: 1356680342License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MACIAS, Clara M.Clara M Gonzalez Dds(305) 362-4717Prov. No.: 0000003453766532 NW 186th StHialeah, FL 33015Language: English, SpanishGender: Not ReportedNPI: 1902071210License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected] mFax: (305) 362-4880Accepts New Patients: YHospital Affiliation: N/A*

MANIGLIA, Marielba D.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000121294962900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1063793644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MANZUR, KasimWestland Mall Dental(305) 828-7779Prov. No.: 0000124857101665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1063828218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MARINI, Nohelia R.Jr Dental Office Inc(786) 431-5000Prov. No.: 0000120025996847 W 4th AveHialeah, FL 33014Language: EnglishGender: FemaleNPI: 1568640852License: DN12018License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5061Accepts New Patients: YHospital Affiliation: N/A*

MARQUEZ-IGLESIAS, FelicitaFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000120578402900 W 12th Ave Ste 27Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1740619402License: DN 20430License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARQUEZ-IGLESIAS, FelicitaFelicita Marquez Iglesias Dds(305) 826-0906Prov. No.: 0000120818124890 W 3rd AveHialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1740619402License: DN 20430License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 826-7455Accepts New Patients: YHospital Affiliation: N/A*

315GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MARRO, BlancaHialeah Dental Building(305) 823-9982Prov. No.: 000012535179266 E 49th St �Hialeah, FL 33013Gender: Not ReportedNPI: 1043620099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARSHALL, KristineWestland Mall Dental(305) 828-7779Prov. No.: 0000124219061665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1396897385License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MARTIN, Felipe R.Dental Center of Florida(305) 231-0545Prov. No.: 0000122612643750 W 16th Ave Ste 236UHialeah, FL 33012Gender: MaleNPI: 1124187315License: DN11543License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 231-8654Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ClaudiaFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000125077712900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1294175794License: DN21886License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MARTINEZ, GustavoWestland Mall Dental(305) 828-7779Prov. No.: 0000124461181665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1831558964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Miguel A.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000124415422900 W 12th Ave Ste 27Hialeah, FL 33012Gender: MaleNPI: 1043408271License: DN18073License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Tamara T.Palm Center For DentalSpecialties(305) 556-5600Prov. No.: 0000003376207150 W 20th Ave Ste 102Hialeah, FL 33016Gender: FemaleNPI: 1881727717License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-5693Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MARTINEZ, ZunithFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000122419812900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1487035085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTY, RolandoRolando Marty(305) 819-0008Prov. No.: 0000121657901490 W 49th PlHialeah, FL 33012Gender: MaleNPI: 1285995894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MENDEZ, AntonioLucrecia Monzon(305) 827-6661Prov. No.: 0000000181652106 W 68th St �Hialeah, FL 33016Language: EnglishGender: MaleNPI: 1659570430License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 827-9977Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MENDEZ, RosaJorge M Gutierrez Dds(305) 362-5559Prov. No.: 0000065119303822 W 16th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1780777359License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 362-2255Accepts New Patients: YHospital Affiliation: N/A*

MERIKAS, AmandaWestland Mall Dental(305) 828-7779Prov. No.: 0000122178111665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIERISCH SR, OttoPrestige Dental ClinicIncorporated(954) 224-7710Prov. No.: 0000004134001800 W 49th St Ste 201Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1598887309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 554-8897Accepts New Patients: YHospital Affiliation: N/A*

316 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MIRO, Claudio L.Claudio L Miro Dds(305) 685-7494Prov. No.: 000000090211614 E 49th StHialeah, FL 33013Gender: MaleNPI: 1417024118License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIRO, KiaraClaudio L Miro Dds(305) 685-7494Prov. No.: 000000721615614 E 49th StHialeah, FL 33013Language: EnglishGender: FemaleNPI: 1427078625License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOLINA, Gustavo R.Dental American Group(305) 556-6100Prov. No.: 0000016556551573 W 49th St �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MOLINA, Gustavo R.Progressive Dental(305) 829-0100Prov. No.: 00001224489318600 NW 87th Ave Unit 12Hialeah, FL 33015Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 829-7979Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Rosario G.Rosario G Molina(305) 685-5133Prov. No.: 0000000187434835 E 4th Ave Ste AHialeah, FL 33013Language: EnglishGender: Not ReportedNPI: 1912231549License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 685-6076Accepts New Patients: YHospital Affiliation: N/A*

MONTENEGRO, Mauricio S.Happy Smiles Dental Care Llc(786) 542-9700Prov. No.: 000012126411922 E 25th StHialeah, FL 33013Gender: MaleNPI: 1467656108License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 542-9690Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MONTERO, AlexanderProgressive Dental(305) 829-0100Prov. No.: 00000114132418600 NW 87th Ave Unit 12Hialeah, FL 33015Gender: MaleNPI: 1427105998License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 829-7979Accepts New Patients: YHospital Affiliation: N/A*

MONTERO, AlexanderRicardo Montero(305) 863-8995Prov. No.: 000012186573568 Hialeah DrHialeah, FL 33010Gender: MaleNPI: 1427105998License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONTERO, RicardoRicardo Montero(305) 863-8995Prov. No.: 000010213616568 Hialeah DrHialeah, FL 33010Language: English, SpanishGender: MaleNPI: 1164579066License: DN14128License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONZON, LucreciaLucrecia Monzon(305) 827-6661Prov. No.: 0000122630212106 W 68th St �Hialeah, FL 33016Gender: Not ReportedNPI: 1477975399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 827-9977Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)MORALES, Enrique E.Enrique Morales Dds(305) 691-1616Prov. No.: 0000000180673009 E 4th Ave �Hialeah, FL 33013Gender: MaleNPI: 1649310319License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 691-1063Accepts New Patients: YHospital Affiliation: N/A*

MURIAS, Eric L.Eric Murias Dds Pa(Not) Re-portedProv. No.: 0000122676597000 W 12th Ave Ste 7Hialeah, FL 33014Language: English, SpanishGender: MaleNPI: 1083082200License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MURIAS, German L.German L Murias Dds Pa(305) 821-0231Prov. No.: 0000000689877000 W 12th Ave Ste 7Hialeah, FL 33014Gender: Not ReportedNPI: 1316366230License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 821-0644Accepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidWestland Mall Dental(305) 828-7779Prov. No.: 0000122178121665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

317GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)NAVARRO, Maria G.Maria G Navarro Dds(305) 558-6832Prov. No.: 0000000191832438 W 60th StHialeah, FL 33016Language: EnglishGender: Not ReportedNPI: 1497850226License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NODA VILA, Maria C.Smile Savers Inc(305) 887-0660Prov. No.: 00000001895551 E 1st Ave Ste B �Hialeah, FL 33010Language: EnglishGender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OCHOA, German E.Progressive Dental(305) 829-0100Prov. No.: 00001217905218600 NW 87th Ave Unit 12Hialeah, FL 33015Language: English, SpanishGender: MaleNPI: 1164641536License: DN20287License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 829-7979Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)OLIVARES, SoniaSonia Olivares Dds(305) 620-8272Prov. No.: 00000033446218300 NW 62nd Ave Ste 120Hialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1598969149License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORAMAS, DaniaD Oramas Dds Pa(305) 456-6322Prov. No.: 000001088757440 W 65th StHialeah, FL 33012Gender: FemaleNPI: 1952613713License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 456-6375Accepts New Patients: YHospital Affiliation: N/A*

ORDONEZ, Luis A.Luis A Ordonez Dds Pa(305) 888-4889Prov. No.: 0000000184392682 W 12th Ave �Hialeah, FL 33010Language: EnglishGender: Not ReportedNPI: 1689620338License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ORTA, InesCaplin & Gober Dentistry(305) 821-2611Prov. No.: 0000120871836600 W 12th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1881836963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

ORTA, InesTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000120935594186 W 12th AveHialeah, FL 33012Gender: FemaleNPI: 1881836963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Hialeah Dental Building(305) 823-9982Prov. No.: 000012518336266 E 49th St �Hialeah, FL 33013Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)OSPINA, CarolinaWestland Mall Dental(305) 828-7779Prov. No.: 0000122321961665 W 49th St Ste 1484 �Hialeah, FL 33012Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

PANSURIYA, DharmendraWestland Mall Dental(305) 828-7779Prov. No.: 0000125607951665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1932645736License: DN22018License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PATINO, JoelyzVeritas Dental Pa(304) 393-8121Prov. No.: 000012192421664 E 25th St Ste 103Hialeah, FL 33013Gender: FemaleNPI: 1962630103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

318 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)PATINO, JoelyzProgressive Dental Office Corp(305) 829-0100Prov. No.: 00001251808318600 NW 87th Ave Unit 12Hialeah, FL 33015Gender: FemaleNPI: 1962630103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PAYA, AnabelAnabel Paya Dmd Llc(305) 826-9642Prov. No.: 0000124649281191 W 37th St Ste 5Hialeah, FL 33012Language: SpanishGender: FemaleNPI: 1609256700License: DN21221License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PENA MARRO, MileidisFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124416362900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1750730388License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)PERDIGON-CANGAHUALA, NitzaJessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 000012549811901 E 10th Ave Ste 39Hialeah, FL 33010Language: SpanishGender: FemaleNPI: 1720006174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000022994292900 W 12th Ave Ste 12Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, IdalmesIdalmes Perez Dds(305) 888-8555Prov. No.: 0000004507281141 Palm AveHialeah, FL 33010Gender: FemaleNPI: 1881896306License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)PEREZ SUAREZ, TeresaMariana Gabaldon Dds(305) 393-8121Prov. No.: 000004194669522 E 25th StHialeah, FL 33013Gender: Not ReportedNPI: 1538478623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-SOLAR, Juan E.Juan E Perez-Solar Dds Pa(305) 556-5966Prov. No.: 0000004512795323 W 20th Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1770658304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-5976Accepts New Patients: YHospital Affiliation: N/A*

PINERO-CORREA, Rosario M.Westland Mall Dental(305) 828-7779Prov. No.: 0000125623171665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1013279769License: DN21700License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)PINTO, Yenile Y.Westland Mall Dental(305) 828-7779Prov. No.: 0000120536781665 W 49th St Ste 1484 �Hialeah, FL 33012Language: English, Russian,SpanishGender: FemaleNPI: 1558633115License: DN19596License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoVeritas Dental Pa(304) 393-8121Prov. No.: 000012192438664 E 25th St Ste 103Hialeah, FL 33013Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, EvelynFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124610552900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1598146755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

319GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)PRIETO, EvelynFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124824762900 W 12th Ave Ste 27Hialeah, FL 33012Gender: Not ReportedNPI: 1598146755License: DN21249License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PRIETO, JulioJulio Prieto Dds(305) 823-5375Prov. No.: 0000000192701570 W 43rd Pl Ste 38Hialeah, FL 33012Language: EnglishGender: Not ReportedNPI: 1083756563License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PUENTE, KatiaAmazing Touch Dental CareCorp(786) 257-1646Prov. No.: 0000125142121955 W 68th StHialeah, FL 33014Language: SpanishGender: FemaleNPI: 1245357805License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)PUPO, YusimyFausto Nicieza Dds(305) 888-8260Prov. No.: 0000003571071491 E 4th Ave �Hialeah, FL 33010Gender: FemaleNPI: 1962604835License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 888-5531Accepts New Patients: YHospital Affiliation: N/A*

QADRI, SubuhiWestland Mall Dental(305) 828-7779Prov. No.: 0000122032471665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1346612561License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

QUESADA, PedroDental American Group(305) 556-6100Prov. No.: 0000121891261573 W 49th St �Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1164898177License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)QUESADA, PedroWestland Mall Dental(305) 828-7779Prov. No.: 0000125085981665 W 49th St Ste 1484 �Hialeah, FL 33012Language: SpanishGender: MaleNPI: 1164898177License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, FernandoWestland Mall Dental(305) 828-7779Prov. No.: 0000121838341665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1699157800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

QUEVEDO, RachelWestland Mall Dental(305) 828-7779Prov. No.: 0000122094341665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1942683065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)QUINTANA, Rafael J.David E Dewitt Dds Pa(305) 558-2261Prov. No.: 0000000188644841 W 4th Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1215096235License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUINTERO, Juan M.Roxana Rodriguez Dds(305) 823-1882Prov. No.: 0000011244834240 W 16th Ave �Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1710298302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0275Accepts New Patients: YHospital Affiliation: N/A*

RAMIREZ, CarmenCarmen Ramirez Dds(305) 836-3635Prov. No.: 000012126423820 E 41st St Ste 202Hialeah, FL 33013Gender: FemaleNPI: 1811162019License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 836-4021Accepts New Patients: YHospital Affiliation: N/A*

320 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RAMIREZ, JudexHealthy Smile Dental Care Llc(786) 345-2040Prov. No.: 0000122814723412 W 84th St Ste 110Hialeah, FL 33018Language: English, SpanishGender: FemaleNPI: 1013172261License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 749-2727Accepts New Patients: YHospital Affiliation: N/A*

RAMIREZ, Patricia H.Caplin & Gober Dentistry(305) 821-2611Prov. No.: 0000040296506600 W 12th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1467764407License: DN19105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

RAMOS, Luis A.Luis A Ramos Dmd(305) 558-2446Prov. No.: 0000003506374564 W 12th Ave �Hialeah, FL 33012Gender: Not ReportedNPI: 1114000304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 558-1811Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RAND, Matthew K.Westland Mall Dental(305) 828-7779Prov. No.: 0000043619171665 W 49th St Ste 1484 �Hialeah, FL 33012Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, MelvinMelvin Rappaport Dds(305) 821-6388Prov. No.: 0000007245756484 NW 169th StHialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1568686327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REED, SamanthaWestland Mall Dental(305) 828-7779Prov. No.: 0000125638481665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1104042456License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)REINHART, JoelWestland Mall Dental(305) 828-7779Prov. No.: 0000121117411665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1033208392License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

REVUELTA, Ana M.Gomez and Revuelta(305) 558-2933Prov. No.: 0000000205881255 W 46th St Ste 1 �Hialeah, FL 33012Gender: Not ReportedNPI: 1316166366License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

REYES, Miguel A.Miguel A Reyes Dds(305) 826-5224Prov. No.: 0000000184894410 W 16th Ave Ste 58Hialeah, FL 33012Gender: MaleNPI: 1407948482License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)REYES, OmarysFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000121931352900 W 12th Ave Ste 27Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1073871968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

REYES, OscarDental Boost Llc(305) 822-4607Prov. No.: 000012209544344 W 65th StHialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1538414230License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 822-5205Accepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaWestland Mall Dental(305) 828-7779Prov. No.: 0000121756301665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

321GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RIBOT, AlianaFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000122320212900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

RIOS, LibiaTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000122243144186 W 12th AveHialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1881824837License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

RIOS, LibiaCaplin & Gober Dentistry(305) 821-2611Prov. No.: 0000122247036600 W 12th Ave �Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1881824837License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RIVAS, Miguel A.Midgar Dental Clinic(305) 827-0434Prov. No.: 000000275910400 W 65th StHialeah, FL 33012Gender: MaleNPI: 1194895011License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 827-0534Accepts New Patients: YHospital Affiliation: N/A*

ROCA-GODINEZ, Lilian R.Lilian R Roca-Godinez Dds(305) 821-7681Prov. No.: 0000007217734999 W 8th Ave Ste 1Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1639261563License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 821-7682Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Jesus D.Roxana Rodriguez Dds(305) 823-1882Prov. No.: 0000021598374240 W 16th Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1245417534License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0275Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RODRIGUEZ, LazaroFlorida Care Health CenterCorp(305) 364-8600Prov. No.: 00000114936211300 NW 87th Ct Ste 141Hialeah, FL 33018Gender: MaleNPI: 1184823031License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-8604Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Luis J.Luis J Rodriguez Dds(305) 688-1246Prov. No.: 000000113208560 E 49th StHialeah, FL 33013Gender: Not ReportedNPI: 1649202920License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, ReneA & R Dental Center ofHialeah(305) 883-4880Prov. No.: 000012060716765 E 9th StHialeah, FL 33010Gender: FemaleNPI: 1942513122License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 356-6761Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RODRIGUEZ, RoxanaRoxana Rodriguez Dds(305) 823-1882Prov. No.: 0000002641974240 W 16th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1336263912License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0275Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, VickyDavid E Dewitt Dds Pa(305) 558-2261Prov. No.: 0000000188654841 W 4th Ave �Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1912041195License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROMAN, CeliaHialeah Dental Building(305) 823-9982Prov. No.: 000012534102266 E 49th St �Hialeah, FL 33013Gender: Not ReportedNPI: 1356570303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

322 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ROMERO-MELIS, MildredCaplin & Gober Dentistry(305) 821-2611Prov. No.: 0000121705946600 W 12th Ave �Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1467843383License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-0746Accepts New Patients: YHospital Affiliation: N/A*

ROMERO-MELIS, MildredTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000121706244186 W 12th AveHialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1467843383License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

ROSENBERG, Sarah L.Bl Dental Associates Llc(305) 826-0660Prov. No.: 0000121003593233 Palm Ave �Hialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1497919492License: DN18239License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)RUIZ, Eliseo900(305) 556-8800Prov. No.: 0000120568957618 NW 186th StHialeah, FL 33015Gender: MaleNPI: 1457589525License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RUIZ, SailiTowncare Dental of HialeahSquare(305) 556-6291Prov. No.: 0000121156714186 W 12th AveHialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1932514296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-0215Accepts New Patients: YHospital Affiliation: N/A*

RYAN PETERKIN, KathrynWestland Mall Dental(305) 828-7779Prov. No.: 0000121757641665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1386939387License: DN19375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SAENZ, Roger A.Roger Saenz(305) 885-9786Prov. No.: 000012255772752 W 29th St Ste 17Hialeah, FL 33012Gender: MaleNPI: 1093903676License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SAGUE, Gustavo A.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000121465752900 W 12th Ave Ste 27Hialeah, FL 33012Language: English, SpanishGender: MaleNPI: 1699177964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SALCINES, Damaris G.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000004165702900 W 12th Ave Ste 27Hialeah, FL 33012Gender: FemaleNPI: 1891705091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SALDARRIAGA, LisaFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000019256662900 W 12th Ave Ste 27Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.Westland Mall Dental(305) 828-7779Prov. No.: 0000120381231665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.Sawgrass Mills Mall Dental Fl(305) 828-7779Prov. No.: 0000124872931665 W 49th St Ste 1484Hialeah, FL 33012Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

323GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SANTANA, DavidFamily and CosmeticDentistry(305) 387-4954Prov. No.: 0000124895942900 W 12th Ave Ste 27Hialeah, FL 33012Language: SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANTOS, NatalyNew Era Dental Pa(786) 558-8637Prov. No.: 0000012411582011 W 62nd St �Hialeah, FL 33016Gender: FemaleNPI: 1568626240License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANTOS, NatalyNataly Santos(305) 474-0400Prov. No.: 00000542113618652 NW 67th AveHialeah, FL 33015Gender: FemaleNPI: 1568626240License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SCHOT, Raquel M.Hialeah Dental Center Pa(305) 823-2661Prov. No.: 0000124479671518 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1467737734License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 823-2761Accepts New Patients: YHospital Affiliation: N/A*

SEGRERA, Maria C.Dental American Group(305) 556-6100Prov. No.: 0000013193041573 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1295046662License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

SEGRERA, Maria C.Maria Segrera(305) 570-1777Prov. No.: 00001226173018300 NW 62nd Ave Ste 120Hialeah, FL 33015Gender: FemaleNPI: 1295046662License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SEIJAS, Migdalia I.Migdalia J Seijas Dds(305) 819-3290Prov. No.: 0000088215921169 W 35th StHialeah, FL 33012Language: EnglishGender: FemaleNPI: 1194895664License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SHAYAN, Maria M.Family and CosmeticDentistry(305) 387-4954Prov. No.: 0000022993202900 W 12th Ave Ste 27Hialeah, FL 33012Language: EnglishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SHUROVA, MarinaWestland Mall Dental(305) 828-7779Prov. No.: 0000121958241665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1265830590License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

SIMBACO, Rafael D.Rafael D Simbaco Dds(305) 822-9648Prov. No.: 000000026112742 W 49th St �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1659423101License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 822-9682Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SOLANO, Jorge I.Jorge I Solano Dmd(305) 556-6291Prov. No.: 0000003490744186 W 12th AveHialeah, FL 33012Gender: Not ReportedNPI: 1780708354License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SOLER, Rosa M.Roxana Rodriguez Dds(305) 823-1882Prov. No.: 0000001340374240 W 16th Ave �Hialeah, FL 33012Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 819-0275Accepts New Patients: YHospital Affiliation: N/A*

SOLER, Rosa M.World Dental Care Corp(305) 888-1458Prov. No.: 0000020229441370 E 4th Ave �Hialeah, FL 33010Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 235-0257Accepts New Patients: YHospital Affiliation: N/A*

SOLER, Rosa M.Florida Healthy Smiles Inc(305) 883-4880Prov. No.: 000003589467765 E 9th StHialeah, FL 33010Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

324 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SOLER, Rosa M.Alpha Dental Group Inc(786) 238-7406Prov. No.: 0000120096194999 W 8th Ave Ste 1Hialeah, FL 33012Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 238-7429Accepts New Patients: YHospital Affiliation: N/A*

SOLER, Rosa M.Amazing Touch Dental CareCorp(786) 257-1646Prov. No.: 0000122241161955 W 68th StHialeah, FL 33014Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 825-7676Accepts New Patients: YHospital Affiliation: N/A*

SOSA-ABELLA, Nancy M.Palm Center For DentalSpecialties(305) 556-5600Prov. No.: 0000000179837150 W 20th Ave Ste 102Hialeah, FL 33016Language: EnglishGender: FemaleNPI: 1821186982License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-5693Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)SWEETING, Tamarra N.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 000012561982901 E 10th Ave Ste 39Hialeah, FL 33010Gender: FemaleNPI: 1114386091License: DN21309License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TALAVERA, Jose A.Jose A Talavera Dmd(305) 558-8144Prov. No.: 00000131911217660 NW 78th Ave Ste 105Hialeah, FL 33015Language: EnglishGender: MaleNPI: 1942446729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TENDERO, JessicaMayra G Betancourt Dds Inc(305) 826-2758Prov. No.: 00001246759917701 NW 78th AveHialeah, FL 33015Gender: FemaleNPI: 1750731691License: DN21944License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)TERRERO, Ivan E.Mariana Gabaldon Dds(305) 393-8121Prov. No.: 000012063929522 E 25th StHialeah, FL 33013Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

TERRERO, Ivan E.Veritas Dental Pa(304) 393-8121Prov. No.: 000012333459664 E 25th St Ste 103Hialeah, FL 33013Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

TOQUICA, Zayde M.Dental American Group(305) 556-6100Prov. No.: 0000122611841573 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1740578459License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-4799Accepts New Patients: YHospital Affiliation: N/A*

TORO, Alicia M.Hialeah Dental Building(305) 823-9982Prov. No.: 000012532633266 E 49th St �Hialeah, FL 33013Gender: FemaleNPI: 1659726537License: 21781License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)TRUJILLO, Alexander D.Claudio L Miro Dds(305) 685-7494Prov. No.: 000000721642614 E 49th StHialeah, FL 33013Language: EnglishGender: MaleNPI: 1043231996License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneMariana Gabaldon Dds(305) 393-8121Prov. No.: 000012129042522 E 25th StHialeah, FL 33013Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneVeritas Dental Pa(304) 393-8121Prov. No.: 000012192434664 E 25th St Ste 103Hialeah, FL 33013Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

UCROS, Maria J.Hialeah Dental Center Pa(305) 823-2661Prov. No.: 0000124478201518 W 49th St �Hialeah, FL 33012Gender: FemaleNPI: 1366833212License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 823-2761Accepts New Patients: YHospital Affiliation: N/A*

325GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)URDAY, Claudia L.Mariana Gabaldon Dds(305) 393-8121Prov. No.: 000005178685522 E 25th StHialeah, FL 33013Language: English, SpanishGender: FemaleNPI: 1710129242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

URDAY, Claudia L.Veritas Dental Pa(304) 393-8121Prov. No.: 000012192424664 E 25th St Ste 103Hialeah, FL 33013Language: English, SpanishGender: FemaleNPI: 1710129242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-5421Accepts New Patients: YHospital Affiliation: N/A*

URIARTE, Gilberto J.Gilberto J Uriarte Dds(305) 885-1422Prov. No.: 000000120529291 E 9th StHialeah, FL 33010Gender: MaleNPI: 1245350669License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 885-1983Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)UZUNOVA-DIMOVA, KalinaWestland Mall Dental(305) 828-7779Prov. No.: 0000121699121665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1245540947License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

VALDES, Martha B.Martha B Valdes Dds Llc(305) 362-0888Prov. No.: 0000120377443695 W 4th AveHialeah, FL 33012Language: English, SpanishGender: FemaleNPI: 1649605585License: DN20482License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 362-0058Accepts New Patients: YHospital Affiliation: N/A*

VALDMAN, VadimWestland Mall Dental(305) 828-7779Prov. No.: 0000004393391665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1184860413License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)VALLE, RamonRamon Valle(305) 826-0906Prov. No.: 0000000181374890 W 3rd Ave �Hialeah, FL 33012Language: EnglishGender: MaleNPI: 1528181815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALLE, RamonRamon Valle Dds(305) 836-3635Prov. No.: 000003918508820 E 41st StHialeah, FL 33013Language: EnglishGender: MaleNPI: 1528181815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAZANA, RaphaelDavid E Dewitt Dds Pa(305) 558-2261Prov. No.: 0000001487364841 W 4th Ave �Hialeah, FL 33012Gender: MaleNPI: 1528170107License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)WAHBA, DaliaWestland Mall Dental(305) 828-7779Prov. No.: 0000121297601665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: FemaleNPI: 1619382611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

WOO, KyungWestland Mall Dental(305) 828-7779Prov. No.: 0000121958271665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1710362546License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

ZAND, MaximusWestland Mall Dental(305) 828-7779Prov. No.: 0000121768641665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1235381815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

ZARDON, Ramon A.Razar Dental Group No 2 Inc(305) 827-1700Prov. No.: 0000000183075864 NW 183rd St �Hialeah, FL 33015Language: EnglishGender: Not ReportedNPI: 1679793715License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

326 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Hialeah (Cont.)ZARIFFARD, EhsanWestland Mall Dental(305) 828-7779Prov. No.: 0000122120311665 W 49th St Ste 1484 �Hialeah, FL 33012Gender: MaleNPI: 1528458932License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 828-7651Accepts New Patients: YHospital Affiliation: N/A*

Hialeah Gardens

BERRY, Wayne L.Sylvia Santana Pa(305) 364-9322Prov. No.: 00001214662911300 NW 87th Ct Ste 166Hialeah Gardens, FL 33018Language: English, SpanishGender: MaleNPI: 1053324376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-0983Accepts New Patients: YHospital Affiliation: N/A*

CINTRON, VanessaVanessa Cintron Dmd(305) 558-8626Prov. No.: 0000014327548128 NW 103rd StHialeah Gardens, FL 33016Language: EnglishGender: FemaleNPI: 1396903910License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 827-6647Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah Gardens (Cont.)ESPINOSA, Ricardo J.Ricardo J Espinosa Dmd Pa(305) 558-8626Prov. No.: 0000001078078128 NW 103rd StHialeah Gardens, FL 33016Gender: MaleNPI: 1083825665License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, AdrianAdrian Fernandez Dmd(305) 557-1448Prov. No.: 0000002782933148 W 76th StHialeah Gardens, FL 33018Gender: Not ReportedNPI: 1710128319License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 557-1975Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, ReydelRgd Dental Care(786) 536-7537Prov. No.: 00001215722711870 Hialeah Gardens BlvHialeah Gardens, FL 33018Language: EnglishGender: MaleNPI: 1225385370License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 534-5934Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah Gardens (Cont.)MENTRASTI-SANTANA, SylviaSylvia Santana Pa(305) 364-9322Prov. No.: 00001223546111300 NW 87th Ct Ste 166Hialeah Gardens, FL 33018Language: English, SpanishGender: FemaleNPI: 1679820344License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-0983Accepts New Patients: YHospital Affiliation: N/A*

PAYA, AnabelPaya Dental(786) 502-4467Prov. No.: 0000125017532851 W 68th StSte 12Hialeah Gardens, FL 33018Language: SpanishGender: FemaleNPI: 1609256700License: DN21221License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ, IdalmesBiltmore Dental Group(305) 364-9322Prov. No.: 00001204968411300 NW 87th Ct Ste 166Hialeah Gardens, FL 33018Gender: FemaleNPI: 1881896306License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-0983Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Hialeah Gardens (Cont.)REYES CANALS, Osmil A.Biltmore Dental Group(305) 364-9322Prov. No.: 00001217270711300 NW 87th Ct Ste 166Hialeah Gardens, FL 33018Gender: MaleNPI: 1356732275License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-0983Accepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, Pedro M.Pedro M Sanchez Dds(305) 556-9364Prov. No.: 0000039182188302 NW 103rd St Ste 206Hialeah Gardens, FL 33016Gender: Not ReportedNPI: 1063572535License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

Homestead

ABDELMONEM, RafahAmerican Dental Center(305) 247-8823Prov. No.: 0000016590461938 N Krome Ave �Homestead, FL 33030Language: EnglishGender: MaleNPI: 1194736959License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-8384Accepts New Patients: YHospital Affiliation: N/A*

327GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)ALVAREZ, Nimia R.Martha Barrera(305) 245-0304Prov. No.: 000001234525127 NE 8th St �Homestead, FL 33030Gender: FemaleNPI: 1629378559License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-0306Accepts New Patients: YHospital Affiliation: N/A*

ARROYO, ErinDental Center of Homestead(305) 246-5444Prov. No.: 0000120678652870 NE 8th St �Homestead, FL 33033Gender: FemaleNPI: 1225312275License: DN 19439License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

AVILA, Jose L.Dental of Homestead By JldLlc(305) 246-9343Prov. No.: 0000004075872040 NE 8th StHomestead, FL 33033Gender: MaleNPI: 1053512939License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)AZA, SaraPediatric Dental Centers ofMiami(305) 246-2700Prov. No.: 000012127539925 NE 30th Ter Ste 302Homestead, FL 33033Gender: FemaleNPI: 1386872521License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-9800Accepts New Patients: YHospital Affiliation: N/A*

BARRERA, Martha E.The Tooth Place(305) 245-7974Prov. No.: 0000000191008 Palm Plz �Homestead, FL 33030Language: EnglishGender: FemaleNPI: 1790023562License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-9433Accepts New Patients: YHospital Affiliation: N/A*

BARRERA, Martha E.Martha Barrera(305) 245-0304Prov. No.: 000001464799127 NE 8th St �Homestead, FL 33030Language: EnglishGender: FemaleNPI: 1790023562License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-0306Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)BERRY, Wayne L.American Dental Center(305) 247-8823Prov. No.: 0000123306161938 N Krome Ave �Homestead, FL 33030Language: English, SpanishGender: MaleNPI: 1053324376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-8384Accepts New Patients: YHospital Affiliation: N/A*

BEWLEY, Julia L.Dental Center of Homestead(305) 246-5444Prov. No.: 0000012450472870 NE 8th St �Homestead, FL 33033Language: Chinese, English,German, SpanishGender: FemaleNPI: 1457647265License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: NHospital Affiliation: N/A*

BLANCH, WilliamYoan Lobaina Dmd(305) 245-9691Prov. No.: 00000391887130 NW 15th StHomestead, FL 33030Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)BLANCO, Diana R.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012076788125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1659536043License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Dental Center of Homestead(305) 246-5444Prov. No.: 0000121784312870 NE 8th St �Homestead, FL 33033Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

BOTERO, AlexandraFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012442564125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1053666065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

328 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)BRITO, Sandy M.Dental Center of Homestead(305) 246-5444Prov. No.: 0000013657022870 NE 8th St �Homestead, FL 33033Language: EnglishGender: FemaleNPI: 1043506306License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: NHospital Affiliation: N/A*

BUITRAGO, Juan C.Smile Plus(305) 270-8029Prov. No.: 000000354764930 N Krome Ave �Homestead, FL 33030Gender: MaleNPI: 1700057494License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-5120Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Juan C.Byg Dental Corp(305) 247-5161Prov. No.: 000012127054963 N Krome AveHomestead, FL 33030Gender: MaleNPI: 1700057494License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-5120Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)CAMPBELL, LisaMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000012102122810 W Mowry DrHomestead, FL 33030Gender: FemaleNPI: 1659594497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaDental Associates ofHomestead Pa(305) 247-0099Prov. No.: 000005300663925 NE 30th Ter Ste 118Homestead, FL 33033Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

CAYON, Alicia B.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012209252125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1467865022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)CHAKALOV, BoyanHomestead Dental Inc(305) 248-0027Prov. No.: 00000069600583 NW 8th St �Homestead, FL 33030Gender: MaleNPI: 1356678767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 248-9461Accepts New Patients: YHospital Affiliation: N/A*

CHIN-THOMPSON, Angella R.Martin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000010400364810 W Mowry DrHomestead, FL 33030Gender: Not ReportedNPI: 1215150909License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

CORPAS, Alfredo D.Homestead Town Square FamDntry(305) 247-3003Prov. No.: 000000006664833 N Homestead Blvd �Homestead, FL 33030Language: EnglishGender: MaleNPI: 1124115837License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)CORREA, Paola M.Dental Specialty Center ofHomestead(305) 247-0099Prov. No.: 000001245820925 NE 30th Ter Ste 114Homestead, FL 33033Gender: FemaleNPI: 1497945083License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

CORREA, Paola M.Main St Childrens Dentistry &Ortho of Homestead P(305) 247-0910Prov. No.: 000001246530925 NE 30th Ter Ste 110Homestead, FL 33033Gender: FemaleNPI: 1497945083License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-5249Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Karen G.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000001923156125 NE 8th St Ste 1 �Homestead, FL 33030Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

329GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)CUCKLER, Robert O.Robert O Cuckler Dds Pa(305) 245-3144Prov. No.: 000000138852311 NE 8th St Ste 107 �Homestead, FL 33030Gender: Not ReportedNPI: 1619040094License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-7142Accepts New Patients: YHospital Affiliation: N/A*

DE LA CRUZ, Alejandro I.Coral Dental Center(305) 246-2221Prov. No.: 00000001921627535 S Dixie Hwy �Homestead, FL 33032Language: EnglishGender: MaleNPI: 1013152016License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DELGADO, LigmingFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000001923291125 NE 8th St Ste 1 �Homestead, FL 33030Gender: MaleNPI: 1548396658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.South Dental Homestead(305) 508-7800Prov. No.: 000000434195925 NE 30th Ter Ste 104Homestead, FL 33033Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)FERNANDEZ DOMINGUEZ, GiselleFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012130258125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1235484890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-ABRIL, Jorge C.Dental Center of Homestead(305) 246-5444Prov. No.: 0000007070152870 NE 8th St �Homestead, FL 33033Language: EnglishGender: MaleNPI: 1720307572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

FERRER-LEON, NataliaDental Services of Homestead(305) 258-9838Prov. No.: 00000195811125001 SW 127th Ave Ste 20 �Homestead, FL 33032Gender: FemaleNPI: 1134240518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 258-9872Accepts New Patients: YHospital Affiliation: N/A*

FRANCO, Maria I.Silver Palms Dentistry(305) 258-1776Prov. No.: 00001247097023280 SW 112th Ave �Homestead, FL 33032Gender: FemaleNPI: 1952729709License: DN22208License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)GARROTE, RogelioFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012554800125 NE 8th St Ste 1 �Homestead, FL 33030Gender: MaleNPI: 1144671470License: DN21977License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GIL, Lester O.Smile Plus(305) 270-8029Prov. No.: 000000399186930 N Krome Ave �Homestead, FL 33030Gender: MaleNPI: 1427216803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-5120Accepts New Patients: YHospital Affiliation: N/A*

GIL, Lester O.Byg Dental Corp(305) 247-5161Prov. No.: 000012023645963 N Krome AveHomestead, FL 33030Gender: MaleNPI: 1427216803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-5120Accepts New Patients: YHospital Affiliation: N/A*

GIL ARAUJO, Eduardo F.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000002449495125 NE 8th St Ste 1 �Homestead, FL 33030Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)GOMARA, Luis A.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000000305671125 NE 8th St Ste 1 �Homestead, FL 33030Language: EnglishGender: MaleNPI: 1659381879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Adrian O.Dental Services of Homestead(305) 258-9838Prov. No.: 00000403006325001 SW 127th Ave Ste 20 �Homestead, FL 33032Language: English, SpanishGender: MaleNPI: 1750635637License: DN19996License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 258-9872Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Maria F.Dental Services of Homestead(305) 258-9838Prov. No.: 00000195810025001 SW 127th Ave Ste 20 �Homestead, FL 33032Language: EnglishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 258-9872Accepts New Patients: YHospital Affiliation: N/A*

330 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)GOODMAN, HaroldHarold Goodman Dds Pa(305) 245-0304Prov. No.: 000000353320127 NE 8th StHomestead, FL 33030Language: EnglishGender: Not ReportedNPI: 1003824905License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GRIGOROPOULOS, MariosDental Center of Homestead(305) 246-5444Prov. No.: 0000125275022870 NE 8th St �Homestead, FL 33033Gender: MaleNPI: 1720285646License: DN14743License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUERRA GARCIA, YanelysSilver Palms Dentistry(305) 258-1776Prov. No.: 00000154972323280 SW 112th Ave �Homestead, FL 33032Gender: FemaleNPI: 1417163742License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)HAGHIGHI, AzinPediatric Dental Center ofHomestead(305) 246-3800Prov. No.: 000012561191925 NE 30th Ter Ste 302Homestead, FL 33033Gender: FemaleNPI: 1730512781License: DN20549License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERDOCIA, Filiberto J.The Tooth Place(305) 245-7974Prov. No.: 0000012790608 Palm Plz �Homestead, FL 33030Language: EnglishGender: Not ReportedNPI: 1750788030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-9433Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, LiliamFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012424508125 NE 8th St Ste 1 �Homestead, FL 33030Language: English, SpanishGender: FemaleNPI: 1538521778License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)IDALMES, GarciaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012515500125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IVANIER, Sandra P.Pediatric Dental Center ofHomestead(305) 246-3800Prov. No.: 000012242558925 NE 30th Ter Ste 302Homestead, FL 33033Language: EnglishGender: Not ReportedNPI: 1699955583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-9800Accepts New Patients: YHospital Affiliation: N/A*

JOHNSON, Robert B.Martin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000000341594810 W Mowry DrHomestead, FL 33030Gender: Not ReportedNPI: 1275600686License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)KABLAWI, Fadi Y.Mecca Dental(305) 245-7733Prov. No.: 00000028593527501 S Dixie Hwy Ste 300 �Homestead, FL 33032Gender: MaleNPI: 1922052844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LANG, TomasMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000001044425810 W Mowry DrHomestead, FL 33030Gender: MaleNPI: 1386758886License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

LAU, VicenteSouth Dade Health Center(305) 242-6069Prov. No.: 00001249724613600 SW 312th StHomestead, FL 33033Gender: MaleNPI: 1932653334License: DN22283License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOBAINA, Yoan E.Yoan Lobaina Dmd(305) 245-9691Prov. No.: 00000181991330 NW 15th StHomestead, FL 33030Gender: MaleNPI: 1245468131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

331GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)LOPEZ DE VICTORIA, MilliedMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000000858485810 W Mowry DrHomestead, FL 33030Gender: FemaleNPI: 1467405423License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

MANIGLIA, Marielba D.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012129462125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1063793644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARQUEZ-IGLESIAS, FelicitaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012057839125 NE 8th St Ste 1 �Homestead, FL 33030Language: English, SpanishGender: FemaleNPI: 1740619402License: DN 20430License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)MARTINEZ, ClaudiaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012554802125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1294175794License: DN21886License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Miguel A.Yoan Lobaina Dmd(305) 245-9691Prov. No.: 00001204889730 NW 15th StHomestead, FL 33030Gender: MaleNPI: 1043408271License: DN18073License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Miguel A.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012441844125 NE 8th St Ste 1 �Homestead, FL 33030Gender: MaleNPI: 1043408271License: DN18073License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Milton F.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000002017222125 NE 8th St Ste 1 �Homestead, FL 33030Gender: MaleNPI: 1346326972License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)MARTINEZ, ZunithFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012241757125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1487035085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTY, RolandoRolando Marty(305) 258-9838Prov. No.: 00001204036825001 SW 127th AveHomestead, FL 33032Gender: MaleNPI: 1285995894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 258-9872Accepts New Patients: YHospital Affiliation: N/A*

MILLER, Laura E.Dental Center of Homestead(305) 246-5444Prov. No.: 0000004464372870 NE 8th St �Homestead, FL 33033Gender: FemaleNPI: 1649411992License: CA-57434License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

MIRANDA, AlejandraChi/Mlk Center(305) 248-4334Prov. No.: 000012059721810 W Mowry DrHomestead, FL 33030Gender: FemaleNPI: 1558328823License: DN13131License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)MIRANDA, AlejandraSouth Dade Health Center(305) 242-6069Prov. No.: 00001205980913600 SW 312th StHomestead, FL 33033Gender: FemaleNPI: 1558328823License: DN13131License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 242-1520Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Rolando Jesus J.Rolando J Molina Dds Pa(305) 242-5223Prov. No.: 00000003371945 NW 8th St Ste 101 �Homestead, FL 33030Language: English, SpanishGender: MaleNPI: 1689700221License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 248-8818Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, ZulimaDental Specialty Center ofHomestead(305) 247-0099Prov. No.: 000001465263925 NE 30th Ter Ste 114Homestead, FL 33033Gender: FemaleNPI: 1063659811License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

332 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)NGUYEN, Nancy V.Dental Center of Homestead(305) 246-5444Prov. No.: 0000088221052870 NE 8th St �Homestead, FL 33033Language: Chinese, EnglishGender: FemaleNPI: 1174883482License: 19879License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

PENA MARRO, MileidisFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012441900125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1750730388License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000002299424125 NE 8th St Ste 1 �Homestead, FL 33030Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)PEREZ, Alina J.Smile Plus(305) 270-8029Prov. No.: 000011997640930 N Krome Ave �Homestead, FL 33030Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-5120Accepts New Patients: YHospital Affiliation: N/A*

PINO, RaquelDental Center of Homestead(305) 246-5444Prov. No.: 0000121257012870 NE 8th St �Homestead, FL 33033Gender: FemaleNPI: 1912310665License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, EvelynFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012461054125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1598146755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, EvelynFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012482478125 NE 8th St Ste 1 �Homestead, FL 33030Gender: Not ReportedNPI: 1598146755License: DN21249License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)QUEZADA, ErnestoDental Center of Homestead(305) 246-5444Prov. No.: 0000120725622870 NE 8th St �Homestead, FL 33033Language: English, SpanishGender: MaleNPI: 1821387309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-5406Accepts New Patients: YHospital Affiliation: N/A*

QUINTERO, Juan M.American Dental Center(305) 247-8823Prov. No.: 0000021582411938 N Krome Ave �Homestead, FL 33030Language: English, SpanishGender: MaleNPI: 1710298302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-8384Accepts New Patients: YHospital Affiliation: N/A*

REYES, OmarysFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012193466125 NE 8th St Ste 1 �Homestead, FL 33030Language: English, SpanishGender: MaleNPI: 1073871968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)REYES, OmarysAll Family Care Inc(305) 246-0460Prov. No.: 00001220576338 NW 8th St �Homestead, FL 33030Language: English, SpanishGender: MaleNPI: 1073871968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-0516Accepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012435044125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Esteban J.Dental Associates ofHomestead Pa(305) 247-0099Prov. No.: 000000298812925 NE 30th Ter Ste 118Homestead, FL 33033Gender: MaleNPI: 1174647804License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

333GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)RUIZ, EliseoDental Associates ofHomestead Pa(305) 247-0099Prov. No.: 000000468153925 NE 30th Ter Ste 118Homestead, FL 33033Gender: MaleNPI: 1457589525License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

RUIZ, SailiDental Associates ofHomestead Pa(305) 247-0099Prov. No.: 000012103252925 NE 30th Ter Ste 118Homestead, FL 33033Language: English, SpanishGender: FemaleNPI: 1932514296License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

RUIZ-CESTERO, Sarabel M.Martin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000000997512810 W Mowry DrHomestead, FL 33030Language: EnglishGender: FemaleNPI: 1992718282License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)SAGUE, Gustavo A.All Family Care Inc(305) 246-0460Prov. No.: 00001215216138 NW 8th St �Homestead, FL 33030Language: English, SpanishGender: MaleNPI: 1699177964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-0516Accepts New Patients: YHospital Affiliation: N/A*

SALCINES, Damaris G.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000000349915125 NE 8th St Ste 1 �Homestead, FL 33030Gender: FemaleNPI: 1891705091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, ZoraidaZoenida Sanchez Dds(305) 247-9292Prov. No.: 0000020548071619 NE 8th StHomestead, FL 33033Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0344Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)SANCHEZ, Zoraida T.Zoenida Sanchez Dds(305) 247-9292Prov. No.: 0000002278241619 NE 8th StHomestead, FL 33033Language: English, SpanishGender: FemaleNPI: 1093824096License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0344Accepts New Patients: YHospital Affiliation: N/A*

SANTANA, DavidFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 000012554801125 NE 8th St Ste 1 �Homestead, FL 33030Language: SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SARMIENTO, JeffreySouth Dade Health Center(305) 242-6069Prov. No.: 00001247389613600 SW 312th StHomestead, FL 33033Gender: MaleNPI: 1184177560License: DN22214License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)SENK, Gary P.Gary P Senk Dds(305) 247-2143Prov. No.: 000000021454381 N Krome Ave Ste 209Homestead, FL 33030Language: EnglishGender: MaleNPI: 1619186293License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHAYAN, Maria M.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 000002299322125 NE 8th St Ste 1 �Homestead, FL 33030Language: EnglishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SILVESTRY, Elvin J.Dental Associates ofHomestead Pa(305) 247-0099Prov. No.: 000000018059925 NE 30th Ter Ste 118Homestead, FL 33033Language: EnglishGender: MaleNPI: 1447332374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 247-0084Accepts New Patients: YHospital Affiliation: N/A*

334 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)SIMBACO, Walter J.Martha Barrera(305) 245-0304Prov. No.: 000001132634127 NE 8th St �Homestead, FL 33030Gender: MaleNPI: 1578687174License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-0306Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Nathifa P.Pediatric Dental Center ofHomestead(305) 246-3800Prov. No.: 000012069054925 NE 30th Ter Ste 302Homestead, FL 33033Gender: FemaleNPI: 1104185818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-9800Accepts New Patients: YHospital Affiliation: N/A*

SOLTERO, Rafael E.South Dental Homestead(305) 508-7800Prov. No.: 000011773937925 NE 30th Ter Ste 104Homestead, FL 33033Language: English, SpanishGender: MaleNPI: 1942621008License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Homestead (Cont.)TIJERINO, DavidPediatric Dental Center ofHomestead(305) 246-3800Prov. No.: 000012227391925 NE 30th Ter Ste 302Homestead, FL 33033Language: English, SpanishGender: MaleNPI: 1538397492License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 246-9800Accepts New Patients: YHospital Affiliation: N/A*

WATSON-HAMILTON, Sheri S.Martin Luther King Jr ClinicaCampesina(305) 248-4334Prov. No.: 000000365083810 W Mowry DrHomestead, FL 33030Gender: FemaleNPI: 1053580639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 245-1161Accepts New Patients: YHospital Affiliation: N/A*

WATSON-HAMILTON, Sheri S.South Dade Health Center(305) 242-6069Prov. No.: 00000073552713600 SW 312th StHomestead, FL 33033Gender: FemaleNPI: 1053580639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 242-1520Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Kendall

BRADY, TiffanyJoel Frand(844) 304-5437Prov. No.: 0000125294018200 SW 117 Street SuiteKendall, FL 33183Gender: FemaleNPI: 1407292824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARDENAS SARRACINO, Astrid H.Joel Frand(844) 304-5437Prov. No.: 0000125293948200 SW 117 Street SuiteKendall, FL 33183Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRAND, Joel I.Joel Frand(844) 304-5437Prov. No.: 0000125293918200 SW 117 Street SuiteKendall, FL 33183Gender: MaleNPI: 1568675866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Kendall (Cont.)MEJIA VALENCIA, Ana M.Joel Frand(844) 304-5437Prov. No.: 0000125294008200 SW 117 Street SuiteKendall, FL 33183Language: SpanishGender: FemaleNPI: 1073942629License: DN21518License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidJoel Frand(844) 304-5437Prov. No.: 0000125293938200 SW 117 Street SuiteKendall, FL 33183Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REZAIE, AzadehJoel Frand(844) 304-5437Prov. No.: 0000125293958200 SW 117 Street SuiteKendall, FL 33183Language: SpanishGender: FemaleNPI: 1740663848License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

335GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Kendall (Cont.)THOMAS, AntonyJoel Frand(844) 304-5437Prov. No.: 0000125293998200 SW 117 Street SuiteKendall, FL 33183Gender: MaleNPI: 1477808186License: DN22248License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALIENTE, LizetteJoel Frand(844) 304-5437Prov. No.: 0000125293908200 SW 117 Street SuiteKendall, FL 33183Language: SpanishGender: FemaleNPI: 1851547863License: DN 18321License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VEGAS, GabrielaJoel Frand(844) 304-5437Prov. No.: 0000125293928200 SW 117 Street SuiteKendall, FL 33183Gender: FemaleNPI: 1407273881License: DN21826License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Key Biscayne

CHAVIANO, Jose L.Nilo Hernandez(305) 361-5493Prov. No.: 000012437980240 Crandon Blvd Ste 104Key Biscayne, FL 33149Gender: MaleNPI: 1487010245License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 460-7004Accepts New Patients: YHospital Affiliation: N/A*

CHIRINO, TracyTracy Chirino(305) 361-8695Prov. No.: 000000737638604 Crandon Blvd Ste 205Key Biscayne, FL 33149Gender: Not ReportedNPI: 1952450165License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOLINARI, LucianaLuciana Molinari(305) 361-8695Prov. No.: 000012479203604 Crandon Blvd Ste 205Key Biscayne, FL 33149Gender: FemaleNPI: 1285989293License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSENBERG, MaraNilo Hernandez(305) 361-5493Prov. No.: 000012438117240 Crandon Blvd Ste 104Key Biscayne, FL 33149Gender: FemaleNPI: 1710137039License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 460-7004Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami

ABDEL-JABBAR, Sana H.Sage Dental(786) 621-5800Prov. No.: 00001247312112554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1801248372License: DN21987License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ABDELMONEM, RafahAmerican Dental Center(305) 625-5400Prov. No.: 0000011953661505 NW 167th St Ste 100 �Miami, FL 33169Language: EnglishGender: MaleNPI: 1194736959License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 625-8110Accepts New Patients: YHospital Affiliation: N/A*

ABOLSKY, Norman I.Norman I Abolsky Dds Pa(305) 595-2335Prov. No.: 00000001842912534 SW 88th StMiami, FL 33186Language: EnglishGender: MaleNPI: 1184776478License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 279-7879Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ABRIL BARSKY, MariaAnillo Dental Center(305) 382-5000Prov. No.: 00000035248510201 Hammocks Blvd Ste 1 �Miami, FL 33196Gender: Not ReportedNPI: 1427034321License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ADDISON, John F.John Addison Dmd(305) 670-9755Prov. No.: 0000022993909700 S Dixie HwyMiami, FL 33156Gender: MaleNPI: 1134413248License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-9757Accepts New Patients: YHospital Affiliation: N/A*

ADLER, Robert M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000004455433601 Federal Hwy Fl 5 �Miami, FL 33137Gender: MaleNPI: 1508996851License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 576-0008Accepts New Patients: YHospital Affiliation: N/A*

336 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ADLER, Robert M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000025392786401 SW 152nd AveMiami, FL 33193Gender: MaleNPI: 1508996851License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ADLER, Robert M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000253928015625 SW 80th StMiami, FL 33193Gender: MaleNPI: 1508996851License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ADLER, Robert M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000253928111901 SW 2nd StMiami, FL 33184Gender: MaleNPI: 1508996851License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 994-1520Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ADLER, Robert M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000025392824861 SW 140th AveMiami, FL 33175Gender: MaleNPI: 1508996851License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AGREDA, AngelAngel Agreda Dds(305) 554-8224Prov. No.: 0000002636852611 SW 147th Ave �Miami, FL 33185Language: EnglishGender: MaleNPI: 1699883199License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 554-8897Accepts New Patients: YHospital Affiliation: N/A*

AGUILAR, Lina A.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000020190798940 N Kendall Dr Ste 100Miami, FL 33176Gender: FemaleNPI: 1730408881License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ALDAMA-ESPINOSA, EvelynNorthwest Dental Group Pa(305) 677-3450Prov. No.: 0000002807431250 NW 119th StMiami, FL 33167Gender: FemaleNPI: 1275976771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 677-3449Accepts New Patients: YHospital Affiliation: N/A*

ALFONSO-VEGA, EdnaEav Dental Pa(305) 485-5547Prov. No.: 0000000206884230 SW 152nd Ave �Miami, FL 33185Language: EnglishGender: Not ReportedNPI: 1689873549License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 485-5528Accepts New Patients: YHospital Affiliation: N/A*

ALFONZO, Fara A.Universal Dental Clinic Inc(305) 326-7159Prov. No.: 000000731775432 NW 12th Ave �Miami, FL 33128Language: English, SpanishGender: FemaleNPI: 1851447684License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 324-5875Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ALMEIDA, Marisel A.Marisel Almeida Dds(305) 266-0341Prov. No.: 0000001731618500 W Flagler StSte A102Miami, FL 33144Gender: FemaleNPI: 1083936934License: DN16265License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALQUIZAR, Pedro J.Pedro Alquizar DdsProv. No.: 0000020883889125 SW 87 AveMiami, FL 33176Gender: Not ReportedNPI: 1164689311License: DN17512License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631446820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, ElibethDental American Group(305) 596-7155Prov. No.: 00000176982810728 SW 72nd StMiami, FL 33173Gender: FemaleNPI: 1831487339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

337GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ALVAREZ, Jacqueline R.Ag Dental Group(305) 667-0306Prov. No.: 0000001450446641A S Dixie HwyMiami, FL 33143Gender: Not ReportedNPI: 1639172166License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 667-0368Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Jacqueline R.Mario Garcia(305) 667-0306Prov. No.: 0000123320576641 S Dixie Hwy Ste AMiami, FL 33143Gender: Not ReportedNPI: 1639172166License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 667-0368Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Nimia R.Dentco Pa(305) 262-3276Prov. No.: 0000001366567235 Coral Way Ste 203Miami, FL 33155Gender: FemaleNPI: 1629378559License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 262-3254Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ, Pablo R.Pablo R Alvarez Dds(305) 856-5757Prov. No.: 000001367624855 SW 8th StMiami, FL 33130Language: EnglishGender: MaleNPI: 1265765655License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-5746Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ALVAREZ, Pablo R.Smile Dentistry Associates Llc(305) 270-5505Prov. No.: 0000017687519055 SW 87th Ave Ste 303 �Miami, FL 33176Language: EnglishGender: MaleNPI: 1265765655License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-0455Accepts New Patients: YHospital Affiliation: N/A*

ALVAREZ PENABAD, PeggyPeggy Alvarez-Penabad DdsPa(305) 548-8690Prov. No.: 0000102158657400 N Kendall Dr Ste 512Miami, FL 33156Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVAREZTORRE, GloriaDade South Dental Inc(305) 228-0291Prov. No.: 0000000253908370 W Flagler St Ste 222 �Miami, FL 33144Language: EnglishGender: Not ReportedNPI: 1336225259License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ALVAREZTORRE, GloriaDental Doctor Services Inc(305) 631-1998Prov. No.: 0000026191252260 SW 8th St Fl 2Miami, FL 33135Language: EnglishGender: Not ReportedNPI: 1336225259License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AMADOR, David L.Ramon Zardon Dds(305) 259-0080Prov. No.: 00001224886715940 SW 137th Ave �Miami, FL 33177Language: English, SpanishGender: MaleNPI: 1114300076License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AMAND, Tania S.Dental Options Pa(305) 892-2960Prov. No.: 00000042307711645 Biscayne Blvd Ste 2 �Miami, FL 33181Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)AMARAL, MarilynMarilyn Amaral Dds Pa(305) 274-0425Prov. No.: 0000001361318720 N Kendall Dr Ste 218 �Miami, FL 33176Gender: FemaleNPI: 1730208760License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-0451Accepts New Patients: YHospital Affiliation: N/A*

AMARGOS, MariaMaria Delamargos Dds(305) 253-0645Prov. No.: 00000257774211541 Quail Roost DrMiami, FL 33157Gender: Not ReportedNPI: 1740435858License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AMARO, DavidDoctor David Amaro Dds Pa(305) 255-8855Prov. No.: 00000002142613776 SW 152nd StMiami, FL 33177Language: EnglishGender: MaleNPI: 1528120383License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AMORES, Dennis B.Dennis Amores(305) 238-1391Prov. No.: 00000031436213617 S Dixie Hwy Ste 126Miami, FL 33176Gender: MaleNPI: 1770672990License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 238-1635Accepts New Patients: YHospital Affiliation: N/A*

338 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)AMSELEM, ShalomShalom Amselem(305) 931-1888Prov. No.: 0000003679442630 NE 203rd St Ste 101Miami, FL 33180Gender: MaleNPI: 1346376258License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 931-0098Accepts New Patients: YHospital Affiliation: N/A*

ANDRADE, Javier A.Javier Andrade Dds(205) 220-1866Prov. No.: 0000003581071525 SW 87th Ave �Miami, FL 33174Gender: Not ReportedNPI: 1063607927License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ANDRULONIS, Jennifer A.South Dental of Dadeland andSpaProv. No.: 0000122158289035 SW 73rd Pl �Miami, FL 33156Gender: FemaleNPI: 1558772509License: DN18502License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ANGULO, Liliana M.I E Terrero Dds Pa(305) 446-7414Prov. No.: 000000359614136 Miracle MileMiami, FL 33134Gender: FemaleNPI: 1841494648License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 446-7416Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ANILLO, Juan A.Anillo Dental Center(305) 382-5000Prov. No.: 00000001983610201 Hammocks Blvd Ste 1 �Miami, FL 33196Language: EnglishGender: MaleNPI: 1952495889License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ANILLO-SARMIENTO, Manuel F.Anillo Dental Center(305) 382-5000Prov. No.: 00000016308010201 Hammocks Blvd Ste 1 �Miami, FL 33196Gender: MaleNPI: 1750442075License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARAUZ, AlfredoAlfredo Arauz Dmd(305) 388-4886Prov. No.: 00000146531016830 SW 88th StMiami, FL 33196Gender: MaleNPI: 1780810358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-9880Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ARENAL, FranlixFranlix Family Dental Centre(302) 221-8661Prov. No.: 000000288965320 SW 109th AveMiami, FL 33174Language: EnglishGender: MaleNPI: 1740221787License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ARENAL, FranlixBorinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000004456893601 Federal Hwy Fl 5 �Miami, FL 33137Language: EnglishGender: MaleNPI: 1740221787License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 576-0008Accepts New Patients: YHospital Affiliation: N/A*

ARENAL, Humberto R.Humberto R Arenal Dds(305) 262-4604Prov. No.: 0000000214617801 Coral Way Ste 100Miami, FL 33155Language: EnglishGender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ARENAS, Jorge A.Dental American Group(305) 596-7155Prov. No.: 00000072484210728 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1528151131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

AROCHA, JosefinaJadent Inc(305) 220-0066Prov. No.: 0000002696643945 SW 92nd Ave �Miami, FL 33165Language: EnglishGender: FemaleNPI: 1952448367License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-1210Accepts New Patients: YHospital Affiliation: N/A*

AROCHA, JosephinaJadent Inc(305) 220-0066Prov. No.: 0000123147043945 SW 92nd Ave �Miami, FL 33165Gender: Not ReportedNPI: 1336385954License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-1210Accepts New Patients: YHospital Affiliation: N/A*

339GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ARROYO, ErinDental Center of CountryWalk(305) 233-3335Prov. No.: 00001203478015721 SW 152nd St �Miami, FL 33187Gender: FemaleNPI: 1225312275License: DN 19439License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: YHospital Affiliation: N/A*

ARROYO, ErinPetit Smiles Llc(800) 895-1570Prov. No.: 0000122273571535 Sunset DrMiami, FL 33143Gender: FemaleNPI: 1225312275License: DN 19439License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (800) 928-3811Accepts New Patients: YHospital Affiliation: N/A*

ARROYO, ErinPetit Smiles II Llc(800) 895-1570Prov. No.: 0000122273757540 NW 107 Avenue Ste A1Miami, FL 33178Gender: FemaleNPI: 1225312275License: DN 19439License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (800) 928-3811Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ARROYO, Juan CarlosJohn P Gallardo Dds(305) 447-1447Prov. No.: 0000120917102020 SW 27th AveMiami, FL 33145Language: EnglishGender: MaleNPI: 1629192786License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 447-4559Accepts New Patients: YHospital Affiliation: N/A*

ARZOLA, VanessaVanessa Arzola Dmd(305) 559-2663Prov. No.: 00001210880113419 SW 56th StMiami, FL 33175Language: EnglishGender: FemaleNPI: 1295816924License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 559-3040Accepts New Patients: YHospital Affiliation: N/A*

ASKOWITZ, Ronald L.Vip Dental(305) 836-7070Prov. No.: 0000036946383015 NW 79th StMiami, FL 33147Language: English, Hebrew,SpanishGender: MaleNPI: 1134372410License: DN3884License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)AUJLA, Nina K.Dental American Group(305) 225-3452Prov. No.: 00000072538310721 W Flagler St �Miami, FL 33174Language: EnglishGender: FemaleNPI: 1972742922License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental(786) 621-5800Prov. No.: 00001255051112554 SW 88th StMiami, FL 33186Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AVILES, Ana V.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000125505126820 Bird RdMiami, FL 33155Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)AYALA, Rita C.Best Dental Creations(305) 270-8029Prov. No.: 0000017719888740 N Kendall Dr Ste 220 �Miami, FL 33176Language: EnglishGender: FemaleNPI: 1619090289License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-8437Accepts New Patients: YHospital Affiliation: N/A*

AYALA, Rita C.Kendall Dental Group(305) 385-1442Prov. No.: 00001222588913632 SW 88th StMiami, FL 33186Language: EnglishGender: FemaleNPI: 1619090289License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZA, SaraPediatric Dental Center ofMiami(305) 448-3228Prov. No.: 0000121713522645 SW 37th Ave Ste 703Miami, FL 33133Gender: FemaleNPI: 1386872521License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 447-8828Accepts New Patients: YHospital Affiliation: N/A*

340 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)AZARI, Scott J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631456820 Bird RdMiami, FL 33155Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental(786) 621-5800Prov. No.: 00001247314312554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BACKER, Adriana D.Southeastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000124263039507 S Dixie HwyMiami, FL 33156Language: English, SpanishGender: FemaleNPI: 1336503689License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BACKER, Adriana D.Southeastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000124263041843 SW 8th St �Miami, FL 33135Language: English, SpanishGender: FemaleNPI: 1336503689License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3371Accepts New Patients: YHospital Affiliation: N/A*

BAEZ, YolandaYolanda Baez(305) 227-0155Prov. No.: 0000000218289644 SW 24th St �Miami, FL 33165Language: EnglishGender: Not ReportedNPI: 1689702318License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAHMADI MOGHADOAM, NedaNadja Horst(954) 612-2694Prov. No.: 000012025212168 SE 1st St Unit 1BMiami, FL 33131Language: English, Farsi,FrenchGender: FemaleNPI: 1417246273License: DN19275License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BAILEY, Daniel L.Family & Cosmetic Dentry(305) 652-3131Prov. No.: 00000001919219916 NW 2nd Ave �Miami, FL 33169Language: EnglishGender: MaleNPI: 1922198928License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAILEY, MichaelMilagros MendozaProv. No.: 00001256140712531 S Dixie HwyMiami, FL 33156Gender: Not ReportedNPI: 1174735310License: DN14973License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BALBOA, Rafael G.Biltmore Dental Officee(305) 554-6054Prov. No.: 00001213011010322 W Flagler StMiami, FL 33174Language: English, SpanishGender: MaleNPI: 1497184097License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 554-6054Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BALBOA, Rafael G.Rafael Balboa(305) 503-5122Prov. No.: 00001223418214527 SW 42nd StMiami, FL 33175Language: English, SpanishGender: MaleNPI: 1497184097License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 328-9636Accepts New Patients: YHospital Affiliation: N/A*

BALDWIN, Anthony M.Sabal Palm Dental Assoc(305) 758-0815Prov. No.: 0000124692085337 NE 2nd Ave �Miami, FL 33137Gender: MaleNPI: 1073066551License: DN21975License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BALDWIN, Anthony M.Phanard and Assoc(305) 685-7863Prov. No.: 0000124692331245 NW 119th St �Miami, FL 33167Gender: MaleNPI: 1073066551License: DN21975License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

341GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BALMIR-THEVENIN, JoelleBalmir-Thevenin & Assoc(305) 271-0510Prov. No.: 00000001864210621 N Kendall Dr Ste 10 �Miami, FL 33176Language: EnglishGender: FemaleNPI: 1972618361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BALMIR-THEVENIN, JoelleMarie-Joelle Thevenin(305) 271-0510Prov. No.: 00001248621010621 N Kendall DrMiami, FL 33176Language: French, SpanishGender: FemaleNPI: 1972618361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARBER, JanetxiaSoutheastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000125627521843 SW 8th St �Miami, FL 33135Gender: FemaleNPI: 1912388133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BARBER, JanetxiaSoutheastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000125627579507 S Dixie HwyMiami, FL 33156Gender: FemaleNPI: 1912388133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARCELO, JaimeJamie V Barcelo Dds(305) 553-2022Prov. No.: 0000025782662740 SW 87th AveMiami, FL 33165Gender: Not ReportedNPI: 1952572398License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARCIA, Antonio R.Antonio R Barcia Dds(305) 442-4790Prov. No.: 000000018473351 NW 42nd Ave Ste 402Miami, FL 33126Language: EnglishGender: MaleNPI: 1306052626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 442-2795Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BARCIA, Antonio R.Jessie Trice Community HealthCenter IncProv. No.: 0000124820975361 NW 22nd Ave �Miami, FL 33142Language: SpanishGender: MaleNPI: 1306052626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARCIA, Antonio R.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000124856315607 NW 27th Ave Ste 2 �Miami, FL 33142Language: SpanishGender: MaleNPI: 1306052626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARCIA, Antonio R.Jessie Trice Community Health(305) 637-6400Prov. No.: 00001248563218360 NW 7th AveMiami, FL 33169Language: SpanishGender: MaleNPI: 1306052626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BARFIELD, Gregory K.Adriana M Bove Dds(305) 373-4950Prov. No.: 000000724424600 Brickell Ave Ste 501Miami, FL 33131Gender: MaleNPI: 1669658100License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARNES, Curtis W.Care Resource(305) 576-1234Prov. No.: 0000105961873510 Biscayne BlvdMiami, FL 33137Gender: MaleNPI: 1689798936License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 571-2020Accepts New Patients: YHospital Affiliation: N/A*

BARO, Carlos M.Carlos M Baro Dds(305) 649-3500Prov. No.: 0000000181351449 W Flagler St �Miami, FL 33135Language: EnglishGender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

342 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BARO, RosemarieCarlos M Baro Dds(305) 649-3500Prov. No.: 0000000181361449 W Flagler St �Miami, FL 33135Language: EnglishGender: FemaleNPI: 1396758165License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARO, RosemarieRosemarie Baro Dmd(305) 226-3386Prov. No.: 00000019809710122 W Flagler StMiami, FL 33174Language: EnglishGender: FemaleNPI: 1396758165License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BARREIRO, Ariel J.American Dental Clinic(305) 485-8427Prov. No.: 0000003357383631 SW 87th Ave �Miami, FL 33165Gender: Not ReportedNPI: 1386791168License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BARRERA, Martha E.Meb Dental Corp(305) 408-3388Prov. No.: 00000019189213091 SW 88th StMiami, FL 33186Language: EnglishGender: FemaleNPI: 1790023562License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BATISTA, Virginia D.Unlimited Dental Care Corp(788) 356-7246Prov. No.: 00000107621011498 Quail Roost Dr �Miami, FL 33157Language: EnglishGender: FemaleNPI: 1760702575License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 232-4487Accepts New Patients: YHospital Affiliation: N/A*

BECERRA, MariaBecerras Family Dentistry(305) 269-1440Prov. No.: 000000142005936 SW 82nd Ave �Miami, FL 33144Gender: FemaleNPI: 1598841405License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 269-1441Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BEDDALL, Harold L.Towncare Dental of Pinecrest(305) 253-7227Prov. No.: 0000120943488353 SW 124th St Ste 202Miami, FL 33156Gender: MaleNPI: 1922149475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-7228Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental of West Miami(786) 476-8711Prov. No.: 0000122100066820 Bird RdMiami, FL 33155Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BENGOCHEA, ArmandoSage Dental(786) 621-5800Prov. No.: 00001247314412554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BERASAIN, NicomedesNicomedes Berasain Dds(305) 551-6866Prov. No.: 000000018470300 SW 107th Ave Ste 203Miami, FL 33174Language: EnglishGender: MaleNPI: 1164598702License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 551-2863Accepts New Patients: YHospital Affiliation: N/A*

BERNKRANT, ShannaShanna Bernkrant Dmd(305) 892-1515Prov. No.: 00000390927611645 Biscayne Blvd Ste 4Miami, FL 33181Gender: FemaleNPI: 1366730236License: 19628License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERNKRANT, ShannaGloria Alvaretone(305) 892-1515Prov. No.: 00001225647511645 Biscayne Blvd Ste 4 �Miami, FL 33181Gender: FemaleNPI: 1366730236License: 19628License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 893-0886Accepts New Patients: YHospital Affiliation: N/A*

343GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BERQUIST, Michael R.Next Generation Dentistry(305) 232-0074Prov. No.: 00000032571512002 SW 128th Ct Ste 108Miami, FL 33186Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Michael R Bergquist Dmd(305) 232-0074Prov. No.: 00000119461713728 SW 84th StMiami, FL 33183Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000044747848940 N Kendall Dr Ste 100Miami, FL 33176Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BERQUIST, Michael R.Towncare Dental of WestKendall(305) 388-7900Prov. No.: 00001012062915724 SW 72nd StMiami, FL 33193Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-7939Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631466820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Gentle Dental of Ken(786) 350-2797Prov. No.: 00001247463215457 SW 14th StMiami, FL 33194Language: SpanishGender: MaleNPI: 1447488911License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BERRY, Wayne L.Laurence T Huber Dds(305) 271-1421Prov. No.: 0000013232778833 SW 107th Ave �Miami, FL 33176Language: English, SpanishGender: MaleNPI: 1053324376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-9640Accepts New Patients: YHospital Affiliation: N/A*

BERRY, Wayne L.Madental & Associates Llc(305) 264-9070Prov. No.: 0000066614808100 W Flagler St Ste 100Miami, FL 33144Language: English, SpanishGender: MaleNPI: 1053324376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BERRY, Wayne L.Biltmore Dental Center(305) 364-9332Prov. No.: 0000121843631505 NW 167th StMiami, FL 33169Language: English, SpanishGender: MaleNPI: 1053324376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 364-0983Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BERRY, Wayne L.American Dental Center(305) 625-5400Prov. No.: 0000122340051505 NW 167th St Ste 100 �Miami, FL 33169Language: English, SpanishGender: MaleNPI: 1053324376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 625-8110Accepts New Patients: YHospital Affiliation: N/A*

BESU, Nicole F.Dental American Group(305) 225-3452Prov. No.: 00000177068810721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1154521888License: DN16664License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: NHospital Affiliation: N/A*

BETANCOR, AnetteAnette Betancor(305) 553-3683Prov. No.: 0000120067548372 Bird Rd �Miami, FL 33155Gender: FemaleNPI: 1508139064License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 553-3694Accepts New Patients: YHospital Affiliation: N/A*

344 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BETANCOURT, Arely M.Arely M Betancourt Dds(305) 442-2103Prov. No.: 0000007233854750 NW 7th St Ste 1Miami, FL 33126Language: EnglishGender: FemaleNPI: 1265528897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BETANCOURT, Arely M.Ab Dentistry Inc(305) 223-0420Prov. No.: 0000011323329840 SW 40th St �Miami, FL 33165Language: EnglishGender: FemaleNPI: 1265528897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 223-0438Accepts New Patients: YHospital Affiliation: N/A*

BETANCOURT, Mayra G.Mayra G Betancourt Dds(305) 266-4544Prov. No.: 0000003627377976 SW 8th StMiami, FL 33144Language: EnglishGender: Not ReportedNPI: 1487773198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 266-8644Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BEWLEY, Julia L.Dental Center of CountryWalk(305) 233-3335Prov. No.: 00000153954815721 SW 152nd St �Miami, FL 33187Language: Chinese, English,German, SpanishGender: FemaleNPI: 1457647265License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: YHospital Affiliation: N/A*

BIENES, Lissette MariaL Maria Bienes Dmd Pa(305) 221-0301Prov. No.: 0000000179333411 SW 107th Ave �Miami, FL 33165Language: EnglishGender: FemaleNPI: 1275673071License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 221-0381Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, FaridBlanco Jamis Dental Group(305) 262-4604Prov. No.: 0000121271267801 Coral Way Ste 100Miami, FL 33155Gender: MaleNPI: 1154569473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 262-4618Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BLANCO, Jorge L.Blanco Jamis Dental Group(305) 262-4604Prov. No.: 0000003188597801 Coral Way Ste 100Miami, FL 33155Gender: Not ReportedNPI: 1609046960License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 262-4618Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, Kemel J.Blanco Jamis Dental Group(305) 262-4604Prov. No.: 0000121271257801 Coral Way Ste 100Miami, FL 33155Gender: MaleNPI: 1255571824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 262-4618Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaAll Access Dental(305) 480-2789Prov. No.: 00001207972510457 SW 40th StMiami, FL 33165Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaAll Access Dental(305) 382-6706Prov. No.: 00001212641815516 SW 88th StMiami, FL 33196Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BLANCO, MariaVeritas Dental(305) 480-2789Prov. No.: 0000121650712740 SW 97th Ave Apt 110AMiami, FL 33165Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaVeritas Dental(305) 382-6794Prov. No.: 00001216590713728 SW 84th StMiami, FL 33183Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaVeritas Dental(305) 545-0411Prov. No.: 0000121924351334 SW 1st StMiami, FL 33135Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

BLANCO, MariaGloria Alvaretone(305) 892-1515Prov. No.: 00001231187211645 Biscayne Blvd Ste 4 �Miami, FL 33181Gender: FemaleNPI: 1134369762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 893-0886Accepts New Patients: YHospital Affiliation: N/A*

345GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BLARDONIS, ArmandoBl Dental Associates Llc(305) 631-0660Prov. No.: 0000011468252600 W Flagler St �Miami, FL 33135Language: EnglishGender: MaleNPI: 1164745790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

BLARDONIS, ArmandoBl Dental Associates Llc(305) 551-3200Prov. No.: 0000121276328608 Bird Rd �Miami, FL 33155Language: EnglishGender: MaleNPI: 1164745790License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

BOBADILLA, Patricia M.Patricia Bobadilla(305) 631-2963Prov. No.: 0000124852592030 NW 22nd Ave �Miami, FL 33142Language: SpanishGender: FemaleNPI: 1124039672License: DN14173License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BOCKIAN, Joshua A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631046820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Dental Center of CountryWalk(305) 233-3335Prov. No.: 00001243984415721 SW 152nd St �Miami, FL 33187Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: YHospital Affiliation: N/A*

BOCKIAN, Joshua A.Altima Dental Group of WestKendall Llc(305) 380-8773Prov. No.: 00001244008816371 SW 88th StMiami, FL 33196Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-5855Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BOCKIAN, Joshua A.Sage Dental(786) 621-5800Prov. No.: 00001247314512554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BORGES, Jorge F.Jorge Borges(305) 266-5222Prov. No.: 0000004699278000 W Flagler St Ste 204Miami, FL 33144Gender: Not ReportedNPI: 1144361916License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 262-3289Accepts New Patients: YHospital Affiliation: N/A*

BOTERO, AlexandraBonillas Dental and MedicalCenter(305) 270-0744Prov. No.: 00001221211413550 SW 88th St Ste 112 �Miami, FL 33186Gender: FemaleNPI: 1053666065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2014Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BOTERO, AlexandraFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001244256313706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1053666065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

BOUCHARD, Cynthia R.Tamiami Dental Center(305) 553-9655Prov. No.: 00000146455913232 SW 8th St �Miami, FL 33184Language: EnglishGender: FemaleNPI: 1235442997License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 553-7688Accepts New Patients: YHospital Affiliation: N/A*

BOVE, Adriana M.Adriana Bove Dds Pa(305) 373-4950Prov. No.: 000000426045175 SW 7th St Ste 1212 �Miami, FL 33130Gender: FemaleNPI: 1568614246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 373-4956Accepts New Patients: YHospital Affiliation: N/A*

346 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BRATMAN, JerrySage Dental of West Miami(786) 476-8711Prov. No.: 0000121631066820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental(786) 621-5800Prov. No.: 00001247314212554 SW 88th StMiami, FL 33186Language: SpanishGender: Not ReportedNPI: 1134317415License: DN8473License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BRAVO-CAMPA, MartaMarta Bravo-Campa(305) 266-3974Prov. No.: 0000001299896507 Coral WayMiami, FL 33155Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BRIDGE, Donna M.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000045900575607 NW 27th Ave Ste 2 �Miami, FL 33142Gender: FemaleNPI: 1497967608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 636-3350Accepts New Patients: YHospital Affiliation: N/A*

BRIDGE, Donna M.Jessie Trice Community Health(305) 637-6400Prov. No.: 00000506041918360 NW 7th AveMiami, FL 33169Gender: FemaleNPI: 1497967608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 694-6273Accepts New Patients: YHospital Affiliation: N/A*

BRIDGE, Donna M.Jessie Trice Community HealthCenter Inc(305) 942-1805Prov. No.: 0000050606575361 NW 22nd AveMiami, FL 33142Gender: FemaleNPI: 1497967608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 418-2759Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BRITO, Sandy M.Dental Center of CountryWalk(305) 233-3335Prov. No.: 00000167942315721 SW 152nd St �Miami, FL 33187Language: EnglishGender: FemaleNPI: 1043506306License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: NHospital Affiliation: N/A*

BRITO, Sandy M.Altima Dental Group of WestKendall Llc(305) 380-8773Prov. No.: 00001201733916371 SW 88th StMiami, FL 33196Language: EnglishGender: FemaleNPI: 1043506306License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-5855Accepts New Patients: NHospital Affiliation: N/A*

BRODY, Robert A.Dental Health Group IvesDairy(305) 652-3412Prov. No.: 0000011566451001 Ives Dairy Rd Ste 10Miami, FL 33179Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 652-3459Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BRODY, Robert A.Great Expressions DentalCenters(305) 227-0600Prov. No.: 00000115665011865 SW 26th St Ste C39Miami, FL 33175Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6928Accepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Dentl Health Group(305) 385-4215Prov. No.: 00000115665313876 SW 88th StMiami, FL 33186Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-1200Accepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Dental Health Group Pa(305) 595-6411Prov. No.: 0000036950189595 N Kendall Dr Ste 201Miami, FL 33176Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

347GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BRODY, Robert A.Great Expressions DentalCenters(305) 670-4476Prov. No.: 0000036950227300 N Kendall Dr Ste 110Miami, FL 33156Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

BROWN, KevinAffiliated Dental Specialists Pl(786) 732-3916Prov. No.: 0000125114472740 SW 97th Ave Apt 103Miami, FL 33165Gender: MaleNPI: 1851848295License: DN16672License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Juan C.Lester O Gil Dds(305) 270-0744Prov. No.: 00000391671811790 SW 89th StMiami, FL 33186Gender: MaleNPI: 1700057494License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2414Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)BUITRAGO, Juan C.Bonillas Dental and MedicalCenter(305) 270-0744Prov. No.: 00001201072513550 SW 88th St Ste 112 �Miami, FL 33186Gender: MaleNPI: 1700057494License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2014Accepts New Patients: YHospital Affiliation: N/A*

BUITRAGO, Renan L.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122489516820 Bird RdMiami, FL 33155Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BUKSCH, Robert F.Robert Buksch(305) 235-0844Prov. No.: 00000001927616201 SW 95th Ave Ste 207Miami, FL 33157Language: EnglishGender: MaleNPI: 1881941532License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CABALLERO, David D.David D Caballero Dmd(305) 670-0717Prov. No.: 0000000333877400 N Kendall Dr Ste 201Miami, FL 33156Language: EnglishGender: MaleNPI: 1396882908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-0717Accepts New Patients: YHospital Affiliation: N/A*

CABALLERO, Evelyn O.Flagler Dental Clinic of MiamiInc(305) 554-4304Prov. No.: 00000023423211373 W Flagler St Ste 21Miami, FL 33174Language: EnglishGender: FemaleNPI: 1508064676License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 554-4326Accepts New Patients: YHospital Affiliation: N/A*

CABALLERO, Mario J.Howard Levine Dds Pa(305) 325-1771Prov. No.: 000002617821127 NW 12th Ave �Miami, FL 33128Language: EnglishGender: MaleNPI: 1205921004License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-1775Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CABALLERO PINTO, Ana BelkisAna Belkis Caballero PintoDds(305) 553-2618Prov. No.: 0000117745542460 SW 137th AveMiami, FL 33175Language: English, SpanishGender: FemaleNPI: 1922390806License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CABALLERO PINTO, Ana BelkisAna Caballero Pinto(305) 444-8863Prov. No.: 0000124588964560 NW 7th St �Miami, FL 33126Language: SpanishGender: FemaleNPI: 1922390806License: DN20363License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CABALLERO PINTO, Ana BelkisMendez Dental Clinic(305) 227-7997Prov. No.: 0000125478169100 SW 24th St Ste 9 �Miami, FL 33165Language: SpanishGender: FemaleNPI: 1922390806License: DN20363License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

348 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CABRAL, J DavidJ David Cabral Dds(305) 371-8897Prov. No.: 000002577830141 NE 3rd Ave Ste 305Miami, FL 33132Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CABRERA, MoisesAda L Penate Dds(305) 388-3725Prov. No.: 00000002222714609 SW 104th St �Miami, FL 33186Language: EnglishGender: Not ReportedNPI: 1326196163License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-1745Accepts New Patients: YHospital Affiliation: N/A*

CALA-MORALES, Angela M.Joseph R Grider Dds(305) 670-9996Prov. No.: 0000121560539035 SW 73rd PlMiami, FL 33156Language: English, SpanishGender: FemaleNPI: 1376823203License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-9997Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CALDERON, Erik O.Hammocks Dental Group Pa(305) 387-5700Prov. No.: 0000012491179280 Hammocks Blvd Ste 10 �Miami, FL 33196Language: English, SpanishGender: MaleNPI: 1942596416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 387-6566Accepts New Patients: YHospital Affiliation: N/A*

CALIXTE, KarineBorinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000120158344861 SW 140th AveMiami, FL 33175Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CALIXTE, KarineBorinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000120158366401 SW 152nd AveMiami, FL 33193Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CALIXTE, KarineBorinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000120169393601 Federal Hwy Fl 5 �Miami, FL 33137Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 576-0008Accepts New Patients: YHospital Affiliation: N/A*

CALIXTE, KarineBorinquen Health Care CenterInc(305) 576-6611Prov. No.: 00001201893415625 SW 80th StMiami, FL 33193Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CALIXTE, KarineBorinquen Health Care CenterInc(305) 576-6611Prov. No.: 00001201944211901 SW 2nd StMiami, FL 33184Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 994-1520Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CALIXTE, KarineJessie Trice Community HealthCenter Inc(305) 942-1805Prov. No.: 0000121898085361 NW 22nd AveMiami, FL 33142Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 418-2759Accepts New Patients: YHospital Affiliation: N/A*

CALIXTE, KarineJessie Trice Community Health(305) 637-6400Prov. No.: 00001224937218360 NW 7th AveMiami, FL 33169Gender: FemaleNPI: 1427320407License: DN20105License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 694-6273Accepts New Patients: YHospital Affiliation: N/A*

CALLEJO, CatalinaCatalina Callejo Dds(305) 222-2235Prov. No.: 00000032867213055 SW 42nd St Ste 209Miami, FL 33175Language: EnglishGender: FemaleNPI: 1720106461License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

349GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CALVO, Jose R.Dental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000002304094500 NW 7th St �Miami, FL 33126Language: EnglishGender: MaleNPI: 1831100452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 821-4478Accepts New Patients: YHospital Affiliation: N/A*

CALVO, Jose R.East Coast Family Dental Pa(305) 264-0747Prov. No.: 0000121271846741 Coral Way Ste 14Miami, FL 33155Language: EnglishGender: MaleNPI: 1831100452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-0595Accepts New Patients: YHospital Affiliation: N/A*

CALVO, Jose R.East Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125321398300 W Flagler St Ste 200Miami, FL 33144Language: SpanishGender: Not ReportedNPI: 1831100452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CALZADILLA, EldaElda Calzadilla Dds(305) 554-7074Prov. No.: 0000000190813711 SW 107th AveMiami, FL 33165Language: EnglishGender: Not ReportedNPI: 1578990347License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMACHO, NorbertoNew Era Dentistry Pa(305) 275-1094Prov. No.: 0000125011207887 N Kendall DrMiami, FL 33156Gender: MaleNPI: 1659636637License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of West Miami(786) 476-8711Prov. No.: 0000124716646820 Bird RdMiami, FL 33155Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental(786) 621-5800Prov. No.: 00001247316012554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CAMPBELL, LisaWest Kendall Medical Center(786) 231-0800Prov. No.: 00001247469013540 SW 135th AveMiami, FL 33186Gender: FemaleNPI: 1659594497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAMPBELL, LisaCommunity Health of SouthFlorida Inc(786) 245-2700Prov. No.: 0000124752093831 Grand AveMiami, FL 33133Gender: FemaleNPI: 1659594497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaEast Coast Family Dental Pa(305) 264-0747Prov. No.: 0000042499196741 Coral Way Ste 14Miami, FL 33155Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-0595Accepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaTowncare Dental of Pinecrest(305) 253-7227Prov. No.: 0000068118658353 SW 124th St Ste 202Miami, FL 33156Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-7228Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CARAVIA, AmandaDental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000120290698940 N Kendall Dr Ste 100Miami, FL 33176Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

CARAVIA, AmandaAmanda Caravia(305) 223-6722Prov. No.: 00001206468014227 SW 42nd StMiami, FL 33175Gender: FemaleNPI: 1336427343License: DN 19429License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6145Accepts New Patients: YHospital Affiliation: N/A*

CARBALLO, RodolfoGateway Dental Inc(305) 856-2300Prov. No.: 0000122227302375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

CARBALLO, RodolfoGateway Dental IncProv. No.: 00001222963311880 SW 40th St �Ste 215Miami, FL 33175Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

350 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CARBALLO, RodolfoGateway Dental(305) 325-0050Prov. No.: 0000122301221399 NW 17th Ave Ste 301Miami, FL 33125Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

CARBALLO, RodolfoGateway Dental Inc(305) 944-4373Prov. No.: 0000125181541400 NE Miami Gardens DrMiami, FL 33179Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARBONERO, AicelSteven E Roth Dmd(305) 358-3384Prov. No.: 000001464458138 NE 2nd Ave Ste 200 �Miami, FL 33132Language: EnglishGender: FemaleNPI: 1366726267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 358-2368Accepts New Patients: YHospital Affiliation: N/A*

CARDENAS, Carlos M.(Not) Re-portedProv. No.: 00000001838510500 W Flagler StMiami, FL 33174Language: English, SpanishGender: MaleNPI: 1568649804License: DN12871License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CARDENAS SARRACINO, Astrid H.Miami Oaks Dental Corp(305) 226-8236Prov. No.: 0000122043423850 SW 87th Ave Ste 101Miami, FL 33165Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARRENO, Jose A.Rr Dental Pc(305) 553-1640Prov. No.: 00000001806310688 SW 24th StMiami, FL 33165Language: English, SpanishGender: MaleNPI: 1427127760License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-1167Accepts New Patients: YHospital Affiliation: N/A*

CARRILLO, CatalinaDentl Health Group(305) 385-4215Prov. No.: 00000001855613876 SW 88th StMiami, FL 33186Language: EnglishGender: FemaleNPI: 1457421711License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-1200Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CARRILLO, CatalinaGreat Expressions DentalCenters(305) 670-4476Prov. No.: 0000000185787300 N Kendall Dr Ste 110Miami, FL 33156Language: EnglishGender: FemaleNPI: 1457421711License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

CARVAJAL, Irving N.Irving N Carvajal Dds Pa(305) 273-1648Prov. No.: 00000001847210114 SW 107th Ave �Miami, FL 33176Language: EnglishGender: MaleNPI: 1689716433License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-9589Accepts New Patients: YHospital Affiliation: N/A*

CASAS, ManuelCare Resource(305) 576-1234Prov. No.: 0000105959463510 Biscayne BlvdMiami, FL 33137Gender: MaleNPI: 1740420090License: DN18139License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 571-2020Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CASCANTE, Oscar G.Dr Og Cascante Dmc Pa(305) 279-9005Prov. No.: 00000001844710000 SW 56th St Ste 23 �Miami, FL 33165Language: EnglishGender: MaleNPI: 1699880187License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASCANTE, Oscar G.Advance Center For Cosmetic& Implant Dentistry(305) 279-9005Prov. No.: 0000003625518501 SW 124th Ave Ste 107 �Miami, FL 33183Language: EnglishGender: MaleNPI: 1699880187License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-1599Accepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Great Expressions DentalCenters(305) 385-4215Prov. No.: 00001249116613876 SW 88th StMiami, FL 33186Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

351GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CASEY, Barbara L.Great Expressions DentalCenters(305) 652-3412Prov. No.: 0000124951611001 Ives Dairy Rd Ste 10Miami, FL 33179Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Great Expressions DentalCenters(305) 670-4476Prov. No.: 0000124951677300 N Kendall Dr Ste 110Miami, FL 33156Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Great Expressions DentalCenters(305) 227-0600Prov. No.: 00001249537411865 SW 26th St Ste C39Miami, FL 33175Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CASTANEDA, RicardoRicardo Castaneda Dmd Pa(305) 965-6128Prov. No.: 0000006926128200 SW 117th Ave Ste 106 �Miami, FL 33183Gender: MaleNPI: 1306019492License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTELLANOS, OneliaOnelia Castellanos Dds(305) 227-3083Prov. No.: 0000025778838370 W Flagler St Ste 150Miami, FL 33144Gender: Not ReportedNPI: 1952527673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTELLANOS, OneliaOscar Castellanos Dds(305) 266-9996Prov. No.: 0000025783128489 Coral WayMiami, FL 33155Gender: Not ReportedNPI: 1952527673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTHELY, FlucieLucie Casthely(305) 275-1094Prov. No.: 0000006916047887 N Kendall Dr Ste 103Miami, FL 33156Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CASTHELY, FranklinFranklin Casthely Dds(305) 756-7602Prov. No.: 000000019274160 NE 82nd StMiami, FL 33138Language: EnglishGender: MaleNPI: 1699802884License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 751-6830Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631086820 Bird RdMiami, FL 33155Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Juan I.Sage Dental(786) 621-5800Prov. No.: 00001247316212554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Minerva J.Dental American Group(305) 225-3452Prov. No.: 00000036995910721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1851586119License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CASTILLO, Minerva J.Dental American Group(305) 596-7155Prov. No.: 00000040013010728 SW 72nd StMiami, FL 33173Gender: FemaleNPI: 1851586119License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

CASTILLO, Sandra M.Carmen A Feoli Dds(305) 949-5252Prov. No.: 0000120815571490 NE Miami Gardens Dr �Miami, FL 33179Language: English, SpanishGender: FemaleNPI: 1245636133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 949-5011Accepts New Patients: YHospital Affiliation: N/A*

CASTRO, Pedro A.Flagler Dental Center(305) 264-3905Prov. No.: 00000002446810251 SW 72nd St Ste 105A �Miami, FL 33173Language: EnglishGender: MaleNPI: 1801097381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

352 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CAYON, Alicia B.Alicia Cayon Dds(305) 227-3083Prov. No.: 0000121714698370 W Flagler St Ste 150Miami, FL 33144Gender: FemaleNPI: 1467865022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6092Accepts New Patients: YHospital Affiliation: N/A*

CAYON, Alicia B.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001220925013706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1467865022License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

CEDENO, Rene F.Rene F Cedeno Dds(305) 598-4885Prov. No.: 0000056699328200 SW 117th Ave Ste 408Miami, FL 33183Language: EnglishGender: FemaleNPI: 1669574752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-4187Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CEPERO, Enrique P.Enrique P Cepero Dds(305) 262-1077Prov. No.: 0000000194177921 Bird Rd Ste 45Miami, FL 33155Language: EnglishGender: MaleNPI: 1598989485License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CERRUD, Clinio C.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000121892955607 NW 27th Ave Ste 2 �Miami, FL 33142Language: EnglishGender: MaleNPI: 1629184676License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 636-3350Accepts New Patients: YHospital Affiliation: N/A*

CHAMORRO, Jorge A.Jorge A Chamorro Dds(305) 260-9990Prov. No.: 0000000972038080 W Flagler St Ste 2CMiami, FL 33144Language: EnglishGender: Not ReportedNPI: 1952548422License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CHAVIANO, Jose L.Illustradent South MiamiDental Services(305) 661-5360Prov. No.: 0000121876059100 S Dadeland Blvd SteMiami, FL 33156Gender: MaleNPI: 1487010245License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHENG, XiaofangXiaofang Cheng Dds(305) 595-4548Prov. No.: 0000002318767900 SW 104th StMiami, FL 33156Language: EnglishGender: Not ReportedNPI: 1104945807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHENG, XiaofangTin Wai Hui Dmd Pa(305) 670-1486Prov. No.: 00001200641212651 S Dixie Hwy Ste 400 �Miami, FL 33156Language: EnglishGender: Not ReportedNPI: 1104945807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-1485Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CHILDERS, Carmen D.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121782886820 Bird RdMiami, FL 33155Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental(786) 621-5800Prov. No.: 00001247275612554 SW 88th StMiami, FL 33186Language: SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CHIN-THOMPSON, Angella R.West Kendall Medical Center(786) 231-0800Prov. No.: 00001225012513540 SW 135th AveMiami, FL 33186Gender: Not ReportedNPI: 1215150909License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 231-0805Accepts New Patients: YHospital Affiliation: N/A*

353GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CHIRINO, TracyBird Dental(305) 221-2334Prov. No.: 0000002781729230 SW 40th St Ste A �Miami, FL 33165Gender: Not ReportedNPI: 1952450165License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CLARO, Rita M.Miami Dental Care Inc(305) 267-3751Prov. No.: 0000001318825771 NW 7th StMiami, FL 33126Gender: FemaleNPI: 1164502357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CLARO, Rita M.Kendall Dental Care Inc(305) 232-2227Prov. No.: 00000035988812350 SW 127th Ave �Miami, FL 33186Gender: FemaleNPI: 1164502357License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-2297Accepts New Patients: YHospital Affiliation: N/A*

COBA, RichardRichard Coba Dmd Pa(305) 596-2815Prov. No.: 0000069633149777 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1730402595License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)COBA, RichardCoba Richard I(305) 595-1239Prov. No.: 0000120943709541 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1730402595License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-1241Accepts New Patients: YHospital Affiliation: N/A*

COBAINA, YoanYoan Lobaina Dmd(305) 480-9838Prov. No.: 0000114408208822 SW 24th St �Miami, FL 33165Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 261-4448Accepts New Patients: YHospital Affiliation: N/A*

COGAN, Michael L.Dr Michael L Cogan(305) 358-0282Prov. No.: 0000000182041717 N Bayshore Dr Ste 20 �Miami, FL 33132Gender: Not ReportedNPI: 1346281508License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COHEN, Michael A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124250746820 Bird RdMiami, FL 33155Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)COHEN, Michael A.Sage Dental(786) 621-5800Prov. No.: 00001247275812554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COLEMAN, Henry L.Henry L Coleman Dds(305) 598-3849Prov. No.: 00000022738911130 SW 88th St Ste 100Miami, FL 33176Language: EnglishGender: MaleNPI: 1386718294License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-6911Accepts New Patients: YHospital Affiliation: N/A*

COLLAZO, YoarisA New Smile Dental Center(305) 383-9944Prov. No.: 00001226122014050 SW 84th St Ste 103Miami, FL 33183Gender: Not ReportedNPI: 1679982748License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 383-9004Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CONGOTE, Luis F.Lc Dental Corp(305) 444-2050Prov. No.: 0000000351234315 NW 7th St Ste 31 �Miami, FL 33126Language: EnglishGender: MaleNPI: 1679774426License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-9920Accepts New Patients: YHospital Affiliation: N/A*

CONTRERAS, Marco A.Marco Contreras Dds(Not) Re-portedProv. No.: 00000110488210621 N Kendall Dr Ste 11Miami, FL 33176Language: English, SpanishGender: MaleNPI: 1568788800License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

COOK, Jonathan H.Illustradent South MiamiDental Services(305) 661-5360Prov. No.: 0000113317659100 S Dadeland Blvd SteMiami, FL 33156Gender: MaleNPI: 1568626117License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

354 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)COOK, Maria T.Implant Dental LafloridaIncorporated(305) 858-4484Prov. No.: 0000045875581330 Coral Way Ste 406Miami, FL 33145Gender: FemaleNPI: 1588868608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-4112Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631106820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental(786) 621-5800Prov. No.: 00001247315812554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CORRALES-IGLESIAS, Luisa Y.Kendallwood Park DentalCenter(305) 396-9370Prov. No.: 00000177136012001 SW 128th Ct Ste 204 �Miami, FL 33186Gender: FemaleNPI: 1861546277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 290-3194Accepts New Patients: NHospital Affiliation: N/A*

CORREA, JacquelineElite Dental(305) 646-6700Prov. No.: 00000036889612538 SW 120th St �Miami, FL 33186Gender: FemaleNPI: 1053516732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 646-6704Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122513856820 Bird RdMiami, FL 33155Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental(786) 621-5800Prov. No.: 00001247315912554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1871538751License: DN20255License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CORTES, Gonzalo E.Little Smiles Dental #2(305) 698-7566Prov. No.: 0000024511409000 SW 87th Ct Ste 120 �Miami, FL 33176Gender: MaleNPI: 1740480417License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 698-7565Accepts New Patients: YHospital Affiliation: N/A*

CORTIZA SARDINAS, YoanFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001208277913706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: MaleNPI: 1992118657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

CORTORREAL, Elsa G.Metropolitan Dental ServicesInc(305) 364-5056Prov. No.: 0000019569486969 Coral WayMiami, FL 33155Gender: FemaleNPI: 1922106293License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)COSTOYA, TaidyTaidy Costoya Dmd Pllc(305) 421-1220Prov. No.: 00000154575811507 S Dixie HwyMiami, FL 33156Language: English, SpanishGender: FemaleNPI: 1497088835License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

COUSSA, Joshua J.Glicksman & Mars Dental Lc(305) 935-2797Prov. No.: 0000002875402797 NE 207th St Ste 100 �Miami, FL 33180Gender: MaleNPI: 1467519835License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-4834Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631116820 Bird RdMiami, FL 33155Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

COWAN, Marc A.Sage Dental(786) 621-5800Prov. No.: 00001247317212554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

355GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CRUZ, Antonio R.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121782896820 Bird RdMiami, FL 33155Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Karen G.Family and CosmeticDentistry(305) 460-7060Prov. No.: 0000019231634750 NW 7th St Ste 1Miami, FL 33126Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Karen G.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000506033213706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CRUZ, Karen G.Egil Dental(305) 595-4397Prov. No.: 0000122522959950 SW 107th Ave Ste 201 �Miami, FL 33176Language: English, SpanishGender: FemaleNPI: 1952623993License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-4398Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, YarelieDental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125181084500 NW 7th St �Miami, FL 33126Gender: Not ReportedNPI: 1124433305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, YarelieEast Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125182746741 Coral Way Ste 14Miami, FL 33155Gender: Not ReportedNPI: 1124433305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CRUZ, YarelieEast Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125365348300 W Flagler St Ste 200Miami, FL 33144Gender: Not ReportedNPI: 1124433305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ DALECCIO, Iris M.Iris Cruz Daleccio Dds Pa(305) 595-9556Prov. No.: 0000000223879115 SW 87th AveMiami, FL 33176Language: EnglishGender: Not ReportedNPI: 1114900198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ ELIZUNDIA, DeliaDental Options Pa(305) 892-2960Prov. No.: 00001205672411645 Biscayne Blvd Ste 2 �Miami, FL 33181Language: EnglishGender: FemaleNPI: 1952742793License: 22DI02542401License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CRUZ ELIZUNDIA, DeliaDental Options Pa(305) 466-1804Prov. No.: 0000120615602999 NE 191st St Ste 804 �Miami, FL 33180Language: EnglishGender: FemaleNPI: 1952742793License: 22DI02542401License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

CUARTAS, Sandra P.Katherine Rodriguez Dmd Pa(305) 285-5150Prov. No.: 0000012118341330 Coral Way Ste 406 �Miami, FL 33145Gender: FemaleNPI: 1003008418License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 285-5174Accepts New Patients: YHospital Affiliation: N/A*

CUENCA, AnnieA&R Dental Centers(305) 552-0521Prov. No.: 00000681150411760 SW 40th St Ste 317 �Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1871806273License: DN19137License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 552-8390Accepts New Patients: YHospital Affiliation: N/A*

356 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CURA, JoseJose Cura Dds Pa(305) 380-7000Prov. No.: 00000016714215724 SW 72nd StMiami, FL 33193Gender: Not ReportedNPI: 1831263102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CURA, JoseJose Cura Dds Pa(305) 262-9299Prov. No.: 0000001671461890 S Red Rd Ste 1878Miami, FL 33155Gender: Not ReportedNPI: 1831263102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CURA, JoseJose Cura Dds(305) 380-7000Prov. No.: 00000046811513550 SW 120th St Ste 512Miami, FL 33186Gender: Not ReportedNPI: 1831263102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUTINO, JavierEast Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125333608300 W Flagler St Ste 200Miami, FL 33144Gender: Not ReportedNPI: 1588111207License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)CUTINO, JavierEast Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125371236741 Coral Way Ste 14Miami, FL 33155Gender: Not ReportedNPI: 1588111207License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUTINO, JavierDental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125371694500 NW 7th St �Miami, FL 33126Gender: Not ReportedNPI: 1588111207License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CUTINO, Juan A.Juan Cutino(305) 665-6564Prov. No.: 0000121758676080 Bird RdMiami, FL 33155Language: EnglishGender: Not ReportedNPI: 1265585681License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DADACIU, CorneliaSage Dental of West Miami(786) 476-8711Prov. No.: 0000122382706820 Bird RdMiami, FL 33155Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental(786) 621-5800Prov. No.: 00001247317412554 SW 88th StMiami, FL 33186Language: RomaniaGender: FemaleNPI: 1841346327License: DN21661License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAEE, Armin C.Armin Daee(305) 670-1011Prov. No.: 0000019593237400 N Kendall Dr Ste 304Miami, FL 33156Gender: MaleNPI: 1043502883License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-1012Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DANESHPAJOUH, SaraSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631126820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DANESHPAJOUH, SaraSage Dental(786) 621-5800Prov. No.: 00001247317012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAOOD, RosemeenGentle Teeth of Kendall(305) 595-3400Prov. No.: 0000119982276670 SW 117th Ave �Miami, FL 33183Gender: FemaleNPI: 1649550310License: DN18199License Type: DBP DentistBoard Certified: NoEmail: Not ReportedFax: (305) 596-3352Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631136820 Bird RdMiami, FL 33155Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

357GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DAROJAT, Zuhdiyah M.Sage Dental(786) 621-5800Prov. No.: 00001247317112554 SW 88th StMiami, FL 33186Language: SpanishGender: FemaleNPI: 1821318544License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DAUSA-HERNANDEZ, MariaDr Maria Hernandez-Dausa(305) 223-0072Prov. No.: 0000003077448512 Bird Rd �Miami, FL 33155Language: EnglishGender: FemaleNPI: 1053439646License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 223-6798Accepts New Patients: YHospital Affiliation: N/A*

DAVIDSON, Philip T.The Falls Dental Care Grp Pa(305) 255-5550Prov. No.: 0000089782778729 SW 136th St �Miami, FL 33176Language: English, Indonesian,Portuguese, SpanishGender: MaleNPI: 1104259175License: DN20344License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 255-5560Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DE LA CRUZ, Alejandro I.Alejandro De La Cruz(305) 441-2773Prov. No.: 0000000201087380 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1013152016License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DE LA CRUZ, Alejandro I.Javier Estrada Dds(305) 221-8780Prov. No.: 00001203194214586 SW 8th StMiami, FL 33184Language: EnglishGender: MaleNPI: 1013152016License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DE LA RUA, LissetteGreat Expressions DentalCenters(305) 227-0600Prov. No.: 00000073906211865 SW 26th St Ste C39Miami, FL 33175Gender: FemaleNPI: 1619297892License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6928Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DE LA RUA, LissetteGreat Expressions DentalCenters(305) 670-4476Prov. No.: 0000011658047300 N Kendall Dr Ste 110Miami, FL 33156Gender: FemaleNPI: 1619297892License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

DE LA RUA, LissetteDentl Health Group(305) 385-4215Prov. No.: 00000121547213876 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1619297892License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-1200Accepts New Patients: YHospital Affiliation: N/A*

DE LIMA, Anacaona C.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000007056848940 N Kendall Dr Ste 100Miami, FL 33176Gender: FemaleNPI: 1841413267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DEAN, Craig J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631146820 Bird RdMiami, FL 33155Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental(786) 621-5800Prov. No.: 00001247318512554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DEANNA, Abel O.Abel Deanna(305) 266-3581Prov. No.: 0000007355637105 SW 8th StSte 106Miami, FL 33144Gender: Not ReportedNPI: 1104077502License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

358 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DEL CASTILLO, RaymondDental Options Pa(305) 892-2960Prov. No.: 00001205961811645 Biscayne Blvd Ste 2 �Miami, FL 33181Language: English, SpanishGender: MaleNPI: 1609212091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

DEL CASTILLO, RaymondDental Options Pa(305) 466-1804Prov. No.: 0000120596192999 NE 191st St Ste 804 �Miami, FL 33180Language: English, SpanishGender: MaleNPI: 1609212091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

DEL CASTILLO, RaymondJacqueline Garcia-Castellanos(305) 221-0102Prov. No.: 00001233089211880 SW 40th St �Miami, FL 33175Language: English, SpanishGender: MaleNPI: 1609212091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 221-0103Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DELACRUZ, AlejandroAlejandro Delacruz Dds(305) 441-2773Prov. No.: 0000020542187380 Bird Rd Ste BMiami, FL 33155Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 266-1529Accepts New Patients: YHospital Affiliation: N/A*

DELGADO, LigmingFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000192329313706 SW 56th St Ste 201 �Miami, FL 33175Gender: MaleNPI: 1548396658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, Farah A.Dental American Group(305) 225-3452Prov. No.: 00001199892910721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1861784779License: DN20362License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, Farah A.Deluxe Dental(786) 409-5295Prov. No.: 0000124234834005 SW 152nd Ave Ste 2Miami, FL 33185Gender: FemaleNPI: 1861784779License: DN20362License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 703-7908Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DIAZ, GertrudisProfessional Dental SolutionsInc(305) 693-7988Prov. No.: 0000002205877900 NW 27th Ave Ste 275Miami, FL 33147Language: English, SpanishGender: FemaleNPI: 1932248044License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 696-6704Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental of West Miami(786) 476-8711Prov. No.: 0000124454176820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, JanySage Dental(786) 621-5800Prov. No.: 00001247318612554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1659729598License: DN21847License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DIAZ, SandraMint Dental(786) 703-4978Prov. No.: 0000122321138500 W Flagler St Ste B20 �Miami, FL 33144Language: English, SpanishGender: FemaleNPI: 1942509609License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 616-8588Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, VivianDental Associates of WestKendall(305) 255-9497Prov. No.: 00000069623313400 SW 120th St Ste 310Miami, FL 33186Gender: FemaleNPI: 1245560028License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 255-9541Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, YanetJadent Inc(305) 220-0066Prov. No.: 0000121262393945 SW 92nd Ave �Miami, FL 33165Language: English, SpanishGender: FemaleNPI: 1215376934License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-1210Accepts New Patients: YHospital Affiliation: N/A*

359GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DIAZ VASQUEZ, Andrea c.Miami Oaks Dental Corp(305) 226-8236Prov. No.: 0000122271053850 SW 87th Ave Ste 101Miami, FL 33165Gender: FemaleNPI: 1730562133License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ VASQUEZ, Andrea C.Dental Options Pa(305) 892-2960Prov. No.: 00001253586211645 Biscayne Blvd Ste 2 �Miami, FL 33181Gender: FemaleNPI: 1730562133License: DN21381License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIAZ VASQUEZ, Andrea C.Melisa Polhamuslopez(305) 466-1804Prov. No.: 0000125373002999 NE 191st St Ste 804Miami, FL 33180Gender: FemaleNPI: 1730562133License: DN21381License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of West Miami(786) 476-8711Prov. No.: 0000122382716820 Bird RdMiami, FL 33155Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DOMINGUEZ, Jorge L.Jorge L Dominguez Dmd Pa(305) 222-8999Prov. No.: 00000001897213155 SW 42nd St Ste 101 �Miami, FL 33175Language: EnglishGender: MaleNPI: 1669676052License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DOMINGUEZ, Jorge L.Jorge L Dominguez Dmd(305) 262-0509Prov. No.: 0000039169588560 SW 8th StMiami, FL 33144Language: EnglishGender: MaleNPI: 1669676052License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DOOLEY, JillSage Dental(786) 621-5800Prov. No.: 00001247318712554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DOOLEY, Jill C.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124363996820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631156820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DRAIZIN, Claudia A.Sage Dental(786) 621-5800Prov. No.: 00001247318812554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DRUKTEINIS, Saulius E.Sunset Dental Corp(305) 596-7155Prov. No.: 00001155044010728 SW 72nd StMiami, FL 33173Language: English, SpanishGender: MaleNPI: 1528251824License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DUARTE, BeatrizDental American Group(305) 596-7155Prov. No.: 00000072504110728 SW 72nd StMiami, FL 33173Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631176820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental(786) 621-5800Prov. No.: 00001247294212554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631186820 Bird RdMiami, FL 33155Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

360 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)DURKAN, Marcia A.Sage Dental(786) 621-5800Prov. No.: 00001247294312554 SW 88th StMiami, FL 33186Language: SpanishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

EAGAN, Jessica C.Jessica Eagan Dds(305) 856-1178Prov. No.: 0000022997851378 Coral Way Ste 500 �Miami, FL 33145Language: EnglishGender: FemaleNPI: 1811197254License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ECHENAGUCIA, Adriana M.Miami Oaks Dental CorpProv. No.: 0000124820003850 SW 87th Ave Ste 101 �Miami, FL 33165Gender: FemaleNPI: 1285187948License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ECHEZARRAGA, MilaidisMilaidis Echezarraga Dds Pa(305) 480-6044Prov. No.: 00000029405613920 SW 47th St Ste 105Miami, FL 33175Gender: FemaleNPI: 1689845158License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-6081Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ECHEZARRAGA, MilaidisMilaidis Echezarraga(305) 480-6044Prov. No.: 0000013188523822 SW 137th AveMiami, FL 33175Gender: FemaleNPI: 1689845158License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-6081Accepts New Patients: YHospital Affiliation: N/A*

EDUARDO, Jose F.Dental American Group(305) 596-7155Prov. No.: 00001224065710728 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1033105986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

EDUARDO, Jose F.Dental American Group(305) 225-3452Prov. No.: 00001224068310721 W Flagler St �Miami, FL 33174Gender: MaleNPI: 1033105986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

ELEJABARRIETA, YonArtistic Smiles(305) 271-3333Prov. No.: 00000114230610261 SW 72nd St Ste C106Miami, FL 33173Language: EnglishGender: Not ReportedNPI: 1013013291License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-9609Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ELLINS, Karl B.Karl B Ellins Dmd(305) 596-7807Prov. No.: 00000012613611110 SW 88th St Ste 202Miami, FL 33176Gender: MaleNPI: 1144436379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-2105Accepts New Patients: YHospital Affiliation: N/A*

ENG, Martha C.Flagler Dental Care(305) 324-5072Prov. No.: 0000006960031199 W Flagler St Ste 7 �Miami, FL 33130Gender: FemaleNPI: 1730345091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

ENG, Martha C.International Dental Group Inc(305) 649-6112Prov. No.: 0000122618431127 NW 22nd AveMiami, FL 33125Gender: FemaleNPI: 1730345091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ENGELSBERG, David J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631196820 Bird RdMiami, FL 33155Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ESCOBAR, Carlos F.Dental American Group(305) 596-7155Prov. No.: 00000072499210728 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Dental American Group(305) 225-3452Prov. No.: 00000072522710721 W Flagler St �Miami, FL 33174Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

ESCOBAR, Carlos F.Dental American Group(305) 385-1442Prov. No.: 00000177042713632 SW 88th St �Miami, FL 33186Gender: MaleNPI: 1013196914License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-1446Accepts New Patients: YHospital Affiliation: N/A*

ESPINOSA, Ricardo J.Towncare Dental of WestKendall(305) 388-7900Prov. No.: 00000114276715724 SW 72nd StMiami, FL 33193Gender: MaleNPI: 1083825665License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-7939Accepts New Patients: YHospital Affiliation: N/A*

361GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ESTEFAN, EvelynEvelyn Estefan Dds(305) 220-4588Prov. No.: 0000003856238300 W Flagler St Ste 160Miami, FL 33144Gender: Not ReportedNPI: 1851484646License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ESTRADA, DiangellyWestchester Dental(305) 266-9996Prov. No.: 0000124926368489 Coral WayMiami, FL 33155Gender: FemaleNPI: 1699951434License: DN18520License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ESTRADA, JavierEstrada & Gonzalez-Rubio Pa(305) 254-4407Prov. No.: 00000014876315447 SW 137th Ave �Miami, FL 33177Language: EnglishGender: MaleNPI: 1003956822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 254-4575Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ESTRADA, JavierJavier Estrada Dds(305) 221-8780Prov. No.: 00000042650914586 SW 8th StMiami, FL 33184Language: EnglishGender: MaleNPI: 1003956822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

EVANS, Thembi-Ann T.Thembi Evans Dds Pa(305) 271-2517Prov. No.: 0000001423287158 SW 117th AveMiami, FL 33183Gender: FemaleNPI: 1912917873License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FEINBERG, JulieJeffrey H Nullman Dds Pa(305) 552-7050Prov. No.: 00000536084011467 SW 40th St �Miami, FL 33165Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FELIPE, Veronica M.I E Terrero Dds Pa(305) 668-5884Prov. No.: 0000003371769507 S Dixie HwyMiami, FL 33156Gender: FemaleNPI: 1407050149License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 668-5886Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FELIX, ErickaEricka Felix Dmd(305) 595-0557Prov. No.: 0000003867929240 SW 72nd St Ste 115Miami, FL 33173Gender: FemaleNPI: 1386837037License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FELIX, ErickaDental American GroupProv. No.: 00001249751013632 SW 88th St �Miami, FL 33186Gender: FemaleNPI: 1386837037License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FENSIN, SherylSheryl Fensin(305) 255-8822Prov. No.: 00000013157613767 SW 152nd StMiami, FL 33177Gender: Not ReportedNPI: 1164483681License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 255-9507Accepts New Patients: YHospital Affiliation: N/A*

FEOLI, Carmen A.Carmen A Feoli Dds(305) 949-5252Prov. No.: 0000011467241490 NE Miami Gardens Dr �Miami, FL 33179Language: English, SpanishGender: FemaleNPI: 1013199819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 949-5011Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FERNANDEZ, Aurelio J.Namoff Dds & FernandezDmd(305) 552-5511Prov. No.: 0000000188678500 W Flagler St Ste 101 �Miami, FL 33144Language: EnglishGender: MaleNPI: 1609880145License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 552-6671Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, Carlos F.Carlos F Fernandez Dmd(305) 226-0803Prov. No.: 0000000180668500 W Flagler St Ste 104Miami, FL 33144Language: EnglishGender: MaleNPI: 1356511075License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, Carlos F.Miami Center ForOrthodontics Llc(305) 223-0110Prov. No.: 00001205303114660 SW 26th StMiami, FL 33175Language: EnglishGender: MaleNPI: 1356511075License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 223-0065Accepts New Patients: YHospital Affiliation: N/A*

362 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FERNANDEZ, ConcepcionConcepcion Fernandez Ddspa(305) 221-3666Prov. No.: 0000000215859724 SW 40th StMiami, FL 33165Language: EnglishGender: Not ReportedNPI: 1093920902License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 221-3666Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, LazaroLazaro Fernandez Dds(305) 598-7550Prov. No.: 0000006930838740 N Kendall Dr Ste 214Miami, FL 33176Gender: Not ReportedNPI: 1972715712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ, YenyMiami Dental Care Inc(305) 267-3751Prov. No.: 0000120388195771 NW 7th StMiami, FL 33126Language: English, SpanishGender: FemaleNPI: 1861784688License: DN20110License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FERNANDEZ DOMINGUEZ, GiselleFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001213025913706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1235484890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-ABRIL, Jorge C.Dental Center of CountryWalk(305) 233-3335Prov. No.: 00000136716515721 SW 152nd St �Miami, FL 33187Language: EnglishGender: MaleNPI: 1720307572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-ABRIL, Jorge C.Altima Dental Group of WestKendall Llc(305) 380-8773Prov. No.: 00001212944116371 SW 88th StMiami, FL 33196Language: EnglishGender: MaleNPI: 1720307572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-5855Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FERNANDEZ-ABRIL, Jorge C.Abril Dental Pa(786) 360-6995Prov. No.: 00001222732511410 North Candle Dr SteMiami, FL 33177Language: EnglishGender: MaleNPI: 1720307572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 391-1489Accepts New Patients: NHospital Affiliation: N/A*

FERNANDEZ-ABRIL, Jorge C.Abril Dental Pa(786) 360-6995Prov. No.: 00001232341411410 N Kendall Dr Ste 20Miami, FL 33176Language: EnglishGender: MaleNPI: 1720307572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 391-1489Accepts New Patients: YHospital Affiliation: N/A*

FERNANDEZ-MARTINEZ, MariangelSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631206820 Bird RdMiami, FL 33155Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental(786) 621-5800Prov. No.: 00001247301412554 SW 88th StMiami, FL 33186Language: SpanishGender: FemaleNPI: 1376857441License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERRER-LEON, NataliaJudy Mejido Dmd Pa(305) 274-2110Prov. No.: 0000003297849560 SW 107th Ave Ste 206 �Miami, FL 33176Gender: FemaleNPI: 1134240518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-2105Accepts New Patients: YHospital Affiliation: N/A*

FERRER-LEON, NataliaDental Services of Town andCountry Pa(305) 255-8855Prov. No.: 00000195810713776 SW 152nd St �Miami, FL 33177Gender: FemaleNPI: 1134240518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-9777Accepts New Patients: YHospital Affiliation: N/A*

363GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FERRER-LEON, NataliaDental Cosmetics of Florida Pa(305) 595-5655Prov. No.: 00000195811210271 SW 72nd St # D106 �Miami, FL 33173Gender: FemaleNPI: 1134240518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FERRER-LEON, NataliaAntonio Otero Dds Pa(305) 442-8866Prov. No.: 000001958113782 NW 42nd Ave �Miami, FL 33126Gender: FemaleNPI: 1134240518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 448-6407Accepts New Patients: YHospital Affiliation: N/A*

FERRO, Claudia M.Fontainebleau Dentistry(786) 418-3074Prov. No.: 0000122270169971 W Flagler St Ste 220Miami, FL 33174Language: EnglishGender: FemaleNPI: 1053477752License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 619-3746Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FIELDS-HELLER, Rita A.Dental Health Group IvesDairy(305) 652-3412Prov. No.: 0000002213331001 Ives Dairy Rd Ste 10Miami, FL 33179Gender: FemaleNPI: 1265518807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 652-3459Accepts New Patients: YHospital Affiliation: N/A*

FIGUEREDO, JoelJadent Inc(305) 220-0066Prov. No.: 0000121096263945 SW 92nd Ave �Miami, FL 33165Language: English, SpanishGender: MaleNPI: 1568695724License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-1210Accepts New Patients: YHospital Affiliation: N/A*

FIGUEREDO, JoelDental Specialists of CoralGables Group(305) 305-9601Prov. No.: 0000121588612645 SW 37th Ave Ste 303 �Miami, FL 33133Language: English, SpanishGender: MaleNPI: 1568695724License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 543-6885Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FIGUEREDO, JoelDental Specialists of DoralGroup Co(305) 220-8911Prov. No.: 00001217163310666 Fontainebleau BlvdMiami, FL 33172Language: English, SpanishGender: MaleNPI: 1568695724License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-9966Accepts New Patients: YHospital Affiliation: N/A*

FIGUEREDO, JoelJoel Figueredo Dds(305) 271-8318Prov. No.: 00001248328410240 SW 56th St Ste 107Miami, FL 33165Language: SpanishGender: MaleNPI: 1568695724License: 22DI02422900License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.New Smile Dental Center(305) 856-0022Prov. No.: 000000427355861 SW 8th StMiami, FL 33130Language: EnglishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0021Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FIGUEROA, Celia C.Celia Figueroa(786) 313-3330Prov. No.: 000002298241161 NW 29th St �Miami, FL 33127Language: EnglishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000125596298940 N Kendall Dr Ste 100Miami, FL 33176Language: SpanishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FISHER, Edward J.Jeffrey H Nullman Dds Pa(305) 552-7050Prov. No.: 00000001886011467 SW 40th St �Miami, FL 33165Language: EnglishGender: MaleNPI: 1619174901License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

364 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FLORES, Joan M.Flores Dental Group(305) 485-0072Prov. No.: 00000046649511890 SW 8th St Ste 300 �Miami, FL 33184Gender: FemaleNPI: 1962604488License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 485-0080Accepts New Patients: YHospital Affiliation: N/A*

FLORES, Juan CarlosJ C F Dental Services Pa(305) 264-9191Prov. No.: 0000011367847171 Coral Way Ste 401Miami, FL 33155Gender: MaleNPI: 1548459803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-6246Accepts New Patients: YHospital Affiliation: N/A*

FONSECA, Pablo J.Pablo J Fonseca Dds(305) 444-8863Prov. No.: 0000001222524560 NW 7th StMiami, FL 33126Gender: MaleNPI: 1821023136License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 444-2341Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FONTECILLA, SofiaSoutheastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000121301529507 S Dixie HwyMiami, FL 33156Language: English, SpanishGender: FemaleNPI: 1962780882License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: NHospital Affiliation: N/A*

FONTECILLA, SofiaSoutheastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000121758541843 SW 8th St �Miami, FL 33135Gender: FemaleNPI: 1962780882License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3371Accepts New Patients: YHospital Affiliation: N/A*

FONTECILLA, SofiaCocnut Grove Dental(786) 353-0735Prov. No.: 0000122446303220 S Dixie Hwy Ste 101Miami, FL 33133Language: English, SpanishGender: FemaleNPI: 1962780882License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 255-9165Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FORNOS, EvaEvam Fornos(305) 290-4999Prov. No.: 00001221878815790 SW 56th StMiami, FL 33185Gender: FemaleNPI: 1740628452License: 2901020969License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631216820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental(786) 621-5800Prov. No.: 00001247299912554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1497813042License: DN 11590License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FRAGA, DaynetFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001204916813706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1407288319License: DN20279License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

FRAGA-DAVIDSON, BeatrizThe Falls Dental Care Grp Pa(305) 255-5550Prov. No.: 0000000200518729 SW 136th St �Miami, FL 33176Language: EnglishGender: FemaleNPI: 1891824942License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 255-5560Accepts New Patients: YHospital Affiliation: N/A*

FRANCO, ElbaFamily Dental(305) 631-1998Prov. No.: 0000003757182260 SW 8th St Ste 201 �Miami, FL 33135Gender: FemaleNPI: 1013018191License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 631-1393Accepts New Patients: YHospital Affiliation: N/A*

365GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FRANCO, ElbaElba Franco Dds(239) 731-8811Prov. No.: 0000062332528650 SW 67th Ave Apt 1025Miami, FL 33143Gender: FemaleNPI: 1013018191License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRANCONI, Raymond J.Raymond J Franconi(305) 232-2510Prov. No.: 0000001106988353 SW 124th St Ste 101 �Miami, FL 33156Gender: MaleNPI: 1093820722License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRAND, Joel I.Joel Frand(844) 304-5437Prov. No.: 0000125472088200 SW 117th Ave Ste 104Miami, FL 33183Gender: MaleNPI: 1568675866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRIEDEL, Alan E.Alan E Friedel Dds(303) 933-0583Prov. No.: 0000001556912627 NE 203rd St Ste 112Miami, FL 33180Gender: MaleNPI: 1518960582License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FRIEDMAN, Rene J.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000000180338940 N Kendall Dr Ste 100Miami, FL 33176Language: EnglishGender: FemaleNPI: 1689890436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

FRIEDMAN, Rene J.Unique Dental Team(305) 728-2000Prov. No.: 00000866786810511 N Kendall Dr Ste C1Miami, FL 33176Language: EnglishGender: FemaleNPI: 1689890436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FRIEDMAN, Rene J.Miami Dental Centers - SmallGroup(305) 728-2000Prov. No.: 000012153015279 NW 82nd AveMiami, FL 33126Language: EnglishGender: FemaleNPI: 1689890436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 683-1665Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)FRIEDMAN, Rene J.Miami Dental Centers - SmallGroup(305) 728-2000Prov. No.: 00001248695612800 SW 8th StMiami, FL 33184Language: Russian, SpanishGender: FemaleNPI: 1689890436License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FUNDORA, Yolaivys V.Jadent Inc(305) 220-0066Prov. No.: 0000120496323945 SW 92nd Ave �Miami, FL 33165Language: EnglishGender: FemaleNPI: 1285074112License: DN20186License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 220-1210Accepts New Patients: YHospital Affiliation: N/A*

FUNDORA, Yolaivys V.Kendall Dental Group(305) 385-1442Prov. No.: 00001207962213632 SW 88th StMiami, FL 33186Language: EnglishGender: FemaleNPI: 1285074112License: DN20186License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GAD, Mahmoud S.A New Smile Dental Center(305) 383-9944Prov. No.: 00001221881614050 SW 84th St �Ste 103Miami, FL 33183Language: ArabicGender: MaleNPI: 1497770218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GAINES, David S.David S Gaines Dds(305) 442-8991Prov. No.: 0000003819933326 Mary St Ste 401Miami, FL 33133Language: EnglishGender: MaleNPI: 1255506150License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCES, CarolineDental Health Group Pa(305) 595-6411Prov. No.: 0000121208519595 N Kendall Dr Ste 201Miami, FL 33176Gender: FemaleNPI: 1215134952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

366 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARCES, CarolineGreat Expressions DentalCenters(305) 670-4476Prov. No.: 0000122430307300 N Kendall Dr Ste 110Miami, FL 33156Gender: FemaleNPI: 1215134952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, Francisco J.Loop Smile Group Pa(305) 477-7655Prov. No.: 0000124524017902 NW 36th St �Miami, FL 33166Gender: MaleNPI: 1609005941License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, IdalmesFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001223689513706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1245675107License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GARCIA, John M.John M Garcia Dds(305) 643-4455Prov. No.: 000000018422351 NW 42nd Ave Ste 402Miami, FL 33126Gender: Not ReportedNPI: 1508966656License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARCIA, Luisa F.Great Expressions DentalCenters(305) 652-3412Prov. No.: 0000125105881001 Ives Dairy Rd Ste 10Miami, FL 33179Language: French, SpanishGender: FemaleNPI: 1740614163License: DN21006License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, Mario K.Mario K Garcia Dds(305) 667-0306Prov. No.: 0000000188846641A S Dixie HwyMiami, FL 33143Gender: Not ReportedNPI: 1720081185License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, Mario K.Mario Garcia(305) 667-0306Prov. No.: 0000122615586641 S Dixie Hwy # AMiami, FL 33143Gender: Not ReportedNPI: 1720081185License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 667-0368Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARCIA, Raul I.Garcia & Sanchez-Garcia Dmd(305) 595-4616Prov. No.: 0000000189639301 SW 56th St �Miami, FL 33165Language: EnglishGender: MaleNPI: 1942211719License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA, RicardoDentl Health Group(305) 385-4215Prov. No.: 00000046094513876 SW 88th StMiami, FL 33186Language: EnglishGender: MaleNPI: 1184700783License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-1200Accepts New Patients: YHospital Affiliation: N/A*

GARCIA FERNANDEZ, AliuskaVeritas Dental(305) 480-2789Prov. No.: 0000121650722740 SW 97th Ave Apt 110AMiami, FL 33165Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARCIA FERNANDEZ, AliuskaVeritas Dental(305) 382-6794Prov. No.: 00001216591013728 SW 84th StMiami, FL 33183Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

GARCIA FERNANDEZ, AliuskaGateway Dental(305) 325-0050Prov. No.: 0000121879221399 NW 17th Ave Ste 301Miami, FL 33125Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

GARCIA FERNANDEZ, AliuskaVeritas Dental(305) 545-0411Prov. No.: 0000121991741334 SW 1st StMiami, FL 33135Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

GARCIA FERNANDEZ, AliuskaGateway Dental Inc(305) 856-2300Prov. No.: 0000123133362375 SW 27th Ave �Miami, FL 33145Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

367GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARCIA FERNANDEZ, AliuskaGateway Dental Inc(305) 552-1553Prov. No.: 00001244803411880 SW 40th St Ste 215Miami, FL 33175Gender: FemaleNPI: 1558618132License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA FERNANDEZ, AliuskaGateway Dental Inc(305) 944-4373Prov. No.: 0000125183131400 NE Miami Gardens DrMiami, FL 33179Gender: FemaleNPI: 1558618132License: DN20967License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARCIA PINO, DeliaDental American Group(305) 596-7155Prov. No.: 00001243496610728 SW 72nd StMiami, FL 33173Gender: FemaleNPI: 1639413206License: DN19931License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-CASTELLANOS, JacquelineJacqueline Garcia-Castellanos(305) 221-0102Prov. No.: 00000139949211880 SW 40th St Ste 302 �Miami, FL 33175Language: EnglishGender: FemaleNPI: 1487795472License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 221-0103Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARCIA-CASTELLANOS, JacquelineCoral Point Dental AssociateCorporation(305) 229-7026Prov. No.: 0000123332838410 W Flagler St Ste 104Miami, FL 33144Language: EnglishGender: FemaleNPI: 1487795472License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 433-5048Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631226820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARCIA-PORRAS, MarcelaSage Dental(786) 621-5800Prov. No.: 00001247300012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GARRISON, Harvey B.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631236820 Bird RdMiami, FL 33155Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental(786) 621-5800Prov. No.: 00001247300212554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GARROTE, RogelioFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001256015613706 SW 56th St Ste 201 �Miami, FL 33175Gender: MaleNPI: 1144671470License: DN21977License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GEDEON, Rose M.Dennis Amores(305) 238-1391Prov. No.: 00001243928413617 S Dixie Hwy Ste 126Miami, FL 33176Gender: FemaleNPI: 1063547545License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 238-1635Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GEORGE, Deborah V.Jessie Trice Community HealthCenter Inc(305) 942-1805Prov. No.: 0000051797345361 NW 22nd AveMiami, FL 33142Gender: FemaleNPI: 1720149180License: DN12903License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 418-2759Accepts New Patients: YHospital Affiliation: N/A*

GEORGE, Deborah V.Jessie Trice Community Health(305) 637-6400Prov. No.: 00000517973518360 NW 7th AveMiami, FL 33169Gender: FemaleNPI: 1720149180License: DN12903License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 694-6273Accepts New Patients: YHospital Affiliation: N/A*

GEORGE, Deborah V.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000051797375607 NW 27th Ave Ste 2 �Miami, FL 33142Gender: FemaleNPI: 1720149180License: DN12903License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 636-3350Accepts New Patients: YHospital Affiliation: N/A*

368 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GHANDOUR, DimaSage Dental of West Miami(786) 476-8711Prov. No.: 0000122000546820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GIL, Lester O.Bonillas Dental and MedicalCenter(305) 270-0744Prov. No.: 00001212705313550 SW 88th St Ste 112 �Miami, FL 33186Gender: MaleNPI: 1427216803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2014Accepts New Patients: YHospital Affiliation: N/A*

GIL, Lester O.Bonillas Dental and MedicalCenter(305) 270-0744Prov. No.: 0000123158268740 N Kendall Dr Ste 220Miami, FL 33176Gender: MaleNPI: 1427216803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GIL ARAUJO, Eduardo F.Family and CosmeticDentistry(305) 460-7060Prov. No.: 0000024494984750 NW 7th St Ste 1Miami, FL 33126Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GIL ARAUJO, Eduardo F.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000244949913706 SW 56th St �Ste 201Miami, FL 33175Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GIL ARAUJO, Eduardo F.Egil Dental(305) 595-4397Prov. No.: 0000102148369950 SW 107th Ave Ste 201 �Miami, FL 33176Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-4398Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GIL ARAUJO, Eduardo F.Dental Specialists of DoralGroup Co(305) 220-8911Prov. No.: 00001225755010666 Fontainebleau BlvdMiami, FL 33172Gender: MaleNPI: 1841553112License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-9966Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631476820 Bird RdMiami, FL 33155Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, Mark B.Sage Dental(786) 621-5800Prov. No.: 00001247294912554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1659631307License: DN 13395License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GILSON, Seth A.Glicksman & Mars Dental Lc(305) 935-2797Prov. No.: 0000122251262797 NE 207th St Ste 100 �Miami, FL 33180Gender: MaleNPI: 1386916211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-4834Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GITRON BEER, MarianaAventura Dental Associates(305) 931-1987Prov. No.: 0000121846902627 NE 203rd St Ste 220Miami, FL 33180Gender: FemaleNPI: 1336438068License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 936-9403Accepts New Patients: YHospital Affiliation: N/A*

GLICKSMAN, Joel E.Glicksman & Mars Dental Lc(305) 935-2797Prov. No.: 0000000611482797 NE 207th St Ste 100 �Miami, FL 33180Gender: MaleNPI: 1669537981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-4834Accepts New Patients: YHospital Affiliation: N/A*

GODOY, Natalie A.Comfortable Care DentalHealth Professionals Pa(305) 595-1556Prov. No.: 0000124918538525 SW 92nd St Bldg A StMiami, FL 33156Gender: FemaleNPI: 1992250591License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

369GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GOMARA, Luis A.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000002235813706 SW 56th St Ste 201 �Miami, FL 33175Language: EnglishGender: MaleNPI: 1659381879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

GOMARA, Luis A.Howard Levine Dds Pa(305) 325-1771Prov. No.: 000004587523127 NW 12th Ave �Miami, FL 33128Language: EnglishGender: MaleNPI: 1659381879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-1775Accepts New Patients: YHospital Affiliation: N/A*

GOMARA, Luis A.Luis Gomara(Not) Re-portedProv. No.: 00001211129516300 SW 137th Ave Unit 1Miami, FL 33177Language: EnglishGender: MaleNPI: 1659381879License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GOMBAR, AnnaFontainebleau Dentistry(786) 418-3074Prov. No.: 0000122488519971 W Flagler St Ste 220Miami, FL 33174Gender: FemaleNPI: 1467715706License: DS039114License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 619-3746Accepts New Patients: YHospital Affiliation: N/A*

GOMEZ, GrisellMarisel Almeida Dmd Pa(305) 266-0341Prov. No.: 0000001253118500 W Flagler StSte A102Miami, FL 33144Gender: FemaleNPI: 1376740381License: DN11599License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEG, CarlosCarlos Gonzalez(305) 649-6112Prov. No.: 0000004296091127 NW 22nd AveMiami, FL 33125Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of West Miami(786) 476-8711Prov. No.: 0000121954076820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALES, AngelicaSage Dental(786) 621-5800Prov. No.: 00001247295012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1700012903License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Adrian O.Dental Services of Town andCountry Pa(305) 255-8855Prov. No.: 00000403005213776 SW 152nd St �Miami, FL 33177Language: English, SpanishGender: MaleNPI: 1750635637License: DN19996License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-9777Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Adrian O.Antonio Otero Dds Pa(305) 442-8866Prov. No.: 000004030055782 NW 42nd Ave Ste 538 �Miami, FL 33126Language: English, SpanishGender: MaleNPI: 1750635637License: DN19996License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 448-6407Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, Adrian O.Dental Cosmetics of Florida Pa(305) 595-5655Prov. No.: 00000403005710271 SW 72nd St Ste D106 �Miami, FL 33173Language: English, SpanishGender: MaleNPI: 1750635637License: DN19996License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 275-9557Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Adrian O.Antonio Otero Dds(305) 552-7626Prov. No.: 00000403006113625 SW 26th St �Miami, FL 33175Language: English, SpanishGender: MaleNPI: 1750635637License: DN19996License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 552-8873Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Ana D.Westchester Dental ServicesGroup Inc(786) 360-3694Prov. No.: 0000121020917801 Coral Way Ste 122Miami, FL 33155Gender: FemaleNPI: 1326260894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 431-1522Accepts New Patients: YHospital Affiliation: N/A*

370 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, CarlosRox Lee Soh Dds(305) 649-6111Prov. No.: 0000039191141125 NW 22nd AveMiami, FL 33125Language: English, SpanishGender: MaleNPI: 1790959963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosDental Plus Services(305) 969-2651Prov. No.: 00001208094911352 Quail Roost DrMiami, FL 33157Language: English, SpanishGender: MaleNPI: 1790959963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-6027Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosCarlos Gonzalez(305) 649-6112Prov. No.: 0000122595821127 NW 22nd AveMiami, FL 33125Language: English, SpanishGender: MaleNPI: 1790959963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, CarlosVeritas Dental(305) 382-6794Prov. No.: 00001232627713728 SW 84th StMiami, FL 33183Language: English, SpanishGender: MaleNPI: 1790959963License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosDental American Group(305) 385-1442Prov. No.: 00001253008513632 SW 88th St �Miami, FL 33186Gender: MaleNPI: 1093180028License: DN22301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosDental American Group(305) 225-3452Prov. No.: 00001253008810721 W Flagler St �Miami, FL 33174Gender: MaleNPI: 1093180028License: DN22301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, CarlosDental American Group(305) 596-7155Prov. No.: 00001253008910728 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1093180028License: DN22301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, CarlosDixie Dental Corp(305) 273-9330Prov. No.: 0000125302718718 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1093180028License: DN22301License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, HanselFermin R Lopez Dds Pa Corp(305) 649-6112Prov. No.: 0000096648011125 NW 22nd Ave �Miami, FL 33125Language: English, Italian,SpanishGender: MaleNPI: 1245571736License: DN19852License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 649-1803Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, HanselYoan Lobaina Dmd(305) 480-9838Prov. No.: 0000111163638822 SW 24th St �Miami, FL 33165Language: English, Italian,SpanishGender: MaleNPI: 1245571736License: DN19852License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 261-4448Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, HanselHansel Gonzalez(305) 223-0072Prov. No.: 0000122053688512 Bird RdMiami, FL 33155Language: English, Italian,SpanishGender: MaleNPI: 1245571736License: DN19852License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Juan C.Juan Gonzalez(305) 387-3232Prov. No.: 0000122380055711 SW 137th AveMiami, FL 33183Gender: MaleNPI: 1306100441License: DN19791License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-9198Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, LilianDental American Group(305) 596-7155Prov. No.: 00000004338810728 SW 72nd StMiami, FL 33173Language: EnglishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

371GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, LilianDental American Group(305) 225-3452Prov. No.: 00000034946410721 W Flagler St �Miami, FL 33174Language: EnglishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, LilianDental American Group(305) 385-1442Prov. No.: 00000128175913632 SW 88th St �Miami, FL 33186Language: EnglishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-1446Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, LilianDixie Dental Corp(305) 273-9330Prov. No.: 0000125296298718 SW 72nd StMiami, FL 33173Language: SpanishGender: FemaleNPI: 1255436424License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, Maria F.Dental Services of Town andCountry Pa(305) 255-8855Prov. No.: 00000195809713776 SW 152nd St �Miami, FL 33177Language: EnglishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-9777Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Maria F.Dental Cosmetics of Florida Pa(305) 595-5655Prov. No.: 00000195810110271 SW 72nd St # D106 �Miami, FL 33173Language: EnglishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, Maria F.Antonio Otero Dds Pa(305) 442-8866Prov. No.: 000001958103782 NW 42nd Ave �Miami, FL 33126Language: EnglishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 448-6407Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, Maria F.Antonio Otero Dds(305) 552-7626Prov. No.: 00000287340013625 SW 26th St �Miami, FL 33175Language: EnglishGender: FemaleNPI: 1518244862License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 552-8873Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, MonicaYohama Lorenzo Dds(305) 279-0717Prov. No.: 0000120586697000 SW 97th Ave Ste 204Miami, FL 33173Gender: FemaleNPI: 1699115741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, MonicaFontainebleau Dentistry(786) 418-3074Prov. No.: 0000124237859971 W Flagler St Ste 220Miami, FL 33174Gender: FemaleNPI: 1699115741License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 619-3746Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ, Raul C.Smile Studio AssociateDentistry(305) 274-4112Prov. No.: 0000007125137924 SW 104th St �Miami, FL 33156Gender: FemaleNPI: 1407036601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-5566Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, YaneyDental American Group(305) 225-3452Prov. No.: 00000261922010721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1457593840License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ, YaniceDental American Group(305) 225-3452Prov. No.: 00000041417010721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1669523767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

372 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GONZALEZ-RUBIO, EduardoEstrada & Gonzalez-Rubio Pa(305) 254-4407Prov. No.: 00000001923515447 SW 137th Ave �Miami, FL 33177Language: EnglishGender: Not ReportedNPI: 1922120542License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 254-4575Accepts New Patients: YHospital Affiliation: N/A*

GONZALEZ-ZAMORA, Maria O.Maria O Gonzalez-ZamoraDmd Pa(305) 596-6069Prov. No.: 00000046882710651 N Kendall Dr Ste 21 �Miami, FL 33176Language: EnglishGender: FemaleNPI: 1467629956License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GONZALEZ-ZAMORA, Maria O.Tamiami Dental Center(305) 553-9655Prov. No.: 00000119291213232 SW 8th St �Miami, FL 33184Language: EnglishGender: FemaleNPI: 1467629956License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 553-7688Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GORAL, Robert J.Dental Health Group Pa(305) 595-6411Prov. No.: 0000001227369595 N Kendall Dr Ste 201Miami, FL 33176Gender: MaleNPI: 1396944864License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

GORAL, Robert J.Merrittd Halem(305) 652-7702Prov. No.: 0000010740031021 Ives Dairy Rd Ste 12Miami, FL 33179Gender: MaleNPI: 1396944864License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 605-7703Accepts New Patients: NHospital Affiliation: N/A*

GORDON, AlexandraDental Options Pa(305) 892-2960Prov. No.: 00000037050311645 Biscayne Blvd Ste 2 �Miami, FL 33181Language: EnglishGender: Not ReportedNPI: 1760692537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GORDON, AlexandraDental Options Pa(305) 466-1804Prov. No.: 0000004635862999 NE 191st St Ste 804 �Miami, FL 33180Language: EnglishGender: Not ReportedNPI: 1760692537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

GORDON, LucienLucien Gordon Dds(305) 226-7135Prov. No.: 00000001843311395 SW 40th StMiami, FL 33165Gender: FemaleNPI: 1205935293License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 226-2145Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental of West Miami(786) 476-8711Prov. No.: 0000122044226820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GREEN, BeverlySage Dental(786) 621-5800Prov. No.: 00001247295112554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1558704122License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GREEN, George D.Southland Mall DentalProv. No.: 00001245964820505 S Dixie Hwy �Ste 1683Miami, FL 33189Gender: MaleNPI: 1609094580License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GRIGOROPOULOS, MariosDental Center of CountryWalk(305) 233-3335Prov. No.: 00001252750015795 SW 152nd StMiami, FL 33187Gender: MaleNPI: 1720285646License: DN14743License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GRIGOROPOULOS, MariosAltima Dental Group of WestKendall Llc(305) 380-8773Prov. No.: 00001252750316371 SW 88th StMiami, FL 33196Gender: MaleNPI: 1720285646License: DN14743License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

373GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GRIGOROPOULOS, MariosDental Center of CountryWalk(305) 233-3335Prov. No.: 00001255170615721 SW 152nd St �Miami, FL 33187Gender: MaleNPI: 1720285646License: DN14743License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GROSSO-WOOLDRIDGE, Maria E.Maria E Grosso-WooldridgeDds(305) 868-8500Prov. No.: 0000000388421010 71st StMiami, FL 33141Language: English, French,Italian, Portuguese, SpanishGender: FemaleNPI: 1285768630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 866-6803Accepts New Patients: YHospital Affiliation: N/A*

GUERRA CRESPO, Beatriz D.Dental American Group(305) 225-3452Prov. No.: 00001245480110721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1376960658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GUERRA CRESPO, Beatriz D.Dental American Group(305) 385-1442Prov. No.: 00001245486913632 SW 88th St �Miami, FL 33186Gender: FemaleNPI: 1376960658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-1446Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631496820 Bird RdMiami, FL 33155Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental(786) 621-5800Prov. No.: 00001247295212554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1417052705License: 054363License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUEVARA, AnaelyJadent Inc(305) 220-0066Prov. No.: 0000125600873945 SW 92nd Ave �Miami, FL 33165Gender: FemaleNPI: 1184007932License: DN21384License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GUL, Yousaf A.Dental Health Group Pa(305) 595-6411Prov. No.: 0000121348309595 N Kendall Dr Ste 201Miami, FL 33176Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121790456820 Bird RdMiami, FL 33155Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUL, Yousaf A.Sage Dental(786) 621-5800Prov. No.: 00001247295312554 SW 88th StMiami, FL 33186Language: GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GULTZ, Jerrold P.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124364016820 Bird RdMiami, FL 33155Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental(786) 621-5800Prov. No.: 00001247295412554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUREVICH, Jose M.Jose M Gurevich Dds Pa(305) 665-5525Prov. No.: 0000017689856000 Bird RdMiami, FL 33155Gender: MaleNPI: 1942407903License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 665-9903Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of West Miami(786) 476-8711Prov. No.: 0000121631326820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

374 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GUTIERREZ, Carlos A.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000024516263601 Federal Hwy Fl 5 �Miami, FL 33137Language: EnglishGender: MaleNPI: 1861756603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 576-0008Accepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Carlos A.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000024516276401 SW 152nd AveMiami, FL 33193Language: EnglishGender: MaleNPI: 1861756603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Carlos A.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000245163015625 SW 80th StMiami, FL 33193Language: EnglishGender: MaleNPI: 1861756603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GUTIERREZ, Carlos A.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000245163111901 SW 2nd StMiami, FL 33184Language: EnglishGender: MaleNPI: 1861756603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 994-1520Accepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Carlos A.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000024516334861 SW 140th AveMiami, FL 33175Language: EnglishGender: MaleNPI: 1861756603License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Carlos M.Best Dental Creations(305) 270-8029Prov. No.: 0000026183998740 N Kendall Dr Ste 220 �Miami, FL 33176Language: EnglishGender: MaleNPI: 1932293909License: 19839License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-8437Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)GUTIERREZ, Victor R.Towncare Dental of Pinecrest(305) 253-7227Prov. No.: 0000002017388353 SW 124th St Ste 202Miami, FL 33156Language: EnglishGender: MaleNPI: 1649396557License: DN 14239License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-7228Accepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Victor R.Smile Innovation(305) 639-8272Prov. No.: 0000120411527190 SW 87th Ave Ste 206Miami, FL 33173Language: EnglishGender: MaleNPI: 1649396557License: DN 14239License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 639-8362Accepts New Patients: YHospital Affiliation: N/A*

GUZMAN, Nestor E.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000119948188940 N Kendall Dr Ste 100Miami, FL 33176Gender: MaleNPI: 1558477919License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HALEM, Merritt D.Merrittd Halem(305) 652-7702Prov. No.: 0000000183121021 Ives Dairy Rd Ste 12Miami, FL 33179Language: EnglishGender: Not ReportedNPI: 1821037649License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 605-7703Accepts New Patients: NHospital Affiliation: N/A*

HALEM, Merritt D.Merritt D Halem Dds(305) 652-7702Prov. No.: 0000124518181031 Ives Dairy Rd Ste 13 �Miami, FL 33179Language: EnglishGender: Not ReportedNPI: 1821037649License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 653-1317Accepts New Patients: YHospital Affiliation: N/A*

HARDEN, JaclynSoutheastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000124462049507 S Dixie HwyMiami, FL 33156Language: English, SpanishGender: FemaleNPI: 1619130572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

375GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HARDEN, JaclynSoutheastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000124462051843 SW 8th St �Miami, FL 33135Language: English, SpanishGender: FemaleNPI: 1619130572License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3371Accepts New Patients: YHospital Affiliation: N/A*

HASAN VERRETT, HajarHajar Hasan Verrett(305) 696-9999Prov. No.: 0000010825323058 NW 79th StMiami, FL 33147Gender: Not ReportedNPI: 1386894715License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (301) 853-0062Accepts New Patients: YHospital Affiliation: N/A*

HAYES, NorysDental Center of CountryWalk(305) 233-3335Prov. No.: 00001222455915795 SW 152nd StMiami, FL 33187Language: English, SpanishGender: FemaleNPI: 1578638540License: DN17144License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HAYES, NorysAltima Dental Group of WestKendall Llc(305) 380-8773Prov. No.: 00001222457016371 SW 88th StMiami, FL 33196Language: English, SpanishGender: FemaleNPI: 1578638540License: DN17144License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-5855Accepts New Patients: YHospital Affiliation: N/A*

HECHAVARRIA, MirtaGarmen Dental Care(786) 580-3517Prov. No.: 0000124691071334 SW 1st StMiami, FL 33135Gender: FemaleNPI: 1851411177License: DN13256License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEDGEPETH, Quinton L.Gateway Dental Inc(305) 856-2300Prov. No.: 0000000267832375 SW 27th Ave �Miami, FL 33145Language: EnglishGender: MaleNPI: 1720004278License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HEDSTROM, Brien D.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124520156820 Bird RdMiami, FL 33155Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental(786) 621-5800Prov. No.: 00001247294012554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1013368877License: DN21966License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HENDERSON, Gilsa H.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000004455403601 Federal Hwy Fl 5 �Miami, FL 33137Language: EnglishGender: FemaleNPI: 1336332782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 576-0008Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HENDERSON, Gilsa H.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000024508926401 SW 152nd AveMiami, FL 33193Language: EnglishGender: FemaleNPI: 1336332782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HENDERSON, Gilsa H.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000245089515625 SW 80th StMiami, FL 33193Language: EnglishGender: FemaleNPI: 1336332782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HENDERSON, Gilsa H.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000245089711901 SW 2nd StMiami, FL 33184Language: EnglishGender: FemaleNPI: 1336332782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 994-1520Accepts New Patients: YHospital Affiliation: N/A*

376 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HENDERSON, Gilsa H.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000024508994861 SW 140th AveMiami, FL 33175Language: EnglishGender: FemaleNPI: 1336332782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERDOCIA, Filiberto J.Filiberto Herdocia(305) 220-1866Prov. No.: 0000000897249100 SW 24th St Ste 4Miami, FL 33165Language: EnglishGender: Not ReportedNPI: 1750788030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERDOCIA, Filiberto J.Best Dental Creations(305) 270-8029Prov. No.: 0000018235468740 N Kendall Dr Ste 220 �Miami, FL 33176Language: EnglishGender: Not ReportedNPI: 1750788030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-8437Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERDOCIA, Filiberto J.Filiberto Herdocia(305) 456-7383Prov. No.: 00001221483013728 SW 84th StMiami, FL 33183Language: EnglishGender: Not ReportedNPI: 1750788030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 676-9028Accepts New Patients: YHospital Affiliation: N/A*

HERDOCIA, Filiberto J.Quality Professional Dentistry(305) 582-5735Prov. No.: 0000124693705040 NW 7th St Ste 650Miami, FL 33126Language: SpanishGender: Not ReportedNPI: 1750788030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEREDIA, AbelardoGateway Dental(305) 325-0050Prov. No.: 0000125177681399 NW 17th Ave Ste 301Miami, FL 33125Gender: MaleNPI: 1760809149License: DN21839License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HEREDIA, AbelardoGateway Dental Inc(305) 552-1553Prov. No.: 00001251781611880 SW 40th St Ste 215Miami, FL 33175Gender: MaleNPI: 1760809149License: DN21839License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEREDIA, AbelardoGateway Dental Inc(305) 856-2300Prov. No.: 0000125178192375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1760809149License: DN21839License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEREDIA, AbelardoGateway Dental Inc(305) 944-4373Prov. No.: 0000125184731400 NE Miami Gardens DrMiami, FL 33179Gender: MaleNPI: 1760809149License: DN21839License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122179676820 Bird RdMiami, FL 33155Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERNANDEZ, AntonioAdvanced Dental Solutions(305) 271-0902Prov. No.: 00000009336310033 SW 72nd St �Miami, FL 33173Language: EnglishGender: MaleNPI: 1295855849License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-3393Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Cristina M.Melisa Polhamuslopez(305) 466-1804Prov. No.: 0000120555892999 NE 191st St Ste 804Miami, FL 33180Gender: FemaleNPI: 1255731246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Cristina M.Dental Options Pa(305) 892-2960Prov. No.: 00001210515411645 Biscayne Blvd Ste 2 �Miami, FL 33181Gender: FemaleNPI: 1255731246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

377GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERNANDEZ, DaynetFermin R Lopez Dds Pa Corp(305) 649-6112Prov. No.: 0000024495561125 NW 22nd Ave �Miami, FL 33125Language: EnglishGender: FemaleNPI: 1336469121License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 649-1803Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, DaynetFlagler Dental Care(305) 324-5072Prov. No.: 0000121275741199 W Flagler St Ste 7 �Miami, FL 33130Language: EnglishGender: FemaleNPI: 1336469121License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, LiliamFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001242452213706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1538521778License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERNANDEZ, Maria A.Maria A Hernandez Dds(305) 223-5439Prov. No.: 0000000181172500 SW 107th Ave Ste 45Miami, FL 33165Language: EnglishGender: FemaleNPI: 1902846967License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Maria D.Dr Maria Hernandez-Dausa(305) 223-0072Prov. No.: 0000000665618512 Bird Rd �Miami, FL 33155Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 223-6798Accepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Norberto J.Norberto J Hernandez Dds(305) 642-7796Prov. No.: 0000000183911235 SW 27th AveMiami, FL 33135Language: EnglishGender: MaleNPI: 1285693267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERNANDEZ ACOSTA, Cristina M.Alexandra Gordon Dds(305) 466-1804Prov. No.: 0000124861012999 NE 191st StMiami, FL 33180Gender: FemaleNPI: 1255731246License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ BONNET, Christina S.Kendall Dental Group(305) 385-1442Prov. No.: 00001213039513632 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1720329766License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ RIVERA, Ricardo N.Ricardo Hernandez Rivera(954) 399-7839Prov. No.: 00001255107621000 NE 28th Ave Ste 100Miami, FL 33180Language: SpanishGender: MaleNPI: 1730516931License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ-ABREU, LuisLuis Hernandez-Abreu Dds(305) 598-9665Prov. No.: 00000001833610271 SW 72nd St Ste D106Miami, FL 33173Gender: Not ReportedNPI: 1902296452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-9622Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERNANDEZ-GARAY, Maria A.Maria A Hernandez-GarayDds(305) 643-3800Prov. No.: 0000000396941250 SW 27th Ave Ste 203Miami, FL 33135Gender: Not ReportedNPI: 1912079948License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3914Accepts New Patients: YHospital Affiliation: N/A*

HERRERA, VictoriaGateway Dental Inc(305) 856-2300Prov. No.: 0000007060522375 SW 27th Ave �Miami, FL 33145Gender: FemaleNPI: 1114185550License: DN18302License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

HERRERA, VictoriaGateway Dental(305) 325-0050Prov. No.: 0000040299721399 NW 17th Ave Ste 301Miami, FL 33125Gender: FemaleNPI: 1114185550License: DN18302License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

HERRERA, VictoriaGateway Dental Inc(305) 552-1553Prov. No.: 00001245109111880 SW 40th St Ste 215Miami, FL 33175Gender: FemaleNPI: 1114185550License: DN18302License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

378 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HERRERA, VictoriaGateway Dental Inc(305) 944-4373Prov. No.: 0000125181391400 NE Miami Gardens DrMiami, FL 33179Gender: FemaleNPI: 1114185550License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HIDALGO-GONZALEZ, Allison M.Allison Hidalgo-GonzalezDmd Pc(305) 270-0171Prov. No.: 0000002922558585 Sunset Dr Ste 101 �Miami, FL 33143Gender: FemaleNPI: 1497814503License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HOFFMAN, Tara L.Dental Health Group IvesDairy(305) 652-3412Prov. No.: 0000017713751001 Ives Dairy Rd Ste 10Miami, FL 33179Gender: FemaleNPI: 1487882379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 652-3459Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HORST, NadjaNadja Horst(305) 372-1020Prov. No.: 000012313319168 SE 1st St Unit 1BMiami, FL 33131Gender: Not ReportedNPI: 1881734259License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HORST, Nadja A.Ultra Smile(305) 372-1020Prov. No.: 000003275381168 SE 1st St Unit 1BMiami, FL 33131Gender: FemaleNPI: 1811314131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

HORWITZ, StevenSage Dental of West Miami(786) 476-8711Prov. No.: 0000121790476820 Bird RdMiami, FL 33155Gender: MaleNPI: 1972867463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HOSSAIN, Marta C.Florida Dental Clinic(305) 559-1272Prov. No.: 0000004603418260 W Flagler St Ste 1FMiami, FL 33144Gender: FemaleNPI: 1699912865License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)HOSSAIN, Marta C.Marta C Hossain Dds(305) 559-1272Prov. No.: 0000010615098250 W Flagler St Ste 112Miami, FL 33144Gender: FemaleNPI: 1699912865License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HOSSAIN, Marta C.Flagler Dental Care(305) 324-5072Prov. No.: 0000013186621199 W Flagler St Ste 7 �Miami, FL 33130Gender: FemaleNPI: 1699912865License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

HUI, Tin Wai W.Tin Wai Hui Dmd Pa(305) 670-1486Prov. No.: 00000001812112651 S Dixie Hwy Ste 400 �Miami, FL 33156Gender: MaleNPI: 1952408619License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-1485Accepts New Patients: YHospital Affiliation: N/A*

HURTADO, Cesar F.Cesar Hurtado(305) 444-1555Prov. No.: 0000000243719463 W Flagler St �Miami, FL 33174Gender: MaleNPI: 1972874519License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 226-7669Accepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)IGLESIAS, Katty C.Lina M Miranda Dds(305) 275-0500Prov. No.: 0000015360739210 SW 72nd St Ste 103Miami, FL 33173Language: EnglishGender: FemaleNPI: 1063717734License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 275-0503Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000125102046820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental(786) 621-5800Prov. No.: 00001253059512554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631356820 Bird RdMiami, FL 33155Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

379GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ISRAEL, ElieSage Dental(786) 621-5800Prov. No.: 00001247294412554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122510696820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: NHospital Affiliation: N/A*

ITURRALDE, Ignacio J.Sage Dental(786) 621-5800Prov. No.: 00001247299112554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)IVANIER, Sandra P.Family Dentistry(305) 223-2828Prov. No.: 00000002511813323 SW 42nd St �Miami, FL 33175Language: EnglishGender: Not ReportedNPI: 1699955583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IVANIER, Sandra P.Lester O Gil Dds(305) 270-0744Prov. No.: 00000010624711790 SW 89th StMiami, FL 33186Language: EnglishGender: Not ReportedNPI: 1699955583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2414Accepts New Patients: YHospital Affiliation: N/A*

IVANIER, Sandra P.A New Smile Dental Center(305) 383-9944Prov. No.: 00000033882414050 SW 84th St Ste 103 �Miami, FL 33183Language: EnglishGender: Not ReportedNPI: 1699955583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 383-9004Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)IVANIER, Sandra P.I Edwardo Terrero Dds Pa(305) 234-9737Prov. No.: 00000035232413757 SW 152nd StMiami, FL 33177Language: EnglishGender: Not ReportedNPI: 1699955583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 234-0797Accepts New Patients: YHospital Affiliation: N/A*

IVANIER, Sandra P.Pediatric Dental Center ofMiami(305) 448-3228Prov. No.: 0000122425592645 SW 37th Ave Ste 703Miami, FL 33133Language: EnglishGender: Not ReportedNPI: 1699955583License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 447-8828Accepts New Patients: YHospital Affiliation: N/A*

IZQUIERDO, IvanGalenos Dental Llc(305) 261-8080Prov. No.: 0000004495397175 SW 8th St Ste 205Miami, FL 33144Gender: Not ReportedNPI: 1548408537License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)IZQUIERDO, YaneisyIzquierdo Yaneisy(305) 559-3870Prov. No.: 000012210795927 SW 122nd AveMiami, FL 33184Gender: FemaleNPI: 1548540099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JACINTO, SantiagoSantiago J Jacinto Dds Llc(305) 643-4770Prov. No.: 000000018217330 SW 27th Ave Ste 704Miami, FL 33135Language: EnglishGender: Not ReportedNPI: 1497807374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-4770Accepts New Patients: YHospital Affiliation: N/A*

JACOBS, Michael I.Dental Options Pa(305) 466-1804Prov. No.: 0000008568812999 NE 191st St Ste 804 �Miami, FL 33180Gender: MaleNPI: 1750398046License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

380 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)JARQUIN-VALDIVIA, Alvaro J.Jarquin & Associates Pa(305) 221-1230Prov. No.: 0000000362298410 W Flagler St Ste 110 �Miami, FL 33144Language: EnglishGender: MaleNPI: 1437352176License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 221-1540Accepts New Patients: YHospital Affiliation: N/A*

JASKIEL, AbrahamAbraham Jaskiel Dds(305) 653-2231Prov. No.: 0000003318671865 Brickell Ave Ste A20Miami, FL 33129Gender: Not ReportedNPI: 1659496057License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 328-9342Accepts New Patients: YHospital Affiliation: N/A*

JEROME, RodlinRodlin Jerome Dds Pa(305) 704-8977Prov. No.: 00000610554520823 NW 2nd Ave �Miami, FL 33169Language: English, SpanishGender: MaleNPI: 1124398813License: DN19632License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 704-8984Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)JIMENEZ, A HelenaA Helena Jimenez Dds Pa(305) 221-1702Prov. No.: 00000124190913792 SW 8th St �Miami, FL 33184Language: EnglishGender: FemaleNPI: 1558488320License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JIMENEZ-TURNES, HildaHilda Jiumenez-Turner(305) 665-1176Prov. No.: 0000000260905771 Bird Rd �Miami, FL 33155Gender: Not ReportedNPI: 1033302864License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JOCKOVICH, MilanMaria O Gonzalez-ZamoraDmd Pa(305) 596-6069Prov. No.: 00000004554910651 N Kendall Dr Ste 21 �Miami, FL 33176Language: EnglishGender: MaleNPI: 1710065743License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)JUMA, ZaileenSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631366820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

JUNQUERA, Patricia C.Patricia C Junquera Dds(305) 551-8200Prov. No.: 0000000974677480 Bird Rd Ste 500Miami, FL 33155Gender: Not ReportedNPI: 1124238712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

JUSINO PEREZ, CarmenMendez Dental Clinic(305) 227-7997Prov. No.: 0000122685989100 SW 24th St Ste 9 �Miami, FL 33165Gender: Not ReportedNPI: 1639387814License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 675-3237Accepts New Patients: YHospital Affiliation: N/A*

KANE, Frederick E.Crossroads Dental Center(305) 270-2020Prov. No.: 00000009767311634 N Kendall DrMiami, FL 33176Gender: MaleNPI: 1003006750License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2097Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KANE, JeffreyCrossroads Dental Center(305) 270-2020Prov. No.: 00000019455111634 N Kendall DrMiami, FL 33176Gender: MaleNPI: 1285834598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2097Accepts New Patients: YHospital Affiliation: N/A*

KASWAN, SimonSimon Kaswan Dds(305) 651-7760Prov. No.: 0000002748051021 Ives Dairy Rd Bldg 3Miami, FL 33179Gender: Not ReportedNPI: 1942240221License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 690-9963Accepts New Patients: YHospital Affiliation: N/A*

KAUR, HarjotHarjot Kaur(305) 227-7997Prov. No.: 0000121115519100 SW 24th StMiami, FL 33165Gender: Not ReportedNPI: 1538478623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Great Expressions DentalCenters(305) 227-0600Prov. No.: 00001214169711865 SW 26th St Ste C39Miami, FL 33175Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6928Accepts New Patients: YHospital Affiliation: N/A*

381GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KELLOGG, David A.Great Expressions DentalCenters(305) 385-4215Prov. No.: 00001214177813876 SW 88th StMiami, FL 33186Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 386-9847Accepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Great Expressions DentalCenters(305) 670-4476Prov. No.: 0000121418347300 N Kendall Dr Ste 110Miami, FL 33156Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Dental Health Group IvesDairy(305) 652-3412Prov. No.: 0000121423341001 Ives Dairy Rd Ste 10Miami, FL 33179Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 652-3459Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KELLOGG, David A.Dental Health Group Pa(305) 595-6411Prov. No.: 0000121423859595 N Kendall Dr Ste 201Miami, FL 33176Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranQuality Professional Dentistry(305) 582-5735Prov. No.: 0000124709635040 NW 7th St Ste 650Miami, FL 33126Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KLEIN, ElaineElaine Klein(305) 670-0641Prov. No.: 0000000190518950 SW 74th Ct Ste 1911Miami, FL 33156Language: EnglishGender: FemaleNPI: 1629098652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

KLEINER, RenataRenata Kleiner Dds(305) 598-3704Prov. No.: 0000000838769654 SW 72nd StMiami, FL 33173Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KLEINER-ARIAS, ShirleyMark Weiss Dds(305) 940-3135Prov. No.: 0000016568621660 NE Miami Gardens DrMiami, FL 33179Gender: FemaleNPI: 1316181803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KLUGERMAN, Bethanne T.Bethanne T Klugerman DmdPa(305) 274-6500Prov. No.: 0000000263118501 SW 124th Ave Ste 104 �Miami, FL 33183Language: EnglishGender: FemaleNPI: 1881612570License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-0920Accepts New Patients: YHospital Affiliation: N/A*

KO, Andrew S.Oral Klinic(305) 270-8883Prov. No.: 0000001561718000 SW 117th Ave Ste 202 �Miami, FL 33183Gender: MaleNPI: 1053522938License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KOCH, DanieleVeritas Dental(305) 480-2789Prov. No.: 0000121650702740 SW 97th Ave Apt 110AMiami, FL 33165Gender: FemaleNPI: 1760628515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

KOCH, DanieleVeritas Dental(305) 382-6794Prov. No.: 00001216590913728 SW 84th StMiami, FL 33183Gender: FemaleNPI: 1760628515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

KOCH, DanieleVeritas Dental(305) 545-0411Prov. No.: 0000121924191334 SW 1st StMiami, FL 33135Gender: FemaleNPI: 1760628515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122382736820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

382 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KOSSAK, Elizabeth A.Sage Dental(786) 621-5800Prov. No.: 00001247299312554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1851739262License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KRAKAUER, ThomasThomas Krakauer(305) 688-7989Prov. No.: 00000018957814050 NW 7th AveMiami, FL 33168Gender: Not ReportedNPI: 1093841009License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KRIKORIAN, Charles R.Dental Specialists of CoralGables Group(305) 305-9601Prov. No.: 0000083604092645 SW 37th Ave Ste 303 �Miami, FL 33133Gender: MaleNPI: 1720272081License: DN15836License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 543-6885Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)KRIKORIAN, Charles R.Dental Specialists of DoralGroup Co(305) 220-8911Prov. No.: 00001213827710666 Fontainebleau BlvdMiami, FL 33172Gender: MaleNPI: 1720272081License: DN15836License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 220-9966Accepts New Patients: YHospital Affiliation: N/A*

KUSNICK, Steven J.Dental Options Pa(305) 892-2960Prov. No.: 00000114442111645 Biscayne Blvd Ste 2 �Miami, FL 33181Gender: MaleNPI: 1811056823License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

KUSNICK, Steven J.Dental Options Pa(305) 466-1804Prov. No.: 0000011444352999 NE 191st St Ste 804 �Miami, FL 33180Gender: MaleNPI: 1811056823License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LAGE, Richard C.Richard C Lage Dds(305) 226-3231Prov. No.: 0000000200061321 SW 107th Ave Ste 216Miami, FL 33174Gender: Not ReportedNPI: 1629181417License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 226-2933Accepts New Patients: YHospital Affiliation: N/A*

LAMB, NicoleSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631376820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LANDA, Rene L.Kendall Pediatric Dentistry(305) 251-5390Prov. No.: 00000390993113757 SW 152nd St �Miami, FL 33177Language: English, SpanishGender: MaleNPI: 1215166368License: DN18735License Type: DBP DentistBoard Certified: NoEmail: [email protected]: (305) 251-5389Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LANSTER, Robert M.Robert M Lanster Dds(305) 261-7661Prov. No.: 0000000201307399 Coral Way �Miami, FL 33155Gender: MaleNPI: 1730283243License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LANSTER, Steven M.Steven Lanster Dmd(305) 261-7661Prov. No.: 0000000201297399 Coral WayMiami, FL 33155Gender: MaleNPI: 1407851272License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LANTIGUA, Carlos A.Landent Dmd Pa(305) 386-7337Prov. No.: 00000348355411254 SW 137th AveMiami, FL 33186Language: English, SpanishGender: MaleNPI: 1083970164License: DN 19355License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 386-4002Accepts New Patients: YHospital Affiliation: N/A*

LAU, VicenteWest Kendall Medical Center(786) 231-0800Prov. No.: 00001249725313540 SW 135th AveMiami, FL 33186Gender: MaleNPI: 1932653334License: DN22283License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

383GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LEA PLAZA, RodolfoAll Access Dental(305) 382-6706Prov. No.: 00001212641415516 SW 88th StMiami, FL 33196Language: English, SpanishGender: MaleNPI: 1932407103License: DN19240License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEA PLAZA, RodolfoVeritas Dental(305) 480-2789Prov. No.: 0000121650692740 SW 97th Ave Apt 110AMiami, FL 33165Language: English, SpanishGender: MaleNPI: 1932407103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

LEA PLAZA, RodolfoVeritas Dental(305) 382-6794Prov. No.: 00001216590813728 SW 84th StMiami, FL 33183Language: English, SpanishGender: MaleNPI: 1932407103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LEA PLAZA, RodolfoVeritas Dental(305) 545-0411Prov. No.: 0000121924231334 SW 1st StMiami, FL 33135Language: English, SpanishGender: MaleNPI: 1932407103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

LEBRON, Vanessa E.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 0000125067845361 NW 22nd AveMiami, FL 33142Gender: FemaleNPI: 1619336369License: DN21713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEBRON, Vanessa E.Jessie Trice Community Health(305) 637-6400Prov. No.: 00001250681718360 NW 7th AveMiami, FL 33169Gender: FemaleNPI: 1619336369License: DN21713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LEBRON, Vanessa E.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000125068185607 NW 27th AveMiami, FL 33142Gender: FemaleNPI: 1619336369License: DN21713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124449516820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEMINH, Chau J.Sage Dental(786) 621-5800Prov. No.: 00001247298212554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1063863322License: DN21989License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMUS, AnalidysDental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125315404500 NW 7th St �Miami, FL 33126Gender: FemaleNPI: 1710431234License: DN22160License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LEMUS, AnalidysEast Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125326848300 W Flagler St Ste 200Miami, FL 33144Gender: FemaleNPI: 1710431234License: DN22160License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEMUS, AnalidysEast Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125328566741 Coral Way Ste 14Miami, FL 33155Gender: FemaleNPI: 1710431234License: DN22160License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEON, Karl T.Karl Leon Dds(305) 324-5500Prov. No.: 000000019273127 NW 12th Ave �Miami, FL 33128Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of West Miami(786) 476-8711Prov. No.: 0000121768236820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

384 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LEPORE, KrystinaSage Dental(786) 621-5800Prov. No.: 00001247298712554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEVIN, ShellyMain Street Orthodontics ofAventura(305) 933-4355Prov. No.: 00001244436019084 NE 29th AveMiami, FL 33180Gender: FemaleNPI: 102331715License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 933-4352Accepts New Patients: YHospital Affiliation: N/A*

LEVINE, HowardHoward Levine Dds Pa(305) 325-1771Prov. No.: 000000018193127 NW 12th Ave �Miami, FL 33128Language: EnglishGender: MaleNPI: 1134259518License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-1775Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LEWIS, BradBrad Lewis Dmd Pa(305) 949-1260Prov. No.: 0000000189471400 NE Miami Gardens Dr �Miami, FL 33179Language: EnglishGender: Not ReportedNPI: 1376567685License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEWIS, BradRaul Rodriguez Dds(305) 693-8888Prov. No.: 0000124996127900 NW 27th Ave Ste 205Miami, FL 33147Language: Hebrew, SpanishGender: Not ReportedNPI: 1376567685License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LEWIS, Georgeana M.Mark Weiss Dds(305) 940-3135Prov. No.: 0000001659151660 NE Miami Gardens DrMiami, FL 33179Gender: FemaleNPI: 1669665956License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LIEDLER, Robert F.Robert F Liebler Dmd(305) 274-3730Prov. No.: A000000163528100 SW 81st Dr Ste 1Miami, FL 33143Gender: Not ReportedNPI: 1174645030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-1937Accepts New Patients: YHospital Affiliation: N/A*

LLANES, Barbara I.Dental Specialists of DoralGroup Co(305) 220-8911Prov. No.: 00001226677510666 Fontainebleau BlvdMiami, FL 33172Gender: FemaleNPI: 1154619153License: DN19454License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-9966Accepts New Patients: YHospital Affiliation: N/A*

LOBAINA, Karina M.Delacalle Dental Center(305) 321-5927Prov. No.: 00001224911810775 SW 56th StMiami, FL 33165Language: English, SpanishGender: FemaleNPI: 1063895076License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (786) 360-4217Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LOBAINA, Yoan E.Yoan Lobaina Dmd(305) 480-9838Prov. No.: 0000012436588822 SW 24th St �Miami, FL 33165Gender: MaleNPI: 1245468131License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 261-4448Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631396820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental(786) 621-5800Prov. No.: 00001247298812554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1952319808License: DN 16016License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LONDONO, Laura E.Gateway Dental Inc(305) 856-2300Prov. No.: 0000121058112375 SW 27th Ave �Miami, FL 33145Language: English, SpanishGender: FemaleNPI: 1679982839License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

385GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LONDONO, Laura E.Gateway Dental(305) 325-0050Prov. No.: 0000121296351399 NW 17th Ave Ste 301Miami, FL 33125Language: English, SpanishGender: FemaleNPI: 1679982839License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, EdgarTamiami Dental Center(305) 553-9655Prov. No.: 00001213021813232 SW 8th St �Miami, FL 33184Language: EnglishGender: MaleNPI: 1598712432License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 553-7688Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Fermin R.Fermin R Lopez Dds Pa Corp(305) 649-6112Prov. No.: 0000006959171125 NW 22nd Ave �Miami, FL 33125Gender: MaleNPI: 1154657435License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 649-1803Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LOPEZ, Fermin R.Flagler Dental Care(305) 324-5072Prov. No.: 0000006959251199 W Flagler St Ste 7 �Miami, FL 33130Gender: MaleNPI: 1154657435License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Manuel G.Manuel G Lopez Dds(305) 667-5061Prov. No.: 0000000181184040 S Red Rd # AMiami, FL 33155Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Manuel G.Bl Dental Associates Llc(305) 631-0660Prov. No.: 0000015474162600 W Flagler St �Miami, FL 33135Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LOPEZ, Manuel G.Bl Dental Associates Llc(305) 551-3200Prov. No.: 0000121277018608 Bird Rd �Miami, FL 33155Language: EnglishGender: MaleNPI: 1053328211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Maria E.Judith Lubin(305) 387-5700Prov. No.: 0000125401479280 Hammocks Blvd Ste 10Miami, FL 33196Gender: FemaleNPI: 1205852993License: 21166License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, MaribelMaribel Lopez Dds(305) 271-5321Prov. No.: 0000012788968500 SW 92nd St Ste 203Miami, FL 33156Gender: FemaleNPI: 1598966921License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOPEZ, MaribelDental American Group(305) 596-7155Prov. No.: 00000261793010728 SW 72nd StMiami, FL 33173Gender: FemaleNPI: 1598966921License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LOPEZ, ReinierBest Dental Creations(305) 270-8029Prov. No.: 0000085137468740 N Kendall Dr Ste 220 �Miami, FL 33176Language: English, SpanishGender: MaleNPI: 1942632617License: DN20324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-8437Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ DEL POZO, Jose A.Jose A Lopez Del Pozo Dds(305) 559-5519Prov. No.: 00000001992314850 SW 26th St Ste 107Miami, FL 33185Language: EnglishGender: MaleNPI: 1699850339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 559-8757Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ PEREZ, VictorVictor Lopez(305) 696-6660Prov. No.: 0000125372073015 NW 79th St Ste 105Miami, FL 33147Language: SpanishGender: MaleNPI: 1609271550License: DN20992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

386 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LOVETERE, Thomas L.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124399236820 Bird RdMiami, FL 33155Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental(786) 621-5800Prov. No.: 00001247298912554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1710072517License: DN21677License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LUBEL, Gary A.Gary A Lubel Dds Pa(305) 274-8253Prov. No.: 0000001280789595 N Kendall Dr Ste 203Miami, FL 33176Gender: MaleNPI: 1235228941License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-0698Accepts New Patients: YHospital Affiliation: N/A*

LUBIN, JudithErnesto J Perez Dmd(305) 220-9393Prov. No.: 0000121759533201 SW 107th Ave �Miami, FL 33165Gender: FemaleNPI: 1982830717License: DN18676License Type: DBP DentistBoard Certified: NoEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)LUBIN, Victor D.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000120026838940 N Kendall Dr Ste 100Miami, FL 33176Gender: MaleNPI: 1629417381License: DN20118License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

LUJAN JR, AldoAldo Lujan Jr Dds(305) 480-8353Prov. No.: 0000000435808500 W Flagler St Ste B20Miami, FL 33144Language: EnglishGender: MaleNPI: 1730222464License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-8384Accepts New Patients: YHospital Affiliation: N/A*

MA, RobertSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631406820 Bird RdMiami, FL 33155Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MA, RobertSage Dental(786) 621-5800Prov. No.: 00001247299412554 SW 88th StMiami, FL 33186Language: UrduGender: MaleNPI: 1154391712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MACAGNO, JessicaMiami Dental Centers - SmallGroup(305) 728-2000Prov. No.: 00001247685812800 SW 8th StMiami, FL 33184Gender: FemaleNPI: 1356680342License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MACAGNO, JessicaUnique Dental Team(305) 728-2000Prov. No.: 00001248041110511 N Kendall Dr Ste C1Miami, FL 33176Gender: FemaleNPI: 1356680342License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MACAGNO, JessicaMiami Dental Centers - SmallGroup(305) 728-2000Prov. No.: 000012480485279 NW 82nd AveMiami, FL 33126Gender: FemaleNPI: 1356680342License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MACO, CarmenDental Specialists of DoralGroup Co(305) 220-8911Prov. No.: 00001226198410666 Fontainebleau BlvdMiami, FL 33172Language: English, Hebrew,SpanishGender: FemaleNPI: 1851668065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 220-9966Accepts New Patients: YHospital Affiliation: N/A*

MACO, CarmenCarmen Maco(305) 305-9601Prov. No.: 0000122639562645 SW 37th Ave Ste 303Miami, FL 33133Language: English, Hebrew,SpanishGender: FemaleNPI: 1851668065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

387GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MAGALHAES, Maria O.Sage Dental(786) 621-5800Prov. No.: 00001247299512554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1033662267License: DN21861License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of West Miami(786) 476-8711Prov. No.: 0000122095566820 Bird RdMiami, FL 33155Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MANIGLIA, Marielba D.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001212949413706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1063793644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MANIGLIA, Marielba D.Dental American Group(305) 385-1442Prov. No.: 00001225627413632 SW 88th St �Miami, FL 33186Gender: FemaleNPI: 1063793644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-1446Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MANZUR, LamyaTowncare Dental of WestKendall(305) 388-7900Prov. No.: 00001206326115724 SW 72nd StMiami, FL 33193Language: EnglishGender: Not ReportedNPI: 1699826305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-7939Accepts New Patients: NHospital Affiliation: N/A*

MANZUR, LamyaDental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000120933248940 N Kendall Dr Ste 100Miami, FL 33176Language: EnglishGender: Not ReportedNPI: 1699826305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

MARENCO, Marcelino J.Tin Wai Hui Dmd Pa(305) 670-1486Prov. No.: 00000001812212651 S Dixie Hwy Ste 400 �Miami, FL 33156Language: EnglishGender: Not ReportedNPI: 1083772198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-1485Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARENCO, Marcelino J.Ricardo Perales Dmd Pa(305) 387-4274Prov. No.: 0000000210535600 SW 135th Ave Ste 209Miami, FL 33183Language: EnglishGender: Not ReportedNPI: 1083772198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-4295Accepts New Patients: YHospital Affiliation: N/A*

MARQUEZ-IGLESIAS, FelicitaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001205783713706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1740619402License: DN 20430License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARRO, BlancaDental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125319644500 NW 7th St �Miami, FL 33126Gender: Not ReportedNPI: 1043620099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARRO, BlancaEast Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125325576741 Coral Way Ste 14Miami, FL 33155Gender: Not ReportedNPI: 1043620099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARRO, BlancaEast Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125368258300 W Flagler St Ste 200Miami, FL 33144Gender: Not ReportedNPI: 1043620099License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARS, Rick A.Glicksman & Mars Dental Lc(305) 935-2797Prov. No.: 0000000194082797 NE 207th St Ste 100 �Miami, FL 33180Language: EnglishGender: MaleNPI: 1316002637License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-4834Accepts New Patients: YHospital Affiliation: N/A*

388 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARTIN, Alfredo D.Alfredo D Martin Dmd(305) 264-0747Prov. No.: 0000026183836741 Coral Way Ste 14Miami, FL 33155Gender: MaleNPI: 1588680292License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN, CiroCiro A Martin Dds Pa(305) 551-6714Prov. No.: 0000122657388463 Bird Rd �Miami, FL 33155Gender: Not ReportedNPI: 1467582478License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTIN, Ciro A.Ciro A Martin Dds Pa(305) 551-6714Prov. No.: 0000000192908463 Bird Rd �Miami, FL 33155Language: EnglishGender: MaleNPI: 1093855256License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ClaudiaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001256015713706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1294175794License: DN21886License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARTINEZ, ErnestoDental Options Pa(305) 466-1804Prov. No.: 0000015932452999 NE 191st St Ste 804 �Miami, FL 33180Language: English, SpanishGender: MaleNPI: 1740341106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ErnestoErnesto Martinez(305) 541-4677Prov. No.: 0000121174752742 SW 8th St Ste 220Miami, FL 33135Language: English, SpanishGender: MaleNPI: 1740341106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Jeidy D.Diley Perez Dmd Pa(305) 846-9082Prov. No.: 0000007136932915 NW 7th St �Miami, FL 33125Gender: FemaleNPI: 1194935783License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 846-9092Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARTINEZ, Jose M.Jose M Martinez Dds(305) 267-3751Prov. No.: 0000000196985771 NW 7th StMiami, FL 33126Language: EnglishGender: MaleNPI: 1467511006License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Miguel A.Yoan Lobaina Dmd(305) 480-9838Prov. No.: 0000120397378822 SW 24th St �Miami, FL 33165Gender: MaleNPI: 1043408271License: DN18073License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 261-4448Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Miguel A.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001244166113706 SW 56th St Ste 201 �Miami, FL 33175Gender: MaleNPI: 1043408271License: DN18073License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Milton F.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001203259613706 SW 56th St Ste 201 �Miami, FL 33175Gender: MaleNPI: 1346326972License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARTINEZ, SusanaSusana Martinez Dds Pa(305) 559-2663Prov. No.: 00000001908613419 SW 56th St �Miami, FL 33175Language: EnglishGender: FemaleNPI: 1215015144License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, Tamara T.Best Dental Creations(305) 270-8029Prov. No.: 0000017710018740 N Kendall Dr Ste 220 �Miami, FL 33176Gender: FemaleNPI: 1881727717License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-8437Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ZunithFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001224234613706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1487035085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ-AMORES, Jennifer M.Dennis Amores(305) 238-1391Prov. No.: 00000027443213617 S Dixie Hwy Ste 126Miami, FL 33176Gender: FemaleNPI: 1306935515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 238-1635Accepts New Patients: YHospital Affiliation: N/A*

389GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MARTOS, GriselGrisel Martos Dmd(305) 448-3896Prov. No.: 000000157901782 NW 42nd Ave Ste 633Miami, FL 33126Language: EnglishGender: FemaleNPI: 1578975264License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 442-2225Accepts New Patients: YHospital Affiliation: N/A*

MARTY, RolandoAntonio Otero Dds Pa(305) 442-8866Prov. No.: 000012059886782 NW 42nd Ave �Miami, FL 33126Gender: MaleNPI: 1285995894License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 448-6407Accepts New Patients: YHospital Affiliation: N/A*

MATA, Valentina D.Dental Options Pa(305) 466-1804Prov. No.: 0000120849622999 NE 191st St Ste 804 �Miami, FL 33180Language: English, SpanishGender: FemaleNPI: 1699174623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MATA, Valentina D.Dental Options Pa(305) 892-2960Prov. No.: 00001208499511645 Biscayne Blvd Ste 2 �Miami, FL 33181Language: English, SpanishGender: FemaleNPI: 1699174623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

MCCAIN, Joseph P.Joseph Mccain(Not) Re-portedProv. No.: 0000120457038900 N Kendall DrMiami, FL 33176Language: EnglishGender: MaleNPI: 1649211384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCCANN, Katie L.Fontainebleau Dentistry(786) 418-3074Prov. No.: 0000122257509971 W Flagler St Ste 220Miami, FL 33174Gender: FemaleNPI: 1447571245License: DN014713License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 619-3746Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MCCLURE, Shawn A.Shawn Mcclure(954) 328-3631Prov. No.: 0000120250188940 N Kendall Dr Ste 604Miami, FL 33176Gender: MaleNPI: 1649313925License: Not ReportedLicense Type: Not ReportedBoard Certified: NoEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental(786) 621-5800Prov. No.: 00001247340412554 SW 88th St �Miami, FL 33186Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental of West Miami(786) 476-8711Prov. No.: 0000124734056820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MEJIA, Adriana M.I E Terrero Dds Pa(305) 446-7414Prov. No.: 000000379384136 Miracle MileMiami, FL 33134Gender: FemaleNPI: 1740376391License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 446-7416Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MEJIDO, JudyJudy Mejido Dmd Pa(305) 274-2110Prov. No.: 0000000197629560 SW 107th Ave Ste 206 �Miami, FL 33176Language: EnglishGender: Not ReportedNPI: 1346396330License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-2105Accepts New Patients: YHospital Affiliation: N/A*

MEJIDO, JudyDr Zeida E Cuesta(305) 221-0102Prov. No.: 00000002239911880 SW 40th St Ste 302Miami, FL 33175Language: EnglishGender: Not ReportedNPI: 1346396330License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MENDEZ, AntonioMendez & Ruiz Dmd Pa(305) 442-8787Prov. No.: 000000348879782 NW 42nd Ave �Miami, FL 33126Language: EnglishGender: MaleNPI: 1659570430License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 442-1887Accepts New Patients: YHospital Affiliation: N/A*

390 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MENDEZ, AntonioJuan E Perez-Solar Dds(305) 442-8787Prov. No.: 000003917815782 NW 42nd Ave Ste 536Miami, FL 33126Language: EnglishGender: MaleNPI: 1659570430License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MENDEZ, AntonioMendez Dental Clinic(305) 227-7997Prov. No.: 0000121754099100 SW 24th St Ste 9 �Miami, FL 33165Language: EnglishGender: MaleNPI: 1659570430License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 675-3237Accepts New Patients: YHospital Affiliation: N/A*

MENDOZA, IreniaNew Smiles Dental Associates(786) 717-7779Prov. No.: 00001218968814138 SW 8th St # 1Miami, FL 33184Gender: FemaleNPI: 1124256920License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 534-8863Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MENDOZA, IreniaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001219182413706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1124256920License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MENDOZA, Milagros O.Milagros MendozaProv. No.: 00001254210012531 S Dixie Hwy �Miami, FL 33156Language: SpanishGender: FemaleNPI: 1982926341License: DN18917License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MENENDEZ, AlexanderSilamen Dental Group Inc(305) 756-3393Prov. No.: 0000012643194800 NW 7th AveMiami, FL 33127Language: EnglishGender: MaleNPI: 1467722546License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MENENDEZ LLERA, Vivian M.Dental American Group(305) 596-7155Prov. No.: 00000215947210728 SW 72nd StMiami, FL 33173Language: EnglishGender: FemaleNPI: 1013271048License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

MENENDEZ LLERA, Vivian M.Dental American Group(305) 225-3452Prov. No.: 00000222842110721 W Flagler St �Miami, FL 33174Language: EnglishGender: FemaleNPI: 1013271048License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

MERIKAS, AmandaAventura Pediatric DentistryLlc(305) 935-1613Prov. No.: 0000122079882797 NE 207th St Ste 201 �Miami, FL 33180Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 935-4258Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MERIKAS, AmandaGlicksman & Mars Dental Lc(305) 935-2797Prov. No.: 0000124248232797 NE 207th St Ste 100 �Miami, FL 33180Gender: FemaleNPI: 1669853305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-4834Accepts New Patients: YHospital Affiliation: N/A*

MESA, GeorginaGeorgina Mesa Dmd(305) 262-9299Prov. No.: 0000035887831890 S Red Rd Ste 1876Miami, FL 33155Gender: FemaleNPI: 1376620344License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MICHAEL, Margaret M.Adriana Bove Dds Pa(305) 373-4950Prov. No.: 000000706088175 SW 7th St Ste 1212 �Miami, FL 33130Gender: FemaleNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 373-4956Accepts New Patients: YHospital Affiliation: N/A*

MIERISCH, Sandra V.Sandra Mierisch(305) 251-4262Prov. No.: 00001255231811336 SW 184th StMiami, FL 33157Language: SpanishGender: Not ReportedNPI: 1548418411License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

391GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MIERISCH SR, OttoOtto Mierisch Dds(305) 541-8884Prov. No.: 000000019663477 NW 27th Ave �Miami, FL 33125Language: EnglishGender: MaleNPI: 1598887309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 541-8830Accepts New Patients: YHospital Affiliation: N/A*

MILLAN, DoraliosDoralios Millan Dds(305) 271-7500Prov. No.: 00000036490611130 SW 88th St Ste 202Miami, FL 33176Gender: Not ReportedNPI: 1548451115License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-7589Accepts New Patients: YHospital Affiliation: N/A*

MIRANDA, Pablo E.Gateway Dental Inc(305) 856-2300Prov. No.: 0000002946652375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1023036365License: 15212License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

MIRANDA, Pablo E.Gateway Dental(305) 325-0050Prov. No.: 0000047058001399 NW 17th Ave Ste 301Miami, FL 33125Gender: MaleNPI: 1023036365License: 15212License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MIRANDA, Pablo E.Gateway Dental Inc(305) 552-1553Prov. No.: 00001220385511880 SW 40th St Ste 215Miami, FL 33175Gender: MaleNPI: 1023036365License: 15212License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIRANDA, Pablo E.Gateway Dental Inc(305) 944-4373Prov. No.: 0000125177821400 NE Miami Gardens DrMiami, FL 33179Gender: MaleNPI: 1023036365License: DN15212License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIRO, Claudio L.Claudio L Miro Dds(305) 273-4334Prov. No.: 00001200871013550 SW 88th StSte 100Miami, FL 33186Gender: Not ReportedNPI: 1417024118License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MIRO, KiaraSimply Smiles(305) 235-9321Prov. No.: 0000019575248441 SW 132nd St �Miami, FL 33156Language: EnglishGender: FemaleNPI: 1427078625License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 235-9315Accepts New Patients: YHospital Affiliation: N/A*

MIRO, KiaraClaudio L Miro Dds(305) 273-4334Prov. No.: 00001212640613550 SW 88th St Ste 1Miami, FL 33186Language: EnglishGender: FemaleNPI: 1427078625License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MODESTO, Daniela O.Modern Dental Center Pa(305) 266-7000Prov. No.: 0000003517938221 W Flagler StMiami, FL 33144Language: English,Portuguese, SpanishGender: FemaleNPI: 1659426369License: 17097License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MOHR, Eric E.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121986946820 Bird RdMiami, FL 33155Gender: MaleNPI: 1275765547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Gustavo R.Dental American Group(305) 385-1442Prov. No.: 00000165565413632 SW 88th St �Miami, FL 33186Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-1446Accepts New Patients: YHospital Affiliation: N/A*

MOLINA, Gustavo R.Dental American Group(305) 225-3452Prov. No.: 00000165565610721 W Flagler St �Miami, FL 33174Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

392 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MOLINA, Gustavo R.Dental American Group(305) 596-7155Prov. No.: 00000165565710728 SW 72nd StMiami, FL 33173Language: EnglishGender: MaleNPI: 1679859847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

MOLINA ARIZA, YudisbelYudisbel Molina Ariza DmdPa(305) 226-0803Prov. No.: 0000125579638500 W Flagler St Ste 104Miami, FL 33144Gender: FemaleNPI: 1760865067License: DN21386License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631416820 Bird RdMiami, FL 33155Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MONGALO, VirgilVirgil Mongalo Dds(305) 266-3298Prov. No.: 0000000866557875 SW 104th St Ste 104Miami, FL 33156Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONTENEGRO, Mauricio S.Mauricio S Montenegro Dds(305) 386-4663Prov. No.: 0000001108629000 SW 137th Ave Bldg 1Miami, FL 33186Gender: MaleNPI: 1467656108License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MONTENEGRO, PatriciaJoseph R Grider Dds(305) 670-9996Prov. No.: 0000120947989035 SW 73rd PlMiami, FL 33156Language: English, SpanishGender: FemaleNPI: 1598010209License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-9997Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MONTERO, RicardoUniversal Dental Clinic Inc(305) 326-7159Prov. No.: 000012048206432 NW 12th AveMiami, FL 33128Language: English, SpanishGender: MaleNPI: 1164579066License: DN14128License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 324-5875Accepts New Patients: YHospital Affiliation: N/A*

MONTERREY, JudithCreative Toothworks(305) 386-4663Prov. No.: 0000120752489000 SW 137th Ave Ste 205Miami, FL 33186Language: English, SpanishGender: FemaleNPI: 1023372521License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 382-5978Accepts New Patients: YHospital Affiliation: N/A*

MORA, Eddy A.Eddy A Mora Dds(305) 267-1620Prov. No.: 0000001936737171 Coral Way Ste 217Miami, FL 33155Language: English, SpanishGender: MaleNPI: 1407999782License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 267-1102Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MORA, Eugenio A.Eugenio Mora Dds(305) 267-1620Prov. No.: 0000004615387171 Coral WayMiami, FL 33155Gender: MaleNPI: 1346396488License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MORA, YosjanyMora Family Dental(305) 267-1620Prov. No.: 0000002944787171 Coral Way Ste 217Miami, FL 33155Gender: MaleNPI: 1922179613License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 267-1102Accepts New Patients: YHospital Affiliation: N/A*

MORALES, Ronald J.Dental Plus Services(305) 969-2651Prov. No.: 00000026525411352 Quail Roost DrMiami, FL 33157Language: EnglishGender: Not ReportedNPI: 1215156260License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-6027Accepts New Patients: YHospital Affiliation: N/A*

393GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MOREJON, HectorFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000182444213706 SW 56th St Ste 201 �Miami, FL 33175Language: EnglishGender: MaleNPI: 1861706129License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MORELL, NayadeNayade Morell Dmd Pllc(305) 265-5811Prov. No.: 000000385930916 SW 67th AveMiami, FL 33144Gender: FemaleNPI: 1942396502License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 265-5813Accepts New Patients: YHospital Affiliation: N/A*

MUNOZ, Numa F.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122382746820 Bird RdMiami, FL 33155Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)MURO JR, ThomasDr Thomas Muro Jr(305) 380-7000Prov. No.: 00000001991513550 SW 120th St Ste 512 �Miami, FL 33186Language: EnglishGender: MaleNPI: 1649344847License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 227-5315Accepts New Patients: YHospital Affiliation: N/A*

MUTAWALLI, KhalidJoel Frand(844) 304-5437Prov. No.: 0000125575248200 SW 117th Ave Ste 104Miami, FL 33183Gender: MaleNPI: 1750754818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NADEL, Steven H.Miller Dental Group(605) 271-4851Prov. No.: 00000012211810775 SW 56th St �Miami, FL 33165Language: EnglishGender: Not ReportedNPI: 1144411505License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)NAGUIB, Michelle A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631426820 Bird RdMiami, FL 33155Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental(786) 621-5800Prov. No.: 00001247299712554 SW 88th StMiami, FL 33186Language: ArabicGender: FemaleNPI: 1215170980License: DN 18330License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAHON, SalomonA New Smile Dental Center(305) 383-9944Prov. No.: 00001215396314050 SW 84th St Ste 103Miami, FL 33183Language: English, French,Hebrew, Italian, SpanishGender: MaleNPI: 1467831370License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 383-9004Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)NAIERMAN, Eric H.Dental Specialists of CoralGables Group(305) 305-9601Prov. No.: 0000104002262645 SW 37th Ave Ste 303 �Miami, FL 33133Gender: MaleNPI: 1982981643License: 19906License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 543-6885Accepts New Patients: YHospital Affiliation: N/A*

NAIERMAN, Eric H.Dental Specialists of DoralGroup Co(305) 220-8911Prov. No.: 00001213830310666 Fontainebleau BlvdMiami, FL 33172Gender: MaleNPI: 1982981643License: 19906License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 220-9966Accepts New Patients: YHospital Affiliation: N/A*

NAVARRETE, Edgar E.Sanitas Dental of Coral Gables(786) 615-6459Prov. No.: 0000125587882645 SW 37th Ave Ste 303Miami, FL 33133Gender: MaleNPI: 1265680888License: DN17142License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

394 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)NAVARRO, Lennie F.Lennie Navarro(305) 264-3905Prov. No.: 0000039179277313 W Flagler StMiami, FL 33144Language: EnglishGender: MaleNPI: 1023210002License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NAVARRO, MarianelysDental American Group(305) 225-3452Prov. No.: 00001244465210721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1811348337License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

NELSON, John A.Midtown Dental(305) 598-6070Prov. No.: 0000068112583915 Biscayne Blvd Ste 30 �Miami, FL 33137Language: EnglishGender: MaleNPI: 1831335645License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)NEWTON, EmilySage Dental of West Miami(786) 476-8711Prov. No.: 0000121935486820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental(786) 621-5800Prov. No.: 00001247299812554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NGUYEN, Nancy V.Dental Center of CountryWalk(305) 233-3335Prov. No.: 00000681158815795 SW 152nd StMiami, FL 33187Language: Chinese, EnglishGender: FemaleNPI: 1174883482License: 19879License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)NGUYEN, Nancy V.Altima Dental Group of WestKendall Llc(305) 380-8773Prov. No.: 00001201734116371 SW 88th StMiami, FL 33196Language: Chinese, EnglishGender: FemaleNPI: 1174883482License: 19879License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-5855Accepts New Patients: YHospital Affiliation: N/A*

NGUYEN, Nancy V.Dental Center of CountryWalk(305) 233-3335Prov. No.: 00001249897015721 SW 152nd St �Miami, FL 33187Language: ChineseGender: FemaleNPI: 1174883482License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NULLMAN, Jeffrey H.Jeffrey H Nullman Dds Pa(305) 552-7050Prov. No.: 00000001886111467 SW 40th St �Miami, FL 33165Language: EnglishGender: MaleNPI: 1093808263License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)NULLMAN, Julie B.Dentistry of South Florida Pa(954) 482-0901Prov. No.: 00000114938111467 SW 40th StMiami, FL 33165Gender: FemaleNPI: 1437385929License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, ArmandoDental Advantage Pa(305) 642-0003Prov. No.: 0000007145473383 NW 7th St Ste 101 �Miami, FL 33125Language: EnglishGender: MaleNPI: 1386812063License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 642-0009Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631286820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental(786) 621-5800Prov. No.: 00001247301112554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

395GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ORTEGA, Laura O.Dental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125180854500 NW 7th St �Miami, FL 33126Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.East Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125181526741 Coral Way Ste 14Miami, FL 33155Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.East Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125315528300 W Flagler St Ste 200Miami, FL 33144Gender: FemaleNPI: 1558742528License: DEN03324License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTIZ, Ana M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631296820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ORTIZ, Ana M.Sage Dental(786) 621-5800Prov. No.: 00001247301212554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ORTIZ-PEREZ, MartaPediatric Dental AssociatesLtd(786) 230-1990Prov. No.: 00000195698713846 SW 56th StMiami, FL 33175Language: EnglishGender: FemaleNPI: 1194883835License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of West Miami(786) 476-8711Prov. No.: 0000122416346820 Bird RdMiami, FL 33155Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)OSSA GOMEZ, PaolaDental American Group(305) 596-7155Prov. No.: 00001230243510728 SW 72nd StMiami, FL 33173Language: English, SpanishGender: FemaleNPI: 1639513450License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

PALACIOS, Ana Y.All Dental Paradise Corp(305) 927-7400Prov. No.: 00001251808615 SW 107th AveMiami, FL 33174Language: SpanishGender: FemaleNPI: 1295925717License: DN21594License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PALACIOS, JoanOrthodontic Specialists ofSouth Florida(305) 274-3113Prov. No.: 0000124587728740 N Kendall Dr Ste 203Miami, FL 33176Gender: MaleNPI: 1548420854License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-3640Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PALACIOS, JoanAlan D Shoopak DmdOrthodontics Group Pa(305) 485-4000Prov. No.: 0000124587972740 SW 97th Ave Apt 103Miami, FL 33165Gender: MaleNPI: 1548420854License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 485-4455Accepts New Patients: YHospital Affiliation: N/A*

PALLEN, HarveyAmericca Dental Center(305) 625-5400Prov. No.: 0000000195511505 NW 167th St Ste 100 �Miami, FL 33169Gender: Not ReportedNPI: 1376568394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PANDEY, AnitaTowncare Dental of Pinecrest(305) 253-7227Prov. No.: 0000002021388353 SW 124th St Ste 202Miami, FL 33156Language: EnglishGender: FemaleNPI: 1841370558License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 253-7228Accepts New Patients: YHospital Affiliation: N/A*

396 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PAPIR, Jessica B.Dental Options Pa(305) 892-2960Prov. No.: 00000073238511645 Biscayne Blvd Ste 2 �Miami, FL 33181Gender: FemaleNPI: 1396760211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

PAPIR, Jessica B.Dental Options Pa(305) 466-1804Prov. No.: 0000013997022999 NE 191st St Ste 804 �Miami, FL 33180Gender: FemaleNPI: 1396760211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631316820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PARE, Elizabeth A.Sage Dental(786) 621-5800Prov. No.: 00001247297112554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1356692560License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PASQUIER, Marlon A.Marlon Pasquier(305) 267-1709Prov. No.: 0000001366317155 W Flagler StMiami, FL 33144Gender: MaleNPI: 1295934958License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 267-1758Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDental Health Group IvesDairy(305) 652-3412Prov. No.: 0000121357531001 Ives Dairy Rd Ste 10Miami, FL 33179Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 652-3459Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenDental Health Group Pa(305) 595-6411Prov. No.: 0000121357809595 N Kendall Dr Ste 201Miami, FL 33176Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PATEL, MinalbenGreat Expressions DentalCenters(305) 670-4476Prov. No.: 0000121357987300 N Kendall Dr Ste 110Miami, FL 33156Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenGreat Expressions DentalCenters(305) 227-0600Prov. No.: 00001213584411865 SW 26th St Ste C39Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6928Accepts New Patients: YHospital Affiliation: N/A*

PATEL, MinalbenGreat Expressions DentalCenters(305) 385-4215Prov. No.: 00001213584913876 SW 88th StMiami, FL 33186Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 386-9847Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PATINO, JoelyzVeritas Dental(305) 480-2789Prov. No.: 0000121650732740 SW 97th Ave Apt 110AMiami, FL 33165Gender: FemaleNPI: 1962630103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

PATINO, JoelyzVeritas Dental(305) 382-6794Prov. No.: 00001216591113728 SW 84th StMiami, FL 33183Gender: FemaleNPI: 1962630103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

PATINO, JoelyzVeritas Dental(305) 545-0411Prov. No.: 0000121924221334 SW 1st StMiami, FL 33135Gender: FemaleNPI: 1962630103License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

PAYA, AnabelFermin R Lopez Dds Pa Corp(305) 649-6112Prov. No.: 0000121996991125 NW 22nd Ave �Miami, FL 33125Language: English, SpanishGender: FemaleNPI: 1609256700License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 649-1803Accepts New Patients: YHospital Affiliation: N/A*

397GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PEDROLETTI, FredFred Pedroletti Dds(305) 598-2020Prov. No.: 0000013218828940 N Kendall DrMiami, FL 33176Gender: MaleNPI: 1265751036License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEDROLETTI, FredJoseph P Mccain Dds(305) 595-1905Prov. No.: 0000120638988940 N Kendall Dr Ste 604 �Miami, FL 33176Gender: MaleNPI: 1265751036License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PENA MARRO, MileidisFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001244161413706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1750730388License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

PENATE, Ada L.Ada L Penate Dds(305) 388-3725Prov. No.: 00000002063314609 SW 104th St �Miami, FL 33186Gender: Not ReportedNPI: 1770609166License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-1745Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PERDIGON-CANGAHUALA, NitzaJessie Trice Community HealthCenter Inc(305) 942-1805Prov. No.: 0000051797675361 NW 22nd AveMiami, FL 33142Language: English, SpanishGender: FemaleNPI: 1720006174License: DN10368License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 418-2759Accepts New Patients: YHospital Affiliation: N/A*

PERDIGON-CANGAHUALA, NitzaJessie Trice Community Health(305) 637-6400Prov. No.: 00000517976818360 NW 7th AveMiami, FL 33169Language: English, SpanishGender: FemaleNPI: 1720006174License: DN10368License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 694-6273Accepts New Patients: YHospital Affiliation: N/A*

PERDIGON-CANGAHUALA, NitzaJessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000051797705607 NW 27th Ave Ste 2 �Miami, FL 33142Language: English, SpanishGender: FemaleNPI: 1720006174License: DN10368License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 636-3350Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PERDOMO, YarielaUniversal Dental Clinic Inc(305) 326-7159Prov. No.: 000012451138432 NW 12th AveMiami, FL 33128Gender: Not ReportedNPI: 1669857462License: DN21260License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Best Dental Creations(305) 270-8029Prov. No.: 0000016598598740 N Kendall Dr Ste 220 �Miami, FL 33176Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 273-8437Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000229942713706 SW 56th St Ste 201 �Miami, FL 33175Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PEREZ, Alina J.Family and CosmeticDentistry(305) 460-7060Prov. No.: 0000022994314750 NW 7th St Ste 1Miami, FL 33126Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Bonillas Dental and MedicalCenter(305) 270-0744Prov. No.: 00001201072213550 SW 88th St Ste 112 �Miami, FL 33186Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-2014Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Alina J.Unlimited Dental Care Corp(788) 356-7246Prov. No.: 00001204551611498 Quail Roost Dr �Miami, FL 33157Language: EnglishGender: FemaleNPI: 1649408469License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 232-4487Accepts New Patients: YHospital Affiliation: N/A*

398 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PEREZ, DileyDiley Perez(305) 846-9082Prov. No.: 0000121050852915 NW 7th StMiami, FL 33125Language: English, SpanishGender: FemaleNPI: 1780962092License: DN19487License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ, EuniceYoan Lobaina Dmd(305) 480-9838Prov. No.: 0000121661688822 SW 24th St �Miami, FL 33165Gender: FemaleNPI: 1649527227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 261-4448Accepts New Patients: YHospital Affiliation: N/A*

PEREZ, Jorge A.Jorge A Perez Dds(305) 267-8807Prov. No.: 0000000182922332 SW 82nd CtMiami, FL 33155Language: EnglishGender: Not ReportedNPI: 1962410803License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PEREZ, ZailyUniversal Dental Clinic Inc(305) 326-7159Prov. No.: 000012451278432 NW 12th AveMiami, FL 33128Gender: Not ReportedNPI: 1063828929License: DN20781License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ CARMONA, Alba E.Flagler Dental Care(305) 324-5072Prov. No.: 0000124926031199 W Flagler St Ste 7 �Miami, FL 33130Gender: FemaleNPI: 1548636244License: DN21498License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ SUAREZ, TeresaMariana Gabaldon Dds(305) 480-2789Prov. No.: 00000419459210457 SW 40th StMiami, FL 33165Gender: Not ReportedNPI: 1538478623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ SUAREZ, TeresaMariana Gabaldon Dds(877) 852-6660Prov. No.: 0000041945991119 NW 1st StMiami, FL 33128Gender: Not ReportedNPI: 1538478623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PEREZ SUAREZ, TeresaMariana Gabaldon Dds(305) 382-6794Prov. No.: 00000419461514736 N Kendall DrMiami, FL 33196Gender: Not ReportedNPI: 1538478623License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental of West Miami(786) 476-8711Prov. No.: 0000121631256820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PEREZ-ALAMO, JenniferSage Dental(786) 621-5800Prov. No.: 00001247297012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PEREZ-MURGUIA, OmarOmar Perez-Murguia Dds(305) 552-6446Prov. No.: 0000006302239835 SW 40th StMiami, FL 33165Gender: Not ReportedNPI: 1033210216License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-2880Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PERROTTI, Steven D.Gateway Dental Inc(305) 856-2300Prov. No.: 0000003027832375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1144249780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

PERROTTI, Steven D.Gateway Dental(305) 325-0050Prov. No.: 0000047057991399 NW 17th Ave Ste 301Miami, FL 33125Gender: MaleNPI: 1144249780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

PERROTTI, Steven D.Gateway Dental Inc(305) 552-1553Prov. No.: 00001220355711880 SW 40th St Ste 215Miami, FL 33175Gender: MaleNPI: 1144249780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PERROTTI, Steven D.Gateway Dental Inc(305) 944-4373Prov. No.: 0000125180281400 NE Miami Gardens DrMiami, FL 33179Gender: Not ReportedNPI: 1144249780License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

399GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PESATURO, Ana H.Ana Pesaturo Dds Pa(305) 551-2722Prov. No.: 0000122348468500 W Flagler St Ste 108Miami, FL 33144Language: English, SpanishGender: FemaleNPI: 1417276924License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PHANORD, Roger J.Sabal Palm Dental Assoc(305) 685-7863Prov. No.: 0000000197071245 NW 119th St �Miami, FL 33167Language: EnglishGender: MaleNPI: 1265505515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 687-7603Accepts New Patients: YHospital Affiliation: N/A*

PHANORD, Roger J.Sabal Palm Dental Assoc(305) 758-0815Prov. No.: 0000000197185337 NE 2nd Ave �Miami, FL 33137Language: EnglishGender: MaleNPI: 1265505515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PIEDRA-RIVERO, ReneRene Piedra(305) 275-1094Prov. No.: 0000121548137887 N Kendall DrMiami, FL 33156Gender: MaleNPI: 1801984869License: DN14923License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoAll Access Dental(305) 480-2789Prov. No.: 00001208158210457 SW 40th StMiami, FL 33165Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoGateway Dental(305) 325-0050Prov. No.: 0000121155891399 NW 17th Ave Ste 301Miami, FL 33125Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoVeritas Dental(305) 480-2789Prov. No.: 0000121650742740 SW 97th Ave Apt 110AMiami, FL 33165Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PITA, ReynaldoGateway Dental Inc(305) 856-2300Prov. No.: 0000121657942375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoVeritas Dental(305) 545-0411Prov. No.: 0000121924361334 SW 1st StMiami, FL 33135Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoVeritas Dental Pa(305) 382-6794Prov. No.: 00001230246615516 SW 88th StMiami, FL 33196Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

PITA, ReynaldoGateway Dental Inc(305) 552-1553Prov. No.: 00001245145511880 SW 40th St Ste 215Miami, FL 33175Gender: MaleNPI: 1376855106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PITA, ReynaldoGateway Dental Inc(305) 944-4373Prov. No.: 0000125180811400 NE Miami Gardens DrMiami, FL 33179Gender: MaleNPI: 1376855106License: DN19104License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631576820 Bird RdMiami, FL 33155Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLASKY, Paul E.Paul Plasky(305) 274-3730Prov. No.: 0000000200058100 SW 81st Dr Ste 180 �Miami, FL 33143Gender: MaleNPI: 1285797886License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-9057Accepts New Patients: YHospital Affiliation: N/A*

POLHAMUS-LOPEZ, MelisaMelisa Polhamuslopez(305) 466-1804Prov. No.: 0000120520152999 NE 191st St Ste 804Miami, FL 33180Language: English, SpanishGender: FemaleNPI: 1942487905License: DN20315License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

400 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)POMBO, Maria C.Professional Dental SolutionsInc(305) 693-7988Prov. No.: 0000007068537900 NW 27th Ave Ste 275Miami, FL 33147Gender: FemaleNPI: 1265621148License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 696-6704Accepts New Patients: YHospital Affiliation: N/A*

POPIEL, Louis K.Louis K Popiel Dds Pa(305) 386-6300Prov. No.: 00000001945115124 Sunset DrMiami, FL 33193Language: EnglishGender: Not ReportedNPI: 1295886679License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

POPPER, Drew C.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000123380386820 Bird RdMiami, FL 33155Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PRESAS, Olga E.Olga Presas(305) 223-2828Prov. No.: 00000013659813323 SW 42nd StMiami, FL 33175Gender: Not ReportedNPI: 1730233495License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 223-1459Accepts New Patients: YHospital Affiliation: N/A*

PRIA, CarlosBorinquen Health Care CenterIncProv. No.: 0000125407143601 Federal Hwy Fl 5 �Miami, FL 33137Gender: MaleNPI: 1811166838License: DN19249License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of West Miami(786) 476-8711Prov. No.: 0000121917986820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PRIETO, EvelynFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001246105713706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1598146755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)PRIETO, EvelynFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001248247513706 SW 56th St Ste 201 �Miami, FL 33175Gender: Not ReportedNPI: 1598146755License: DN21249License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

PUENTE, KatiaFlagler Dental Care(305) 324-5072Prov. No.: 0000006965721199 W Flagler St Ste 7 �Miami, FL 33130Language: EnglishGender: FemaleNPI: 1245357805License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

QUEZADA, ErnestoDental Center of CountryWalk(305) 233-3335Prov. No.: 00001207767715795 SW 152nd StMiami, FL 33187Language: English, SpanishGender: MaleNPI: 1821387309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-3909Accepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)QUEZADA, ErnestoErnesto Quezada(305) 380-8773Prov. No.: 00001226114616371 SW 88th StMiami, FL 33196Language: English, SpanishGender: MaleNPI: 1821387309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUEZADA, ErnestoDental Center of CountryWalkProv. No.: 00001246767115721 SW 152nd St �Miami, FL 33187Language: SpanishGender: MaleNPI: 1821387309License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUICK, James R.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631606820 Bird RdMiami, FL 33155Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

401GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)QUICK, James R.Sage Dental(786) 621-5800Prov. No.: 00001247296412554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1427304377License: DN 12388License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUILICHINI, Carlos A.Dental Options Pa(305) 892-2960Prov. No.: 00000042316911645 Biscayne Blvd Ste 2 �Miami, FL 33181Language: EnglishGender: MaleNPI: 1700079399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

QUILICHINI, Carlos A.Dental Options Pa(305) 466-1804Prov. No.: 0000004635892999 NE 191st St Ste 804 �Miami, FL 33180Language: EnglishGender: MaleNPI: 1700079399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)QUILICHINI, Carlos A.Dental Specialists of DoralGroup Co(786) 355-4401Prov. No.: 00001200100910666 Fontainebleau BlvdMiami, FL 33172Language: EnglishGender: MaleNPI: 1700079399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 593-6855Accepts New Patients: YHospital Affiliation: N/A*

QUINTANA, MelissaMelissa Quintana(305) 485-5547Prov. No.: 0000122096054230 SW 152nd AveMiami, FL 33185Language: English, SpanishGender: FemaleNPI: 1932535325License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

QUINTANA, VilmaQuintana Vilma(305) 868-8500Prov. No.: 0000012153531010 71st St �Miami, FL 33141Gender: FemaleNPI: 1598064354License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (813) 933-6417Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RAMOS, Luis A.Professional Dental SolutionsInc(305) 693-7988Prov. No.: 0000007317197900 NW 27th Ave Ste 275Miami, FL 33147Gender: Not ReportedNPI: 1114000304License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 696-6704Accepts New Patients: YHospital Affiliation: N/A*

RAMOS, SaraSara A Ramos Dds Pa(786) 212-1596Prov. No.: 0000024521088370 W Flagler St Ste 100Miami, FL 33144Language: English, SpanishGender: FemaleNPI: 1144315151License: DN17586License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 212-1740Accepts New Patients: YHospital Affiliation: N/A*

RAMOS, YilianFermin R Lopez Dds Pa Corp(305) 649-6112Prov. No.: 0000121302191125 NW 22nd Ave �Miami, FL 33125Gender: FemaleNPI: 1699030205License: DN19848License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 649-1803Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RAMOS, YilianFlagler Dental Care(305) 324-5072Prov. No.: 0000121302241199 W Flagler St Ste 7 �Miami, FL 33130Gender: FemaleNPI: 1699030205License: DN19848License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

RAMOS MENDOZA, Jorge L.Bella Smile Dentistry Llc(786) 534-6917Prov. No.: 0000121263912720 SW 97th Ave Apt 101Miami, FL 33165Language: English, SpanishGender: MaleNPI: 1548556640License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 534-6913Accepts New Patients: YHospital Affiliation: N/A*

RAND, Matthew K.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631616820 Bird RdMiami, FL 33155Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

402 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RAND, Matthew K.Gateway Dental IncProv. No.: 0000124307292375 SW 27th Ave �Miami, FL 33145Language: French, SpanishGender: MaleNPI: 1740407030License: DN19286License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631526820 Bird RdMiami, FL 33155Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental(786) 621-5800Prov. No.: 00001247296112554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REYES, Miguel A.East Coast Family Dental Pa(305) 264-0747Prov. No.: 0000121273286741 Coral Way Ste 14Miami, FL 33155Gender: MaleNPI: 1407948482License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-0595Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)REYES, Miguel A.East Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125354208300 W Flagler St Ste 200Miami, FL 33144Gender: MaleNPI: 1407948482License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

REYES, OmarysFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001219313413706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: MaleNPI: 1073871968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

REYES CANALS, Osmil A.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001221948213706 SW 56th St Ste 201 �Miami, FL 33175Gender: MaleNPI: 1356732275License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)REZVANI, Caroline S.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631546820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental(786) 621-5800Prov. No.: 00001247296312554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIAD, Mohamed E.Mohamed E Riad Dds(209) 473-7888Prov. No.: 000001925449730 NW 40th AveMiami, FL 33126Language: Arabic, EnglishGender: MaleNPI: 1952555237License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RIBAS, Jose E.Jose E Ribas Pa(305) 541-7626Prov. No.: 000000018486730 NW 40th Ave �Miami, FL 33126Language: EnglishGender: MaleNPI: 1841311198License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3436Accepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001243503813706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1811377732License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

RIBOT, AlianaRight Care Dental Llc(786) 206-6021Prov. No.: 0000125262428290 Bird RdMiami, FL 33155Gender: FemaleNPI: 1811377732License: DN21224License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RIEGER, Eric R.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631556820 Bird RdMiami, FL 33155Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

403GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RIEGER, Eric R.Sage Dental(786) 621-5800Prov. No.: 00001247293112554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631626820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental(786) 621-5800Prov. No.: 00001247293212554 SW 88th StMiami, FL 33186Language: Portuguese, SpanishGender: MaleNPI: 1407864358License: DN 8793License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RIOS, Juan R.Juan R Rios Dds Pa(305) 223-0949Prov. No.: 0000000232339580 SW 40th StMiami, FL 33165Language: EnglishGender: MaleNPI: 1437274727License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 226-8612Accepts New Patients: YHospital Affiliation: N/A*

RIOS KU HOP, Milagritos C.Judy Mejido Dmd Pa(305) 274-2110Prov. No.: 0000121677009560 SW 107th Ave Ste 206 �Miami, FL 33176Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-2105Accepts New Patients: YHospital Affiliation: N/A*

RIOS KU HOP, Milagritos C.Simply Smiles(305) 235-9321Prov. No.: 0000121777178441 SW 132nd St �Miami, FL 33156Gender: FemaleNPI: 1003298522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 235-9315Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RIPA, AnatolyAdvanced Aesthetic Dentistryof Kendall Pa(305) 552-1553Prov. No.: 00000038006411880 SW 40th St Ste 215 �Miami, FL 33175Language: EnglishGender: MaleNPI: 1740457183License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 553-7329Accepts New Patients: YHospital Affiliation: N/A*

RIVAS, Adrian A.Dental American Group(305) 225-3452Prov. No.: 00000073210310721 W Flagler St �Miami, FL 33174Language: English, SpanishGender: MaleNPI: 1538303714License: DN18500License Type: DBP DentistBoard Certified: YesEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

RIVAS, Miguel A.Miguel Rivas(305) 444-4430Prov. No.: 0000002247222060 SW 27th AveMiami, FL 33145Gender: MaleNPI: 1194895011License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RIVAS, Miguel A.Dental Specialists of CoralGables Group(305) 305-9601Prov. No.: 0000120682452645 SW 37th Ave Ste 303 �Miami, FL 33133Gender: MaleNPI: 1194895011License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 543-6885Accepts New Patients: YHospital Affiliation: N/A*

ROBBINS, Alfred J.Alfred Robbins(305) 670-5211Prov. No.: 0000000183928950 SW 74th Ct Ste 1202Miami, FL 33156Gender: MaleNPI: 1437206406License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122416356820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

404 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RODRIGUEZ, Adrian I.Floridian Dental at PalmettoBay LlcProv. No.: 00001256158915801 S Dixie Hwy Ste B �Miami, FL 33157Language: SpanishGender: MaleNPI: 1225118755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Adriana M.Adriana M Rodriguez Dmd Pa(305) 377-8004Prov. No.: 000000435029848 Brickell Ave Ste 1020 �Miami, FL 33131Language: EnglishGender: FemaleNPI: 1104076819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 323-8028Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, AlejandroAlejandro Rodriguez Dds(305) 266-4544Prov. No.: 0000026185997976 SW 8th StMiami, FL 33144Gender: MaleNPI: 1942386305License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 266-8644Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RODRIGUEZ, GretellGretel Rodriguez Dds(305) 646-9222Prov. No.: 0000042503674150 NW 7th St Ste 103Miami, FL 33126Gender: FemaleNPI: 1154678910License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 646-6704Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Jorge A.Drs Brenner & Rodriguez(305) 271-7500Prov. No.: 00000002058311400 N Kendall Dr Ste 20 �Miami, FL 33176Language: EnglishGender: MaleNPI: 1396791810License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Jorge A.J Andres Rodriguez Dds(305) 271-7500Prov. No.: 00000010326811130 SW 88th St Ste 202Miami, FL 33176Language: EnglishGender: MaleNPI: 1396791810License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-7589Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RODRIGUEZ, Jorge A.Beautiful Smiles By Design(305) 595-1556Prov. No.: 0000120259018525 SW 92nd St Bldg A StMiami, FL 33156Language: EnglishGender: MaleNPI: 1396791810License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-9449Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, LazaroTratamientos Dentales Inc(305) 649-5710Prov. No.: 000000368419285 NW 27th Ave Ste 19Miami, FL 33125Gender: MaleNPI: 1184823031License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 649-5710Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Margarita M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121986956820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1942309596License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, Ramon A.D&R Dentistry(305) 400-8060Prov. No.: 00001021395814750 SW 26th St Ste 210 �Miami, FL 33185Gender: MaleNPI: 1366768657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 400-8060Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RODRIGUEZ, ReneA&R Dental Centers(305) 552-0521Prov. No.: 00000494042411760 SW 40th St Ste 317 �Miami, FL 33175Gender: FemaleNPI: 1942513122License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 552-8390Accepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ, RoxanaAmerican Dental Clinic(305) 485-8427Prov. No.: 0000003030883631 SW 87th Ave �Miami, FL 33165Gender: FemaleNPI: 1336263912License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RODRIGUEZ CASTRO, MiriamFlagler Dental Care(305) 324-5072Prov. No.: 0000122048561199 W Flagler St Ste 7 �Miami, FL 33130Language: English, SpanishGender: FemaleNPI: 1992051700License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

ROJAS, RaikoGateway Dental(305) 325-0050Prov. No.: 0000096649051399 NW 17th Ave Ste 301Miami, FL 33125Gender: MaleNPI: 1558700369License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 325-0921Accepts New Patients: YHospital Affiliation: N/A*

405GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROJAS, RaikoGateway Dental Inc(305) 856-2300Prov. No.: 0000105952422375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1558700369License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

ROJAS, RaikoPicasso Dental Inc(305) 388-9229Prov. No.: 0000121039559572 SW 137th AveMiami, FL 33186Gender: MaleNPI: 1558700369License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROJAS, SandraDental Options Pa(305) 466-1804Prov. No.: 0000014009272999 NE 191st St Ste 804 �Miami, FL 33180Gender: FemaleNPI: 1619265790License: DN19424License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

ROJAS, SandraTheodore M Grossman Dmd(305) 892-2960Prov. No.: 00000169947111645 Biscayne Blvd Ste 2Miami, FL 33181Gender: FemaleNPI: 1619265790License: DN19424License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROMAN, CeliaEast Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125323948300 W Flagler St Ste 200Miami, FL 33144Gender: Not ReportedNPI: 1356570303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROMAN, CeliaDental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125354344500 NW 7th St �Miami, FL 33126Gender: Not ReportedNPI: 1356570303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROMAN, CeliaEast Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125375216741 Coral Way Ste 14Miami, FL 33155Gender: Not ReportedNPI: 1356570303License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROMAY, RicardoRichard Romay Dds(305) 667-8887Prov. No.: 0000000426276437 Bird Rd �Miami, FL 33155Language: EnglishGender: MaleNPI: 1720095037License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 667-2166Accepts New Patients: YHospital Affiliation: N/A*

ROMEU, Enna A.Enna Romeu Dds(305) 221-7039Prov. No.: 0000000333908822 SW 24th StMiami, FL 33165Language: EnglishGender: Not ReportedNPI: 1750451548License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 226-0097Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of West Miami(786) 476-8711Prov. No.: 0000125239396820 Bird RdMiami, FL 33155Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROQUE-RUANO, MaikelSage Dental(786) 621-5800Prov. No.: 00001252830912554 SW 88th St �Miami, FL 33186Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSALES, SalvadorSalvador Rosales Dds(305) 261-5556Prov. No.: 0000000189568150 SW 8th St Ste 206 �Miami, FL 33144Language: English, SpanishGender: MaleNPI: 1457441511License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 261-5429Accepts New Patients: YHospital Affiliation: N/A*

ROSEN, Gary R.Gary R Rosen Dds Pa(305) 251-4330Prov. No.: 00000001829014115 S Dixie HwyMiami, FL 33176Language: EnglishGender: Not ReportedNPI: 1760490601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 251-7914Accepts New Patients: YHospital Affiliation: N/A*

406 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROSENBERG, Sarah L.Bl Dental Associates Llc(305) 631-0660Prov. No.: 0000027413312600 W Flagler St �Miami, FL 33135Language: English, SpanishGender: FemaleNPI: 1497919492License: DN18239License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

ROSENBERG, Sarah L.Bl Dental Associates Llc(305) 551-3200Prov. No.: 0000121003618608 Bird Rd �Miami, FL 33155Language: English, SpanishGender: FemaleNPI: 1497919492License: DN18239License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 735-2823Accepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121631636820 Bird RdMiami, FL 33155Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROSHKIND, David M.Sage Dental(786) 621-5800Prov. No.: 00001247293312554 SW 88th StMiami, FL 33186Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSSEN, Peter A.Peter A Rossen Dds(305) 625-5400Prov. No.: 0000002508671505 NW 16th Ave Ste 100Miami, FL 33125Gender: MaleNPI: 1003224643License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 625-5110Accepts New Patients: YHospital Affiliation: N/A*

ROSSEN, Peter A.American Dental Center(305) 625-5400Prov. No.: 0000123141461505 NW 167th St Ste 100 �Miami, FL 33169Gender: MaleNPI: 1003224643License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 625-8110Accepts New Patients: YHospital Affiliation: N/A*

ROTH, Steven E.Steven E Roth Dmd(305) 358-3384Prov. No.: 000000021563138 NE 2nd Ave Ste 200 �Miami, FL 33132Language: EnglishGender: MaleNPI: 1821254004License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 358-2368Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ROTHSTEIN, Eric B.Dental Options Pa(305) 892-2960Prov. No.: 00001210651211645 Biscayne Blvd Ste 2 �Miami, FL 33181Gender: MaleNPI: 1376955062License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

ROTHSTEIN, Eric B.Dental Options Pa(305) 466-1804Prov. No.: 0000121272442999 NE 191st St Ste 804 �Miami, FL 33180Gender: MaleNPI: 1376955062License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

ROZINOV, IsabellaPort of Miami Dental(954) 456-2100Prov. No.: 0000004349951015 N America Way Ste 15Miami, FL 33132Gender: FemaleNPI: 1407848179License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

RUBIO-PAZ, Emilia S.Eyda Pay Dds(305) 388-7676Prov. No.: 00000017676213045 SW 112th StMiami, FL 33186Language: SpanishGender: FemaleNPI: 1174782023License: DN15736License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)RUIZ, Carla V.Petit Smiles II Llc(800) 895-1570Prov. No.: 0000122273737540 NW 107 Avenue Ste A1Miami, FL 33178Gender: FemaleNPI: 1811033913License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (800) 928-3811Accepts New Patients: NHospital Affiliation: N/A*

RUIZ-CESTERO, Sarabel M.Sarabel M Ruiz Cestero(786) 703-4978Prov. No.: 0000000191038500 W Flagler St Ste B20 �Miami, FL 33144Language: EnglishGender: FemaleNPI: 1992718282License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 616-8588Accepts New Patients: YHospital Affiliation: N/A*

SAENZ, Regina H.A&E Dental(305) 271-7777Prov. No.: 00000019349211400 N Kendall Dr Ste 20 �Miami, FL 33176Gender: FemaleNPI: 1417047218License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-0826Accepts New Patients: YHospital Affiliation: N/A*

407GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SAGUE, Gustavo A.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001214657413706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: MaleNPI: 1699177964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SAGUE, Gustavo A.Dental Plus Services(305) 969-2651Prov. No.: 00001217802511352 Quail Roost DrMiami, FL 33157Language: English, SpanishGender: MaleNPI: 1699177964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-6027Accepts New Patients: YHospital Affiliation: N/A*

SALAZAR, Cecilia I.Gelsys Simon Dds(305) 642-0003Prov. No.: 0000016554613383 NW 7th St Ste 101Miami, FL 33125Language: EnglishGender: FemaleNPI: 1003193285License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 642-0009Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SALAZAR, Manuel A.101(305) 269-0208Prov. No.: 0000012343968346 SW 8th StMiami, FL 33144Gender: MaleNPI: 1699097261License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 269-0310Accepts New Patients: YHospital Affiliation: N/A*

SALCINES, Damaris G.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000034991713706 SW 56th St Ste 201 �Miami, FL 33175Gender: FemaleNPI: 1891705091License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SALDANA, Ramon E.Saldana Ramon E(305) 553-1304Prov. No.: 0000117718959268 SW 40th StMiami, FL 33165Language: EnglishGender: MaleNPI: 1639465735License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 553-1301Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SALDARRIAGA, LisaFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000192566413706 SW 56th St Ste 201 �Miami, FL 33175Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SALDARRIAGA, LisaFamily and CosmeticDentistry(305) 460-7060Prov. No.: 0000019256694750 NW 7th St Ste 1Miami, FL 33126Language: EnglishGender: FemaleNPI: 1588979710License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

SALGUEIRO, Jose L.Drs Glasser & Salgueiro Pa(305) 261-5251Prov. No.: 0000000194187933 NW 2nd St �Miami, FL 33126Language: EnglishGender: MaleNPI: 1184632515License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SALMON, Dwight A.Dwight A Salmon Dds(305) 652-5455Prov. No.: 00000002158620320 NW 2nd Ave �Miami, FL 33169Language: EnglishGender: MaleNPI: 1033377130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 652-0849Accepts New Patients: YHospital Affiliation: N/A*

SALTZ, Jamie B.David Weiner Dmd Pa(305) 530-1866Prov. No.: 000012044387224 SE 1st StMiami, FL 33131Gender: FemaleNPI: 1740547140License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of West Miami(786) 476-8711Prov. No.: 0000122382756820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental(786) 621-5800Prov. No.: 00001247293412554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

408 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SANCHEZ, Carlos A.Carlos A Sanchez Dds(305) 443-3131Prov. No.: 0000000197002510 SW 27th Ave Ste 201Miami, FL 33133Language: EnglishGender: MaleNPI: 1992895890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, JavierJavier Sanchez Dds(305) 251-4525Prov. No.: 00000003386614433 S Dixie HwyMiami, FL 33176Language: EnglishGender: Not ReportedNPI: 1275693913License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 251-8646Accepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, Mayra G.Mayra Sanchez Dds(305) 261-8025Prov. No.: 0000000188445845 W Flagler St �Miami, FL 33144Language: EnglishGender: FemaleNPI: 1558680439License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SANCHEZ, Ramon A.Ramon A Sanchez Dds(305) 854-7201Prov. No.: 0000000196801300 Coral Way Ste 203Miami, FL 33145Language: EnglishGender: Not ReportedNPI: 1427098300License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, ReinaldoMiami Center For Dentistry(305) 267-8110Prov. No.: 000000218379825 SW 87th Ave Ste G �Miami, FL 33174Gender: MaleNPI: 1922193978License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHEZ, ReinaldoDentist at Market Square Inc(786) 476-3583Prov. No.: 00000337914411770 SW 104th StMiami, FL 33186Gender: MaleNPI: 1922193978License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (786) 476-3586Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SANCHEZ-GARCIA, Concepcion M.Garcia & Sanchez-Garcia Dmd(305) 595-4616Prov. No.: 0000000189649301 SW 56th St �Miami, FL 33165Language: EnglishGender: FemaleNPI: 1932152550License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANCHEZ-GARCIA, Concepcion M.Concepcion M Sanchez-GarciaDmd(305) 854-7200Prov. No.: 0000000189711300 Coral Way Ste 203Miami, FL 33145Language: EnglishGender: FemaleNPI: 1932152550License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 854-7201Accepts New Patients: YHospital Affiliation: N/A*

SANTAMARINA, Luis M.Luis M Santamarina Dmd Pa(305) 443-9998Prov. No.: 000000018424330 SW 27th Ave Ste 602 �Miami, FL 33135Language: EnglishGender: MaleNPI: 1427157320License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SANTANA, DaniaGateway Dental Inc(305) 552-1553Prov. No.: 00001226851111880 SW 40th St Ste 215Miami, FL 33175Gender: Not ReportedNPI: 1316329626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANTANA, DaniaGateway Dental Inc(305) 856-2300Prov. No.: 0000123111452375 SW 27th Ave �Miami, FL 33145Gender: Not ReportedNPI: 1316329626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 856-0921Accepts New Patients: YHospital Affiliation: N/A*

SANTANA, DavidFamily & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001255884113706 SW 56th St Ste 201 �Miami, FL 33175Language: SpanishGender: MaleNPI: 1700266657License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SANTELLI, Bradley H.Dental American Group(305) 596-7155Prov. No.: 00000073475810728 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1194057620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-7143Accepts New Patients: YHospital Affiliation: N/A*

409GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SANTIN, ManuelManuel Santin Dmd(305) 858-4119Prov. No.: 0000001345921835 Coral WayMiami, FL 33145Gender: Not ReportedNPI: 1891845038License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 858-4423Accepts New Patients: YHospital Affiliation: N/A*

SARDUY, Luis O.Florida Dental Clinic(305) 559-1272Prov. No.: 0000002286948260 W Flagler St Ste 1FMiami, FL 33144Gender: MaleNPI: 1861596157License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SARDUY, Luis O.Biltmore Dental Officee(305) 554-6054Prov. No.: 00001200961210322 W Flagler StMiami, FL 33174Gender: MaleNPI: 1861596157License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 554-6054Accepts New Patients: YHospital Affiliation: N/A*

SARDUY, Luis O.Dental Professional Group Inc(786) 801-1354Prov. No.: 0000123122612740 SW 97th Ave Apt 109Miami, FL 33165Gender: MaleNPI: 1861596157License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 801-1374Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SARMIENTO, JeffreyFransheska Ovalles(786) 231-0800Prov. No.: 00001247390013540 SW 135th AveMiami, FL 33186Gender: MaleNPI: 1184177560License: DN22214License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SCHREIBER, Page L.Page Schreiber(305) 541-8884Prov. No.: 000000283556477 NW 27th Ave �Miami, FL 33125Gender: MaleNPI: 1023280807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 541-8830Accepts New Patients: YHospital Affiliation: N/A*

SEGRERA, Maria C.Southeastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000007374382482 Secoffee Ter �Miami, FL 33133Gender: FemaleNPI: 1295046662License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

SEGRERA, Maria C.Dental American Group(305) 225-3452Prov. No.: 00000131930110721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1295046662License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SEGRERA, Maria C.Dental American Group(305) 385-1442Prov. No.: 00000177067113632 SW 88th St �Miami, FL 33186Gender: FemaleNPI: 1295046662License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 385-1446Accepts New Patients: YHospital Affiliation: N/A*

SHAPIRO, Arthur I.Dentistry at Pinecrest(305) 233-8000Prov. No.: 00000001822512035 S Dixie Hwy Ste 100 �Miami, FL 33156Gender: Not ReportedNPI: 1689717837License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 233-2883Accepts New Patients: YHospital Affiliation: N/A*

SHAPIRO, Sanford M.Sanford Shapiro Dmd(305) 387-3002Prov. No.: 00000026292413550 SW 88th St Ste 170Miami, FL 33186Gender: MaleNPI: 1508873290License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 388-5900Accepts New Patients: YHospital Affiliation: N/A*

SHAYAN, Maria M.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00000182441513706 SW 56th St Ste 201 �Miami, FL 33175Language: EnglishGender: FemaleNPI: 1700172673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SHER, Sydney J.Glicksman & Mars Dental Lc(305) 935-2797Prov. No.: 0000120376292797 NE 207th St Ste 100 �Miami, FL 33180Gender: FemaleNPI: 1437575701License: DN20485License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 937-4834Accepts New Patients: YHospital Affiliation: N/A*

SHER, Sydney J.Southeastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000121811961843 SW 8th St �Miami, FL 33135Gender: FemaleNPI: 1437575701License: DN20485License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3371Accepts New Patients: YHospital Affiliation: N/A*

SHER, Sydney J.Southeastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000124256229507 S Dixie HwyMiami, FL 33156Gender: FemaleNPI: 1437575701License: DN20485License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

410 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SHIN, EstherSoutheastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000124256239507 S Dixie HwyMiami, FL 33156Language: English, KoreanGender: FemaleNPI: 1912240169License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

SHIN, EstherSoutheastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000124256251843 SW 8th St �Miami, FL 33135Language: English, KoreanGender: FemaleNPI: 1912240169License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3371Accepts New Patients: YHospital Affiliation: N/A*

SHKOLNIK, SeanSean Shkolnik(305) 552-7050Prov. No.: 00001245060611467 SW 40th StMiami, FL 33165Gender: MaleNPI: 1730589474License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SHOFNOS, Charles I.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764036820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental(786) 621-5800Prov. No.: 00001247293912554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SIDDIQUI, Rasheed B.Gentle Teeth of Kendall(305) 595-3400Prov. No.: 0000120050186670 SW 117th AveMiami, FL 33183Gender: MaleNPI: 1518309145License: DN20293License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-3352Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SILBER, Alberto M.Alberto M Silber Dds(305) 228-6633Prov. No.: 00000009124910554 SW 8th St Ste A3052Miami, FL 33174Gender: Not ReportedNPI: 1568592699License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 228-3015Accepts New Patients: YHospital Affiliation: N/A*

SILVA, SandraSandra C Silva Dmd(305) 670-0197Prov. No.: 00000010913810661 N Kendall Dr Ste 10Miami, FL 33176Gender: FemaleNPI: 1437348166License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SILVESTRY, AilynDental Associates of KendallDds Pa(305) 271-2254Prov. No.: 00000001847511400 N Kendall Dr Ste 20Miami, FL 33176Gender: Not ReportedNPI: 1215056874License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-0279Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SILVESTRY, Elvin J.Dental Associates of KendallDds Pa(305) 271-2254Prov. No.: 00000001847411400 N Kendall Dr Ste 20Miami, FL 33176Language: EnglishGender: MaleNPI: 1447332374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-0279Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, NatalieSage Dental of West Miami(786) 476-8711Prov. No.: 0000121764026820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIMPSON, Natalie R.Sage Dental(786) 621-5800Prov. No.: 00001247293812554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1184760522License: DN013377License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

411GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SIRAGE, Ahmed R.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121738666820 Bird RdMiami, FL 33155Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SKAFF, David L.David L Skaff Dds(305) 895-3315Prov. No.: 00000001831411645 Biscayne Blvd Ste 4 �Miami, FL 33181Language: EnglishGender: MaleNPI: 1134564065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SKAFF, David L.Gloria Alvaretone(305) 892-1515Prov. No.: 00001226248911645 Biscayne Blvd Ste 4 �Miami, FL 33181Language: EnglishGender: MaleNPI: 1134564065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 893-0886Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SMITH, Nathifa P.Great Expressions DentalCenters(305) 385-4215Prov. No.: 00001202874313876 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1104185818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 386-9847Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Nathifa P.Great Expressions DentalCenters(305) 227-0600Prov. No.: 00001202909411865 SW 26th St Ste C39Miami, FL 33175Gender: FemaleNPI: 1104185818License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6928Accepts New Patients: YHospital Affiliation: N/A*

SMITH, Shannon L.Shannon L Smith Dmd(305) 649-3893Prov. No.: 0000123305032915 NW 7th StMiami, FL 33125Gender: FemaleNPI: 1760563431License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SMITH, Todd A.183rd Dental Grouppa(305) 652-8338Prov. No.: 000000019037636 NW 183rd St �Miami, FL 33169Language: EnglishGender: MaleNPI: 1982008280License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764056820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental(786) 621-5800Prov. No.: 00001247298412554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1073702767License: DN 17837License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SOHEIL, Michelle M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000004454623601 Federal Hwy Fl 5 �Miami, FL 33137Language: EnglishGender: FemaleNPI: 1215014394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 576-0008Accepts New Patients: YHospital Affiliation: N/A*

SOHEIL, Michelle M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000025392736401 SW 152nd AveMiami, FL 33193Language: EnglishGender: FemaleNPI: 1215014394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SOHEIL, Michelle M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000253927515625 SW 80th StMiami, FL 33193Language: EnglishGender: FemaleNPI: 1215014394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

412 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SOHEIL, Michelle M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 00000253927611901 SW 2nd StMiami, FL 33184Language: EnglishGender: FemaleNPI: 1215014394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 994-1520Accepts New Patients: YHospital Affiliation: N/A*

SOHEIL, Michelle M.Borinquen Health Care CenterInc(305) 576-6611Prov. No.: 0000025392774861 SW 140th AveMiami, FL 33175Language: EnglishGender: FemaleNPI: 1215014394License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SOLER, Rosa M.Rosa Soler(786) 388-1554Prov. No.: 0000008598808360 SW 8th StMiami, FL 33144Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SOLER, Rosa M.Rosa Soler(305) 649-9443Prov. No.: 000012046235285 NW 27th Ave Ste 21 �Miami, FL 33125Gender: FemaleNPI: 1083738652License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 640-8347Accepts New Patients: YHospital Affiliation: N/A*

SOLLEE, ArthurSage Dental of West Miami(786) 476-8711Prov. No.: 0000121764066820 Bird RdMiami, FL 33155Gender: MaleNPI: 1649585878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SOLTERO, Rafael E.Joseph R Grider Dds(305) 670-9996Prov. No.: 0000122262499035 SW 73rd PlMiami, FL 33156Language: English, SpanishGender: MaleNPI: 1942621008License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-9997Accepts New Patients: YHospital Affiliation: N/A*

SOMOZA, MarcioOnelia Castellanos Dds(305) 227-3083Prov. No.: 0000001218828370 W Flagler St Ste 150Miami, FL 33144Gender: Not ReportedNPI: 1043352545License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SOSA-ABELLA, Nancy M.Dental Specialty Center atBaptist(305) 275-8875Prov. No.: 0000011329518940 N Kendall Dr Ste 100Miami, FL 33176Language: EnglishGender: FemaleNPI: 1821186982License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 598-0315Accepts New Patients: YHospital Affiliation: N/A*

SOTERAS, Ana T.Ana T Soteras Dds Pa(305) 225-2530Prov. No.: 0000002666112701 SW 142nd AveMiami, FL 33175Gender: Not ReportedNPI: 1194897876License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SOTO MENENDEZ, LisbetAmerican Dental Clinic(305) 485-8427Prov. No.: 0000122576553631 SW 87th Ave �Miami, FL 33165Gender: FemaleNPI: 1679915953License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SOTOMAYOR, Ciro A.Modern Dental Center Pa(305) 266-7000Prov. No.: 0000120505858221 W Flagler StMiami, FL 33144Gender: MaleNPI: 1043496995License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STAMBLER, SilviaSilvia Stambler Dds Pa(305) 935-4800Prov. No.: 0000000184492925 Aventura Blvd Ste 30 �Miami, FL 33180Language: EnglishGender: FemaleNPI: 1467695544License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 935-4308Accepts New Patients: YHospital Affiliation: N/A*

STEIN, Laurence A.Beautiful Smiles By Design(305) 595-1556Prov. No.: 0000120840638525 SW 92nd St Bldg A StMiami, FL 33156Gender: MaleNPI: 1194859579License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 270-9449Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121728436820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

413GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)STEINER, Samantha L.Sage Dental(786) 621-5800Prov. No.: 00001247295712554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STEPHENS, Wayne E.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000121878975607 NW 27th Ave Ste 2 �Miami, FL 33142Gender: MaleNPI: 1649679085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 636-3350Accepts New Patients: YHospital Affiliation: N/A*

STRAUSS, Theodore M.Sage Dental(786) 621-5800Prov. No.: 00001247295612554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1922188481License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of West Miami(786) 476-8711Prov. No.: 0000124543176820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)STRONG, ShaniceSage Dental(786) 621-5800Prov. No.: 00001247295912554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1235581125License: DN22021License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUAREZ, EdithEdith Fernandez Dds(305) 262-0509Prov. No.: 0000002223758560 SW 8th StMiami, FL 33144Gender: Not ReportedNPI: 1952417628License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 262-1823Accepts New Patients: YHospital Affiliation: N/A*

SUAREZ, EdithEdith Fernandez Dds(305) 262-0509Prov. No.: 0000121730988560 SW 8th StMiami, FL 33144Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUAREZ, TatianaThe Center For Excellence InCosmetic Dentistry(305) 915-2558Prov. No.: 0000117745831900 N Bayshore Dr Ste 20Miami, FL 33132Gender: FemaleNPI: 1396973483License: DN18701License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 915-2558Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SUTNICK, Steven A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000124716656820 Bird RdMiami, FL 33155Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SUTNICK, Steven A.Sage Dental(786) 621-5800Prov. No.: 00001247297912554 SW 88th StMiami, FL 33186Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SWEETING, Tamarra N.Jessie Trice Community Health(305) 637-6400Prov. No.: 00001250114918360 NW 7th AveMiami, FL 33169Gender: FemaleNPI: 1114386091License: DN21309License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SWEETING, Tamarra N.Jessie Trice Community HealthCenter Inc(305) 637-6400Prov. No.: 0000125011745361 NW 22nd AveMiami, FL 33142Gender: FemaleNPI: 1114386091License: DN21309License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SWEETING, Tamarra N.Jessie Trice Community HealthCenter Inc(305) 636-3336Prov. No.: 0000125012475607 NW 27th Ave Ste 2 �Miami, FL 33142Gender: FemaleNPI: 1114386091License: DN21309License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SZPOGANICZ, TadeuDental Options Pa(305) 466-1804Prov. No.: 0000038023082999 NE 191st St Ste 804 �Miami, FL 33180Language: English,Portuguese, SpanishGender: MaleNPI: 1871870659License: DN20043License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 466-9804Accepts New Patients: YHospital Affiliation: N/A*

414 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)SZPOGANICZ, TadeuDental Options Pa(305) 892-2960Prov. No.: 00000505833111645 Biscayne Blvd Ste 2 �Miami, FL 33181Language: English,Portuguese, SpanishGender: MaleNPI: 1871870659License: DN20043License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 892-2927Accepts New Patients: YHospital Affiliation: N/A*

TEJEDOR, VeronicaVeronica Tejedor(305) 226-8236Prov. No.: 000000291939861 SW 8th StMiami, FL 33130Language: EnglishGender: FemaleNPI: 1043388721License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 860-3010Accepts New Patients: YHospital Affiliation: N/A*

TERRERO, Ivan E.I E Terrero Dds Pa(305) 668-5884Prov. No.: 0000003355609507 S Dixie HwyMiami, FL 33156Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 668-5886Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TERRERO, Ivan E.I E Terrero Dds Pa(305) 446-7414Prov. No.: 000000335563136 Miracle MileMiami, FL 33134Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 446-7416Accepts New Patients: YHospital Affiliation: N/A*

TERRERO, Ivan E.All Access Dental(305) 480-2789Prov. No.: 00001207971510457 SW 40th StMiami, FL 33165Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

TERRERO, Ivan E.All Access Dental(305) 382-6706Prov. No.: 00001212641715516 SW 88th StMiami, FL 33196Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TERRERO, Ivan E.Veritas Dental(305) 480-2789Prov. No.: 0000121650662740 SW 97th Ave Apt 110AMiami, FL 33165Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TERRERO, Ivan E.Veritas Dental(305) 545-0411Prov. No.: 0000121924311334 SW 1st StMiami, FL 33135Gender: MaleNPI: 1720066673License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

TIJERINO, DavidPediatric Dental Center ofMiami(305) 448-3228Prov. No.: 0000121911782645 SW 37th Ave Ste 703Miami, FL 33133Language: English, SpanishGender: MaleNPI: 1538397492License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 447-8828Accepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of West Miami(786) 476-8711Prov. No.: 0000124476476820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TITHERINGTON, JessicaSage Dental(786) 621-5800Prov. No.: 00001247296012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1558711416License: DN21953License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORO, Alicia M.East Coast Family Dental Pa(305) 264-0747Prov. No.: 0000125323436741 Coral Way Ste 14Miami, FL 33155Gender: FemaleNPI: 1659726537License: 21781License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORO, Alicia M.Dental Group of Miaimi Pa(305) 567-3481Prov. No.: 0000125324524500 NW 7th St �Miami, FL 33126Gender: FemaleNPI: 1659726537License: 21781License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORO, Alicia M.East Coast Family Dental Pa -Small Group(786) 534-2796Prov. No.: 0000125368398300 W Flagler St Ste 200Miami, FL 33144Gender: FemaleNPI: 1659726537License: 21781License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

415GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TORRES, Ada E.Flagler Dental Care(305) 324-5072Prov. No.: 0000006966841199 W Flagler St Ste 7 �Miami, FL 33130Gender: FemaleNPI: 1225172869License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 403-2981Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Ada E.Ada Torres(305) 649-6112Prov. No.: 0000122620611127 NW 22nd AveMiami, FL 33125Gender: FemaleNPI: 1225172869License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental(786) 621-5800Prov. No.: 00001253060012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000125478516820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TORRES BUSTILLO, Ana B.K Dental Corp(305) 387-3002Prov. No.: 00001249712013550 SW 88 St �Suite 170Miami, FL 33186Gender: FemaleNPI: 1538584214License: DN21582License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TOWNSEND, LinwoodLinwood Townsend(305) 691-5932Prov. No.: 0000001896008878 NW 7th AveMiami, FL 33150Gender: Not ReportedNPI: 1932335411License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TREVISANI, Ronald J.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000122382766820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TRIANA, Lauren D.Coba Richard I(305) 595-1239Prov. No.: 0000123127939541 SW 72nd StMiami, FL 33173Language: EnglishGender: FemaleNPI: 1952534158License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-1241Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, Alexander D.Simply Smiles(305) 235-9321Prov. No.: 0000019577008441 SW 132nd St �Miami, FL 33156Language: EnglishGender: MaleNPI: 1043231996License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 235-9315Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, Alexander D.Claudio L Miro Dds(305) 273-4334Prov. No.: 00001209927313550 SW 88th St Ste 1Miami, FL 33186Language: EnglishGender: MaleNPI: 1043231996License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TRUJILLO, MadeleneAlfredo Corpas Dds Pa(305) 264-0747Prov. No.: 0000004623766741 Coral Way Ste 14Miami, FL 33155Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-0595Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneMariana Gabaldon Dds(305) 480-2789Prov. No.: 00001209253110457 SW 40th StMiami, FL 33165Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneAll Access Dental(305) 382-6706Prov. No.: 00001212641615516 SW 88th StMiami, FL 33196Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneVeritas Dental(305) 480-2789Prov. No.: 0000121650672740 SW 97th Ave Apt 110AMiami, FL 33165Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 480-2791Accepts New Patients: YHospital Affiliation: N/A*

416 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TRUJILLO, MadeleneVeritas Dental(305) 382-6794Prov. No.: 00001216590613728 SW 84th StMiami, FL 33183Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 382-6795Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneDental American Group(305) 225-3452Prov. No.: 00001218410210721 W Flagler St �Miami, FL 33174Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 225-7630Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneVeritas Dental(305) 545-0411Prov. No.: 0000121924331334 SW 1st StMiami, FL 33135Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

TRUJILLO, MadeleneMariana Gabaldon Dds(305) 382-6794Prov. No.: 00001232433614736 N Kendall DrMiami, FL 33196Gender: FemaleNPI: 1881835767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)TRUJILLO, ZuzelZuzel Trujillo Dmd(305) 223-2828Prov. No.: 00000153702313323 SW 42nd StMiami, FL 33175Gender: FemaleNPI: 1285860353License: DN18673License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 223-1459Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of West Miami(786) 476-8711Prov. No.: 0000124364026820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TYDIR, MichelleDental Associates of KendallDds Pa(305) 271-2254Prov. No.: 00001059617011400 N Kendall Dr Ste 20Miami, FL 33176Gender: FemaleNPI: 1326296278License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 271-0279Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)UBIETA ARBESU, EduardoSunset Family and CosmeticDentistry Pllc(305) 596-2815Prov. No.: 0000120440579777 SW 72nd StMiami, FL 33173Gender: MaleNPI: 1477992436License: DN20181License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 596-1820Accepts New Patients: YHospital Affiliation: N/A*

UCROS, GermanLiza Aguilar Dds(305) 652-3412Prov. No.: 0000016555891001 Ives Dairy Rd Ste 10Miami, FL 33179Gender: MaleNPI: 1558570499License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

UCROS, GermanGloria Alvaretone(305) 892-1515Prov. No.: 00001226353711645 Biscayne Blvd Ste 4 �Miami, FL 33181Gender: MaleNPI: 1558570499License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 893-0886Accepts New Patients: YHospital Affiliation: N/A*

UCROS, Maria J.Judith Lubin(305) 387-5700Prov. No.: 0000124490139280 Hammocks Blvd Ste 10Miami, FL 33196Gender: FemaleNPI: 1366833212License: DN21212License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)UDDIN, FarzanaSage Dental(786) 621-5800Prov. No.: 00001247292812554 SW 88th StMiami, FL 33186Language: Romania, RussianGender: MaleNPI: 1699878769License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

URCUYO, Jacqueline C.Sage Dental(786) 621-5800Prov. No.: 00001247292912554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1629522552License: DN21756License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

URDAY, Claudia L.Veritas Dental(305) 545-0411Prov. No.: 0000121924261334 SW 1st StMiami, FL 33135Language: English, SpanishGender: FemaleNPI: 1710129242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 545-0417Accepts New Patients: YHospital Affiliation: N/A*

417GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)URIARTE, Gilberto J.Gilberto J Uriarte Dds(305) 638-9891Prov. No.: 0000123330472734 NW 22nd AveMiami, FL 33142Gender: MaleNPI: 1245350669License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental of West Miami(786) 476-8711Prov. No.: 0000121764096820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

URQUIZA, YeneirSage Dental(786) 621-5800Prov. No.: 00001247293012554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1629325592License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALDES, Martha B.Family & Cosmetic Dentistry(305) 387-4954Prov. No.: 00001204917713706 SW 56th St Ste 201 �Miami, FL 33175Language: English, SpanishGender: FemaleNPI: 1649605585License: DN20482License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-7023Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VALDES, VivianVnd Corp(305) 669-6111Prov. No.: 0000000191956840 Bird Rd Ste 207A �Miami, FL 33155Language: EnglishGender: FemaleNPI: 1689681108License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALENCIA, Alberto V.Alberto V Valencia Dds(305) 271-4876Prov. No.: 0000000193749885 N Kendall DrMiami, FL 33176Language: EnglishGender: Not ReportedNPI: 1710947866License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VALIENTE, AladinoAladino Valiente Dmd(305) 226-7404Prov. No.: 00000004904112781 SW 42nd St Ste D �Miami, FL 33175Language: EnglishGender: Not ReportedNPI: 1609935626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VAN DUYNE, Tracy L.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764106820 Bird RdMiami, FL 33155Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VANDENEDES, WilliamWilliam Vandenedes Dds(305) 264-4008Prov. No.: 0000000184438163 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1457563975License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 264-9716Accepts New Patients: YHospital Affiliation: N/A*

VASALLO, FranciscoVasallo Dental Office(305) 552-5340Prov. No.: 0000000189588782A SW 8th St �Miami, FL 33174Language: EnglishGender: MaleNPI: 1730207077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VASALLO, FranciscoNew Life Dental(305) 740-1496Prov. No.: 0000122475158400 SW 8th StMiami, FL 33144Language: EnglishGender: MaleNPI: 1730207077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 602-7751Accepts New Patients: YHospital Affiliation: N/A*

VASALLO, FranciscoVasallo Dental Office Pa(305) 552-5340Prov. No.: 0000123293698782 SW 8th StMiami, FL 33174Language: EnglishGender: MaleNPI: 1730207077License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 552-5985Accepts New Patients: YHospital Affiliation: N/A*

VAZANA, Todd A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764116820 Bird RdMiami, FL 33155Gender: MaleNPI: 1710234844License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

418 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VAZQUEZ, Jorge E.Gateway Dental Inc(305) 856-2300Prov. No.: 0000124563562375 SW 27th Ave �Miami, FL 33145Gender: MaleNPI: 1417163718License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAZQUEZ, Jorge E.Gateway Dental Inc(305) 552-1553Prov. No.: 00001248668611880 SW 40th St �Ste 215Miami, FL 33175Gender: MaleNPI: 1417163718License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VAZQUEZ, Jorge E.Gateway Dental(305) 325-0050Prov. No.: 0000124866871399 NW 17th Ave �Ste 301Miami, FL 33125Gender: MaleNPI: 1417163718License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VAZQUEZ, Jorge E.Gateway Dental Inc(305) 944-4373Prov. No.: 0000124866881400 NE Miami Gardens Dr �Ste 201Miami, FL 33179Gender: MaleNPI: 1417163718License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VEGA-PAZ, Eyda M.Eyda M Vega-Paz Dmd(305) 388-7676Prov. No.: 00000018149613045 SW 112th StMiami, FL 33186Language: EnglishGender: Not ReportedNPI: 1063671980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VEGAS, GabrielaJoel Frand(844) 304-5437Prov. No.: 0000125460928200 SW 117th Ave Ste 104Miami, FL 33183Gender: FemaleNPI: 1407273881License: DN21826License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VELEZ-LEON, Waleska I.D&D Dental(305) 253-7227Prov. No.: 0000000188628353 SW 124th St Ste 202Miami, FL 33156Language: English, SpanishGender: FemaleNPI: 1316040819License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VICTORIA, MaribelMaribel Victoria(305) 642-7553Prov. No.: 00000037091914423 SW 42nd StMiami, FL 33175Language: EnglishGender: Not ReportedNPI: 1811083561License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 554-0890Accepts New Patients: YHospital Affiliation: N/A*

VIDAL, Maria C.Best Smiles Dental Care(786) 517-6127Prov. No.: 0000006867438000 Biscayne BlvdMiami, FL 33138Gender: FemaleNPI: 1780749473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 751-9992Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VIEGO, RebecaDentl Health Group(305) 385-4215Prov. No.: 00001218314413876 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-1200Accepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaGreat Expressions DentalCenters(305) 670-4476Prov. No.: 0000121831687300 N Kendall Dr Ste 110Miami, FL 33156Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 670-4477Accepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaDental Health Group IvesDairy(305) 652-3412Prov. No.: 0000121831741001 Ives Dairy Rd Ste 10Miami, FL 33179Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 652-3459Accepts New Patients: YHospital Affiliation: N/A*

419GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VIEGO, RebecaGreat Expressions DentalCenters(305) 227-0600Prov. No.: 00001218318711865 SW 26th St Ste C39Miami, FL 33175Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 227-6928Accepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaDental Health Group Pa(305) 595-6411Prov. No.: 0000121832159595 N Kendall Dr Ste 201Miami, FL 33176Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 595-8724Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764136820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental(786) 621-5800Prov. No.: 00001247296512554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1215204771License: DN 19540License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VILLANUEVA, Lourdes M.Lourdes M Villanueva Dmd(305) 552-6969Prov. No.: 00000002438311760 SW 40th St Ste 112Miami, FL 33175Gender: Not ReportedNPI: 1093800054License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 552-6775Accepts New Patients: YHospital Affiliation: N/A*

VILLAR, Tania A.Miami Dental Care Inc(305) 267-3751Prov. No.: 0000101202115771 NW 7th StMiami, FL 33126Gender: FemaleNPI: 1245320068License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VINUELA, Kari M.Gary A Lubel Dds Pa(305) 274-8253Prov. No.: 0000121234439595 N Kendall Dr Ste 203Miami, FL 33176Gender: FemaleNPI: 1245535822License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 274-0698Accepts New Patients: NHospital Affiliation: N/A*

VUELTA, FloraibaFloralba Vuelta Dds Pa(305) 235-4075Prov. No.: 00001226841514981 S Dixie Hwy �Miami, FL 33176Gender: Not ReportedNPI: 1922122639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)VUELTA, FloralbaFloralba Vuelta Dds Pa(305) 235-4075Prov. No.: 00000001833514981 S Dixie Hwy �Miami, FL 33176Language: EnglishGender: Not ReportedNPI: 1275930570License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

WANG, AlexanderSoutheastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000007121449507 S Dixie HwyMiami, FL 33156Gender: MaleNPI: 1609936277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

WANG, Christina W.Southeastern Dental AssociatesVi(305) 643-3040Prov. No.: 0000020889111843 SW 8th St �Miami, FL 33135Language: EnglishGender: FemaleNPI: 1942563325License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 643-3371Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)WANG, Christina W.Southeastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000020889122482 Secoffee Ter �Miami, FL 33133Language: EnglishGender: FemaleNPI: 1942563325License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

WANG, Christina W.Southeastern Dental AssociatesVii(305) 859-7949Prov. No.: 0000124259929507 S Dixie HwyMiami, FL 33156Language: EnglishGender: FemaleNPI: 1942563325License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 859-9585Accepts New Patients: YHospital Affiliation: N/A*

WATSON-HAMILTON, Sheri S.Dental Doctor Services Inc(305) 595-6464Prov. No.: 0000034835779000 SW 87th Ct Ste 212Miami, FL 33176Gender: FemaleNPI: 1053580639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

420 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)WEINSTOCK, Rebeca-AnnSage Dental of West Miami(786) 476-8711Prov. No.: 0000121764146820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1619169083License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

WEYRAUCH, Michael S.Dentl Health Group(305) 385-4215Prov. No.: 00000505945713876 SW 88th StMiami, FL 33186Gender: MaleNPI: 1780948224License: 22DI02547500License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 387-1200Accepts New Patients: YHospital Affiliation: N/A*

WILLIAMS, Keith A.Community Health of SouthFlorida Inc(786) 245-2700Prov. No.: 0000124746783831 Grand AveMiami, FL 33133Language: SpanishGender: MaleNPI: 1629296793License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)WILSON, Dwight E.Dwight E Wilson Dds Pa(305) 757-0541Prov. No.: 0000001214024301 NW 7th AveMiami, FL 33127Language: EnglishGender: MaleNPI: 1295859171License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 757-0541Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of West Miami(786) 476-8711Prov. No.: 0000121764156820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental(786) 621-5800Prov. No.: 00001247296612554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YU, Cynthia W.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764166820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)YU, Cynthia W.Sage Dental(786) 621-5800Prov. No.: 00001247296712554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1396005971License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YU, Joyce W.Sage Dental(786) 621-5800Prov. No.: 00001249356912554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1558749721License: DN21379License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YUSMAN-WIRTH, LindaThe Falls Dental Care Grp Pa(305) 255-5550Prov. No.: 0000000200528729 SW 136th St �Miami, FL 33176Language: EnglishGender: FemaleNPI: 1598082885License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 255-5560Accepts New Patients: YHospital Affiliation: N/A*

ZALATAN, Justin J.101(305) 654-1234Prov. No.: 00000024888021457 NW 2nd Ave �Miami, FL 33169Gender: Not ReportedNPI: 1235302761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ZAMORA, Lyan T.Gateway Dental Inc(305) 944-4373Prov. No.: 0000125180791400 NE Miami Gardens DrMiami, FL 33179Gender: FemaleNPI: 1194008797License: DN19343License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZAMORA, Lyan T.Gateway Dental(305) 325-0050Prov. No.: 0000125180941399 NW 17th Ave Ste 301Miami, FL 33125Gender: FemaleNPI: 1194008797License: DN19343License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZAMORA, Lyan T.Gateway Dental Inc(305) 856-2300Prov. No.: 0000125181152375 SW 27th Ave �Miami, FL 33145Gender: FemaleNPI: 1194008797License: DN19343License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZAMORA, Lyan T.Gateway Dental Inc(305) 552-1553Prov. No.: 00001251813111880 SW 40th St Ste 215Miami, FL 33175Gender: FemaleNPI: 1194008797License: DN19343License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

421GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ZARDON, Ramon A.Ramon Zardon Dds(305) 259-0080Prov. No.: 00000001830615940 SW 137th Ave �Miami, FL 33177Language: EnglishGender: Not ReportedNPI: 1679793715License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of West Miami(786) 476-8711Prov. No.: 0000124544836820 Bird RdMiami, FL 33155Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental(786) 621-5800Prov. No.: 00001247297612554 SW 88th StMiami, FL 33186Gender: FemaleNPI: 1225481302License: DN21923License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ZAYAS, FrancoisFrancois Zayas Dds(305) 223-8020Prov. No.: 0000014011758370 W Flagler StMiami, FL 33144Language: EnglishGender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ZAYAS, PedroPedro Zayas Dds(305) 551-0068Prov. No.: 0000002306349100 SW 24th St Ste 4Miami, FL 33165Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 290-4892Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764186820 Bird RdMiami, FL 33155Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental(786) 621-5800Prov. No.: 00001247297812554 SW 88th StMiami, FL 33186Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami (Cont.)ZURFLUH, Thomas Aquinas A.Bird Dental(305) 221-2334Prov. No.: 0000000181019230 SW 40th St Ste A �Miami, FL 33165Gender: MaleNPI: 1457400665License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental of West Miami(786) 476-8711Prov. No.: 0000121764176820 Bird RdMiami, FL 33155Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZYLBERING, Jason M.Sage Dental(786) 621-5800Prov. No.: 00001247297712554 SW 88th StMiami, FL 33186Language: French, HebrewGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach

ABRAHAMS, Howard N.Howard Abrahams Dmd Pa(305) 532-4419Prov. No.: 000000447161960 Arthur Godfrey Rd Ste �Miami Beach, FL 33140Gender: MaleNPI: 1528219755License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-4471Accepts New Patients: YHospital Affiliation: N/A*

ADELSON, Charles J.Sofi Dental Care &Orthodontics(305) 534-4440Prov. No.: 000000717844119 Washington Ave �Ste 601Miami Beach, FL 33139Gender: MaleNPI: 1659423796License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ALVARADO-ROMERO POU, Melissa D.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192700227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1063773513License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

422 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)AMINI, Bahman S.Sofi Dental Care &Orthodontics(305) 534-4440Prov. No.: 000002825196119 Washington Ave Ste 60 �Miami Beach, FL 33139Gender: Not ReportedNPI: 1023213253License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 534-0444Accepts New Patients: YHospital Affiliation: N/A*

AMINI, Simon S.Sofi Dental Care &Orthodontics(305) 534-4440Prov. No.: 000000342608119 Washington Ave Ste 60 �Miami Beach, FL 33139Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 534-0444Accepts New Patients: YHospital Affiliation: N/A*

AUZA, Juan A.Juan Auza(305) 538-3265Prov. No.: 000001141913400 W 41st St Ste 410Miami Beach, FL 33140Language: EnglishGender: MaleNPI: 1255549127License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 538-2319Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)AVILES, Ana V.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012550496227 71st St �Miami Beach, FL 33141Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192564227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BACHEIKOV, Zalman H.Zalman H Bacheikov Dds(305) 532-6795Prov. No.: 000000040219420 Lincoln Rd Ste 215Miami Beach, FL 33139Gender: Not ReportedNPI: 1306956859License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)BACHEIKOV, Zalman H.Zalman H Bacheikov Dds(305) 532-6795Prov. No.: 000012109613407 Lincoln Rd Ste 700Miami Beach, FL 33139Gender: Not ReportedNPI: 1306956859License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BAMDAD, NavidMiami Beach DentalAssociates(305) 532-1728Prov. No.: 000012177659975 Arthur Godfrey Rd SteMiami Beach, FL 33140Gender: Not ReportedNPI: 1437340890License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-1729Accepts New Patients: YHospital Affiliation: N/A*

BAUTISTA, EnricoMiami Beach Dental Center(305) 674-0095Prov. No.: 000000327487333 W 41st St Ste 818Miami Beach, FL 33140Language: EnglishGender: MaleNPI: 1558467670License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 674-1553Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)BENGOCHEA, ArmandoSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012209992227 71st StMiami Beach, FL 33141Language: English, SpanishGender: MaleNPI: 1487094678License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BERNKRANT, ShannaShanna Bernkrant Dmd(305) 672-4444Prov. No.: 000002618939757 Arthur Godfrey RdMiami Beach, FL 33140Gender: FemaleNPI: 1366730236License: 19628License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 672-8997Accepts New Patients: YHospital Affiliation: N/A*

BERQUIST, Michael R.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192684227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1447488911License: DN16133License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

423GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)BOCKIAN, Joshua A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012212120227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1235460460License: DN6296License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRATMAN, JerrySage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192490227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1134317415License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

BRAVERMAN, CharlesCharles Braverman Dds(305) 531-1616Prov. No.: 0000001202691680 Michigan Ave Ste 102Miami Beach, FL 33139Gender: Not ReportedNPI: 1972741643License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)BUITRAGO, Renan L.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012248960227 71st StMiami Beach, FL 33141Language: English, SpanishGender: MaleNPI: 1306007547License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CAMEJO, JoaquinSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012471690227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1124407762License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARSON, Adam N.Adam N Carson Dmd(305) 532-6977Prov. No.: 000000464330100 Lincoln Rd Ste Cu7Miami Beach, FL 33139Gender: MaleNPI: 1255508339License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)CASTILLO, Juan I.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000000736258227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1962651877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CERRUD, Ginette H.Miami Beach Comm HealthCenter(305) 538-8835Prov. No.: 000001301554710 Alton Rd �Miami Beach, FL 33139Language: EnglishGender: FemaleNPI: 1720093412License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-5766Accepts New Patients: YHospital Affiliation: N/A*

CHILDERS, Carmen D.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012201454227 71st StMiami Beach, FL 33141Language: English, SpanishGender: FemaleNPI: 1407247968License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)COHEN, Michael A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012425051227 71st StMiami Beach, FL 33141Language: English, SpanishGender: MaleNPI: 1528484102License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORONADO, EfrainSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193036227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1518050376License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CORREIA, Philip J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012251371227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1871538751License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

424 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)COWAN, Marc A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192637227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1780915918License: DN5657License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193071227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1053435156License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DADACIU, CorneliaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012243901227 71st StMiami Beach, FL 33141Language: English, RomaniaGender: FemaleNPI: 1841346327License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)DANESHPAJOUH, SaraSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192563227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1982836003License: DN 18753License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DAROJAT, Zuhdiyah M.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242638227 71st StMiami Beach, FL 33141Language: English, SpanishGender: FemaleNPI: 1821318544License: DN18992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DE LIMA, Anacaona C.Miami Beach Dental Center(305) 532-1728Prov. No.: 000000342943975 Arthur Godfrey Rd Ste �Miami Beach, FL 33140Gender: FemaleNPI: 1841413267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-1729Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)DE LIMA, Anacaona C.Beautiful Smiles Lauderhill(305) 866-2933Prov. No.: 000000345584227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1841413267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 866-7640Accepts New Patients: YHospital Affiliation: N/A*

DEAN, Craig J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193034227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1396808135License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DELCASTILLO, Daniel A.Daniel A Delcastillo Dds(305) 535-3113Prov. No.: 000000028598925 Arthur Godfrey Rd SteMiami Beach, FL 33140Language: EnglishGender: MaleNPI: 1235135716License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)DIAZ, JanySage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012445426227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1659729598License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DIRE, AnthonySage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012243902227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1487764528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DOOLEY, Jill C.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012436389227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1215285473License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

425GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)DRAIZIN, Claudia A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193035227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1326270620License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DUARTE, BeatrizSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012212118227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1144477084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

DURKAN, Marcia A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192639227 71st StMiami Beach, FL 33141Language: EnglishGender: FemaleNPI: 1437111754License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)ENGELSBERG, David J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193042227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1134302458License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ESCOTO, MariaSobedentistcom(305) 535-2225Prov. No.: 0000000973532895 Collins AveMiami Beach, FL 33140Gender: Not ReportedNPI: 1023221330License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 535-2908Accepts New Patients: YHospital Affiliation: N/A*

EXPOSITO, ArielMiami Beach Dental Center(305) 674-0095Prov. No.: 000001089806333 W 41st St Ste 818Miami Beach, FL 33140Gender: FemaleNPI: 1508177577License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 674-1553Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)FERNANDEZ-MARTINEZ, MariangelSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192695227 71st StMiami Beach, FL 33141Language: EnglishGender: FemaleNPI: 1376857441License: DN19079License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

FIELDS-HELLER, Rita A.Mount Sinai Dental Clinic(305) 674-2450Prov. No.: 0000000191264300 Alton Rd �Miami Beach, FL 33140Gender: FemaleNPI: 1265518807License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FOX, Jeffrey M.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192487227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1497813042License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)FUERST, PeterMount Sinai Dental Clinic(305) 674-2450Prov. No.: 0000000191274300 Alton Rd �Miami Beach, FL 33140Language: EnglishGender: MaleNPI: 1700963527License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GAERTNER, AndyGaertner Tommy(305) 672-4444Prov. No.: 000012179492757 Arthur Godfrey RdMiami Beach, FL 33140Language: Dutch, English,French, HebrewGender: MaleNPI: 1033347497License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 672-8997Accepts New Patients: YHospital Affiliation: N/A*

GAERTNER, TommyGaertner Tommy(305) 672-4444Prov. No.: 000012218367757 Arthur Godfrey RdMiami Beach, FL 33140Gender: MaleNPI: 1033463328License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 672-8997Accepts New Patients: YHospital Affiliation: N/A*

426 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)GARCIA-PORRAS, MarcelaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192638227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1841480027License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GARRISON, Harvey B.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192481227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1194823815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GHABBOUR, Diaa G.Coast Dental(305) 538-7362Prov. No.: 0000121021741370 Washington Ave Ste 2 �Miami Beach, FL 33139Language: EnglishGender: MaleNPI: 1962504209License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 538-7283Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)GHANDOUR, DimaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012200033227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1891987384License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GILBERT, MarkSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192696227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1659631307License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GONZALES, AngelicaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012195158227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1700012903License: 23645License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)GONZALEZ, ElizabethLuis Quinones(305) 861-7222Prov. No.: 000012490160900 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1275826117License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GOODMAN, Richard B.Richard B Goodman Dmd(305) 531-0063Prov. No.: 000000019071830 Washington AveMiami Beach, FL 33139Language: EnglishGender: MaleNPI: 1689881815License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-2983Accepts New Patients: YHospital Affiliation: N/A*

GORDON, Jeffrey H.Jeffrey Gordon(305) 861-7222Prov. No.: 000000859922931 Normandy DrMiami Beach, FL 33141Language: EnglishGender: Not ReportedNPI: 1285713263License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)GREEN, BeverlySage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012204450227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1558704122License: 20478License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUERRERO, Luis A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192635227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1417052705License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUIO, MarlenyM & G Dents Corp(305) 534-7423Prov. No.: 0000000371001335 Alton RdMiami Beach, FL 33139Language: EnglishGender: Not ReportedNPI: 1881744589License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 534-8119Accepts New Patients: YHospital Affiliation: N/A*

427GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)GUL, Yousaf A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242636227 71st StMiami Beach, FL 33141Language: English, GermanGender: MaleNPI: 1801209812License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GULTZ, Jerrold P.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012436406227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1851326581License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

GUTHRIE, KellySage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192630227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1639579626License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)HAAS, Charles D.Charles D Haas Dmd(305) 534-2526Prov. No.: 0000039172121688 Meridian Ave Ste 414Miami Beach, FL 33139Language: EnglishGender: Not ReportedNPI: 1245372614License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HEDSTROM, Brien D.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012451938227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1013368877License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012217577227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)HERNANDEZ, Georgia M.Made Ya Smile Dental CypressPllc(305) 532-3300Prov. No.: 0000000191821680 Michigan Ave Ste 102 �Miami Beach, FL 33139Gender: FemaleNPI: 1932292232License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012510188227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ISRAEL, ElieSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193029227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1861624124License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)ITURRALDE, Ignacio J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012251074227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1619028644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

JIMENEZ, Manuel A.Luis Quinones(305) 861-7222Prov. No.: 000000428211900 71st StMiami Beach, FL 33141Gender: MaleNPI: 1033452370License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 861-2300Accepts New Patients: YHospital Affiliation: N/A*

JUMA, ZaileenSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242637227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1275890824License: DN20059License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

428 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)KLAIB, Charbel A.Coast Dental(305) 538-7362Prov. No.: 0000121021751370 Washington Ave Ste 2 �Miami Beach, FL 33139Gender: MaleNPI: 1134390396License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 538-7283Accepts New Patients: YHospital Affiliation: N/A*

KOSSAK, Elizabeth A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012311109227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1851739262License: 019029375License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

KRAJEWSKI, Helena J.Main St Childrens Dentistry ofMiami Beach Pllc(305) 921-4601Prov. No.: 0000120965644308 Alton Rd Ste 930Miami Beach, FL 33140Gender: FemaleNPI: 1356670988License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)LAMB, NicoleSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192556227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1154660033License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LAURENCE, PeterPeter L Laurence Dmd Inc(305) 672-4444Prov. No.: 000000043131757 Arthur Godfrey RdMiami Beach, FL 33140Language: EnglishGender: MaleNPI: 1700962065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LAURENCE, PeterMiami Beach Comm HealthCenter(305) 538-8835Prov. No.: 000001215287710 Alton Rd �Miami Beach, FL 33139Language: EnglishGender: MaleNPI: 1700962065License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-5766Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)LEMINH, Chau J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012444957227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1063863322License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LEPORE, KrystinaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192631227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1164781761License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

LONDONO, Jennifer D.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012212119227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1952319808License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)LOPEZ, Alexander O.Osca Lopez(305) 674-0200Prov. No.: 000000260894420 Lincoln Rd Ste 215Miami Beach, FL 33139Gender: MaleNPI: 1326224130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-0210Accepts New Patients: YHospital Affiliation: N/A*

LOPEZ, Alexander O.Astoria Dental at the BeachInc(305) 674-0200Prov. No.: 0000017007271235 Alton RdMiami Beach, FL 33139Gender: MaleNPI: 1326224130License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LOVETERE, Thomas L.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012439924227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1710072517License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

429GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)MA, RobertSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192559227 71st StMiami Beach, FL 33141Language: English, UrduGender: MaleNPI: 1154391712License: DN17257License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MAHARAJ, Vindra R.Miami Beach DentalAssociates(305) 532-1728Prov. No.: 000012075613975 Arthur Godfrey Rd SteMiami Beach, FL 33140Gender: FemaleNPI: 1720176969License: DN11308License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-1729Accepts New Patients: YHospital Affiliation: N/A*

MANCUSO, RichardSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012209394227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1861892242License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)MCINTOSH FALCON, KatiuskaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012473561227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MOLDAUER, Bertram I.Sofi Dental Care &Orthodontics(305) 534-4440Prov. No.: 000005482857119 Washington Ave Ste 60 �Miami Beach, FL 33139Gender: MaleNPI: 1982715405License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 534-0444Accepts New Patients: YHospital Affiliation: N/A*

MONCRIEFFE, Tiffany I.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242633227 71st StMiami Beach, FL 33141Language: English, SpanishGender: FemaleNPI: 1972735611License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)MUNOZ, Numa F.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012244466227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1427115310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAGUIB, Michelle A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192685227 71st StMiami Beach, FL 33141Language: EnglishGender: FemaleNPI: 1215170980License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

NAIERMAN, Eric H.Eric H Naierman Dds Pa(305) 535-3113Prov. No.: 000002156404925 Arthur Godfrey Rd SteMiami Beach, FL 33140Gender: MaleNPI: 1982981643License: 19906License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 535-3138Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)NASSERY, Hamidreza A.Hamid Nassery Dmd Pa(305) 672-4444Prov. No.: 000000018380757 Arthur Godfrey RdMiami Beach, FL 33140Language: EnglishGender: Not ReportedNPI: 1215006085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

NEWTON, EmilySage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193129227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1417331794License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ORTEGA, Laura O.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192633227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1558742528License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

430 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)ORTIZ, Ana M.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193031227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1982807541License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012241969227 71st StMiami Beach, FL 33141Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PAPIR, Jessica B.Jessica B Papir Dmd(305) 535-3113Prov. No.: 000000253475925 Arthur Godfrey Rd SteMiami Beach, FL 33140Gender: FemaleNPI: 1396760211License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)PARE, Elizabeth A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193032227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1356692560License: DN19911License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PENA, Maria L.Miami Beach Dental Center(305) 674-0095Prov. No.: 000005059863333 W 41st St Ste 818Miami Beach, FL 33140Gender: FemaleNPI: 1427305796License: DN19909License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 674-1553Accepts New Patients: YHospital Affiliation: N/A*

PENA, Maria L.Sofi Dental Care &Orthodontics(305) 534-4440Prov. No.: 000011997136119 Washington Ave Ste 60 �Miami Beach, FL 33139Gender: FemaleNPI: 1427305796License: DN19909License Type: DBP DentistBoard Certified: Not ReportedEmail: [email protected]: (305) 534-0444Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)PEREZ-ALAMO, JenniferSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192488227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1962601799License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLANES, Alex A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193068227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1952643363License: DN20254License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PLITT, JaredDr Jared Plitt Dmd Pa(305) 534-2525Prov. No.: 000000380489333 W 41st St Ste 706Miami Beach, FL 33140Gender: Not ReportedNPI: 1447458146License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected] mFax: (305) 534-7979Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)POPPER, Drew C.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012338111227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1922407964License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

PORRAS, Lori B.Miami Beach Dental Center(305) 532-1728Prov. No.: 000012031652975 Arthur Godfrey Rd Ste �Miami Beach, FL 33140Gender: FemaleNPI: 1750636569License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-1729Accepts New Patients: YHospital Affiliation: N/A*

PRICE, DanaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012191804227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1669841227License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

431GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)QUICK, James R.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192482227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1427304377License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

QUINONES, Luis E.Luis Quinones(305) 861-7222Prov. No.: 000000446610900 71st StMiami Beach, FL 33141Gender: MaleNPI: 1790990208License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 861-2300Accepts New Patients: YHospital Affiliation: N/A*

RAGONE, BarryBarry Ragone Dmd(305) 865-6961Prov. No.: 0000004559016961 Indian Creek DrMiami Beach, FL 33141Gender: Not ReportedNPI: 1033263959License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)RAND, Matthew K.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192698227 71st StMiami Beach, FL 33141Language: English, French,SpanishGender: MaleNPI: 1740407030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RAPPAPORT, David B.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193070227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1639280381License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

REZVANI, Caroline S.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193072227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1679744981License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)RIEGER, Eric R.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193073227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1790985067License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

RING, Stephen G.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242628227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1407864358License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ROCA, Ana L.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012241979227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1598920712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)RODRIGUEZ, Hernan M.Miami Beach Comm HealthCenter(305) 538-8835Prov. No.: 000001301546710 Alton Rd �Miami Beach, FL 33139Gender: MaleNPI: 1003950502License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-5766Accepts New Patients: YHospital Affiliation: N/A*

ROQUE-RUANO, MaikelSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012492657227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1770875684License: DN20346License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ROSHKIND, David M.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193074227 71st StMiami Beach, FL 33141Gender: Not ReportedNPI: 1821013269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

432 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)SABO, Nicholas J.Victor Sabo Dds(305) 672-1818Prov. No.: 000000375389333 W 41st St Ste 402Miami Beach, FL 33140Gender: Not ReportedNPI: 1477719086License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SAIDI, ArdavanSofi Dental Care &Orthodontics(305) 534-4440Prov. No.: 000000375101119 Washington Ave Ste 60 �Miami Beach, FL 33139Gender: MaleNPI: 1922296524License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 534-0444Accepts New Patients: YHospital Affiliation: N/A*

SANCHES, MelanieSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193076227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1396127908License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)SANTEIRO, AlfredoDr Alfredo Santeiro(305) 672-9698Prov. No.: 0000006321282555 Collins Ave Ste C3 �Miami Beach, FL 33140Language: EnglishGender: MaleNPI: 1669602629License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SHENG, YuchenRadiant Smiles Family DentalPllc(305) 532-6977Prov. No.: 000012237869100 Lincoln Rd Ste Cu7Miami Beach, FL 33139Language: Chinese, EnglishGender: FemaleNPI: 1245669084License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: (305) 532-0050Accepts New Patients: YHospital Affiliation: N/A*

SHOFNOS, Charles I.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193039227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1174774897License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)SIMPSON, NatalieSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192687227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1184760522License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SIRAGE, Ahmed R.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193038227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1578945986License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

SNIDER, Erica M.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193040227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1073702767License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)SOLLEE, ArthurSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193041227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1649585878License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STEINER, Samantha L.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192562227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1992193437License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

STRONG, ShaniceSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012454309227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1235581125License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

433GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)SUTNICK, Steven A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012471691227 71st StMiami Beach, FL 33141Language: SpanishGender: MaleNPI: 1922447374License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

TITHERINGTON, JessicaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012447615227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1558711416License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TORRES, Lina T.Sage Dental of Miami Beach at71st StProv. No.: 000012528647227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1427407626License: DN22322License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)TREVISANI, Ronald J.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012243685227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1740325794License: Not ReportedLicense Type: Not ReportedBoard Certified: YesEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

TUBIO, AbigailSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012436407227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1821279852License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

UBIETA ARBESU, EduardoSunset Family and CosmeticDentistry Pll(305) 531-0063Prov. No.: 000012430420830 Washington AveMiami Beach, FL 33139Gender: MaleNPI: 1477992436License: DN20181License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 532-2983Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)URQUIZA, YeneirSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242635227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1629325592License: DN19806License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VAN DUYNE, Tracy L.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242634227 71st StMiami Beach, FL 33141Language: English, SpanishGender: FemaleNPI: 1184037277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

VIGNOLA, Jennifer A.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192489227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1215204771License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)WEINSTOCK, Rebeca-AnnSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192493227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1619169083License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

WYNNE, Larry E.Larry E Wynne Dds(305) 865-0336Prov. No.: 000000025381900 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1285834531License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YOUNG, SummerSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012242630227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1174810725License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

434 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)YU, Cynthia W.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012193067227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1396005971License: DN19992License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZASLAVSKY, JuliaSage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012454342227 71st StMiami Beach, FL 33141Gender: FemaleNPI: 1225481302License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

ZIEGLER, Neal B.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192554227 71st StMiami Beach, FL 33141Gender: MaleNPI: 1457547952License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Beach (Cont.)ZYLBERING, Jason M.Sage Dental of Miami Beach at71st St(305) 866-2933Prov. No.: 000012192485227 71st StMiami Beach, FL 33141Language: EnglishGender: MaleNPI: 1891957601License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (561) 431-8169Accepts New Patients: YHospital Affiliation: N/A*

Miami Gardens

BOILLOT, KathyMitchell Miller(305) 621-3111Prov. No.: 00001205014719517 NW 57th Ave �Miami Gardens, FL 33055Language: English, SpanishGender: FemaleNPI: 1306064399License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

BRODY, Robert A.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00000001859017301 NW 27th AveMiami Gardens, FL 33056Language: EnglishGender: MaleNPI: 1295830438License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)CARDENAS SARRACINO, Astrid H.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00001219119717301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1962831644License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 623-7660Accepts New Patients: YHospital Affiliation: N/A*

CASEY, Barbara L.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00001250425717301 NW 27th AveMiami Gardens, FL 33056Language: Hebrew, SpanishGender: FemaleNPI: 1366407025License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORRALES-IGLESIAS, Luisa Y.Luisa Y Corrales Iglesias Dds(305) 625-8272Prov. No.: 0000003878014538 NW 183rd St �Miami Gardens, FL 33055Gender: FemaleNPI: 1861546277License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)DAGAN, ShacharGreat Expressions DentalCenters(305) 624-1371Prov. No.: 00001216446317301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1447632542License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 623-7660Accepts New Patients: YHospital Affiliation: N/A*

DE PENA, LauraMitchell Miller(305) 621-3111Prov. No.: 00001225723019517 NW 57th Ave �Miami Gardens, FL 33055Language: English, SpanishGender: FemaleNPI: 1710328141License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

DIAZ, YanetLuisa Y Corrales Iglesias Dds(305) 625-8272Prov. No.: 0000120839034538 NW 183rd St �Miami Gardens, FL 33055Language: English, SpanishGender: FemaleNPI: 1215376934License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

435GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)FARROKHI, AliMitchell Miller(305) 621-3111Prov. No.: 00001225574319517 NW 57th Ave �Miami Gardens, FL 33055Language: EnglishGender: MaleNPI: 1568745610License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00000069423917301 NW 27th AveMiami Gardens, FL 33056Language: EnglishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FONSECA, JacquelineThe Center For Family andChild Enrichment Inc(305) 474-1800Prov. No.: 0000125002521825 NW 167th St Ste 108Miami Gardens, FL 33056Gender: FemaleNPI: 1487005369License: DN21846License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)GARCIA, RicardoGreat Expressions DentalCenters(305) 624-1371Prov. No.: 00000063103617301 NW 27th AveMiami Gardens, FL 33056Language: EnglishGender: MaleNPI: 1184700783License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GAY, Joseph S.Joseph S Gay Dds(305) 625-3747Prov. No.: 00000001993018063 NW 27th AveMiami Gardens, FL 33056Gender: MaleNPI: 1114084639License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GORDON, Christopher A.Laura De PenaProv. No.: 00001205035819517 NW 57th AveMiami Gardens, FL 33055Gender: MaleNPI: 1073723490License: DN 14183License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GORDON, St ChristopherLaura De Pena(305) 621-3111Prov. No.: 00001255486119517 NW 57th Ave �Miami Gardens, FL 33055Gender: Not ReportedNPI: 1356539449License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)HAYATE, JessicaMitchell Miller(305) 621-3111Prov. No.: 00001212974619517 NW 57th Ave �Miami Gardens, FL 33055Language: English, SpanishGender: FemaleNPI: 1700210630License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

HERMANNSSON, Steingrimur N.Steingrimur Hermannsson(305) 974-5175Prov. No.: 00000073932517560 NW 27th Ave Ste 101 �Miami Gardens, FL 33056Gender: MaleNPI: 1104184324License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ-ABREU, LuisLuis Hernandez-Abreu(305) 974-5175Prov. No.: 00000181990317560 NW 27th Ave Ste 101Miami Gardens, FL 33056Gender: Not ReportedNPI: 1902296452License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)HOFFMAN, Tara L.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00000113842417301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1487882379License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: [email protected]: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

KELLOGG, David A.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00001214236417301 NW 27th AveMiami Gardens, FL 33056Gender: MaleNPI: 1255771267License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 623-7660Accepts New Patients: YHospital Affiliation: N/A*

KIANI, KamranMitchell Miller(305) 621-3111Prov. No.: 00001207468119517 NW 57th Ave �Miami Gardens, FL 33055Gender: MaleNPI: 1699175729License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

436 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)LOPEZ, GlorianaThe Center For Family andChild Enrichment Inc(305) 474-1800Prov. No.: 0000124293651825 NW 167th St Ste 108Miami Gardens, FL 33056Gender: Not ReportedNPI: 1255408449License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (786) 629-3632Accepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ZunithMiami Gardens Dental Inc(305) 625-8272Prov. No.: 0000125495544538 NW 183rd St �Miami Gardens, FL 33055Gender: FemaleNPI: 1487035085License: DN21215License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MILLER, Mitchell H.Mitchell Miller(305) 621-3111Prov. No.: 00001221210719517 NW 57th Ave �Miami Gardens, FL 33055Gender: MaleNPI: 1336554864License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

MUJTABA, MoneezeMoneeze Mujtaba(305) 621-3111Prov. No.: 00000358881719517 NW 57th AveMiami Gardens, FL 33055Gender: Not ReportedNPI: 1609926310License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: NHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)NAZARIO LUGO, Beatriz T.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00000036310017301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1255340279License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OJEDA JR, Juan M.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00001223905817301 NW 27th AveMiami Gardens, FL 33056Gender: MaleNPI: 1861786949License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

OSPINA, CarolinaMitchell Miller(305) 621-3111Prov. No.: 00001213318419517 NW 57th Ave �Miami Gardens, FL 33055Language: English, Farsi,French, SpanishGender: FemaleNPI: 1467853085License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)PATEL, MinalbenGreat Expressions DentalCenters(305) 624-1371Prov. No.: 00001213591317301 NW 27th AveMiami Gardens, FL 33056Language: English, SpanishGender: FemaleNPI: 1235543257License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 623-7660Accepts New Patients: YHospital Affiliation: N/A*

SCOTT, Tessa F.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00000001860217301 NW 27th AveMiami Gardens, FL 33056Language: EnglishGender: FemaleNPI: 1396821948License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

SEVEL, Dennis S.Mitchell Miller(305) 621-3111Prov. No.: 00000126317919517 NW 57th Ave �Miami Gardens, FL 33055Language: EnglishGender: MaleNPI: 1568665966License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 621-8020Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)SYED, NighatMoneeze Mujtaba(305) 621-3111Prov. No.: 00000391963019517 NW 57th AveMiami Gardens, FL 33055Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

VIEGO, RebecaGreat Expressions DentalCenters(305) 624-1371Prov. No.: 00001218314717301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1053654475License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 623-7660Accepts New Patients: YHospital Affiliation: N/A*

WEISBROT, Bruce S.Steingrimur Hermannsson(305) 974-5175Prov. No.: 00001248830417560 NW 27th Ave �Ste 101Miami Gardens, FL 33056Language: SpanishGender: Not ReportedNPI: 1437163698License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

437GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Gardens (Cont.)WILLIAMS, Tosha R.Great Expressions DentalCenters(305) 624-1371Prov. No.: 00000165718617301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1609009463License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

YANES, MarnieGreat Expressions DentalCenters(305) 624-1371Prov. No.: 00001217862517301 NW 27th AveMiami Gardens, FL 33056Gender: FemaleNPI: 1407236052License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 623-7660Accepts New Patients: YHospital Affiliation: N/A*

Miami Lakes

ARDILA VELOSA, LeonardoCarlos A Quilichini Dds(305) 557-5775Prov. No.: 00001224962815436 NW 77th Ct �Miami Lakes, FL 33016Language: English, SpanishGender: MaleNPI: 1851683759License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 557-7284Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)AVILES, Ana V.Sage Dental(786) 456-1760Prov. No.: 00001255041216879 NW 67th AveMiami Lakes, FL 33014Language: SpanishGender: FemaleNPI: 1942537311License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

AZARI, Scott J.Sage Dental(786) 456-1760Prov. No.: 00001247086816879 NW 67th AveMiami Lakes, FL 33014Gender: MaleNPI: 1336157361License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BLAY, Marina M.Carlos A Quilichini Dds(305) 557-5775Prov. No.: 00001224816615436 NW 77th Ct �Miami Lakes, FL 33016Language: Chinese, English,Slovak, SpanishGender: FemaleNPI: 1932425972License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 557-7284Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)BRETOS, Alexander L.Royal Oaks Dental(305) 822-7332Prov. No.: 00000001974715502 NW 77th Ct �Miami Lakes, FL 33016Language: EnglishGender: Not ReportedNPI: 1790893030License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

BROWN, KevinAffiliated Dental Specialists Pl(786) 319-9057Prov. No.: 00001251206516010 NW 57th Ave Ste 106Miami Lakes, FL 33014Gender: MaleNPI: 1851848295License: DN16672License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CABRERA, LadysLadys Cabrera(305) 556-7595Prov. No.: 0000001259476500 Cow Pen Rd Ste 203Miami Lakes, FL 33014Gender: FemaleNPI: 1629185509License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-7597Accepts New Patients: YHospital Affiliation: N/A*

CABRERA, LadysLadys Cabrera(305) 556-7595Prov. No.: 0000020541036500 Cow Pen Rd Ste 203Miami Lakes, FL 33014Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 556-7597Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)CABRERA, MoisesMiami Lakes Dental HealthCenter Pa(305) 557-7775Prov. No.: 00000001815415450 New Barn Rd Ste 101 �Miami Lakes, FL 33014Language: EnglishGender: Not ReportedNPI: 1326196163License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAPIRO, ManuelManuel Capiro Dds(305) 822-4339Prov. No.: 00000009264916430 NW 59th Ave Ste 300Miami Lakes, FL 33014Gender: Not ReportedNPI: 1194861930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CAPIRO, ManuelManuel Capiro Dds(305) 828-2472Prov. No.: 00000132251116430 NW 59th AveMiami Lakes, FL 33014Gender: Not ReportedNPI: 1194861930License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

438 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)CARBALLO, RodolfoMiami Lakes Dental HealthCenter Pa(305) 557-7775Prov. No.: 00000022682015450 New Barn Rd Ste 101Miami Lakes, FL 33014Gender: MaleNPI: 1235466269License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CARPIO, JesusDental Dreams Llc(305) 625-9777Prov. No.: 0000003278225632 NW 167th St �Miami Lakes, FL 33014Gender: MaleNPI: 1932281961License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CASTELLANOS, AlinaMiami Lakes Dental HealthCenter Pa(305) 557-7775Prov. No.: 00000182483115450 New Barn Rd Ste 101 �Miami Lakes, FL 33014Language: EnglishGender: FemaleNPI: 1720114317License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)COLLAZO, Ralph C.Royal Oaks Dental(305) 822-7332Prov. No.: 00000010607115502 NW 77th Ct �Miami Lakes, FL 33016Language: EnglishGender: MaleNPI: 1720155955License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CORTES, Gonzalo E.Little Smiles Dental(305) 698-7566Prov. No.: 00000043165715495 Eagle Nest Ln Ste 1 �Miami Lakes, FL 33014Gender: MaleNPI: 1740480417License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 698-7565Accepts New Patients: YHospital Affiliation: N/A*

COZAD, AnaAna M Maderal-Cozad Dds(305) 827-9148Prov. No.: 0000038556077725 NW 146th St �Miami Lakes, FL 33016Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

CRUZ, Antonio R.Sage Dental(786) 456-1760Prov. No.: 00001247086716879 NW 67th AveMiami Lakes, FL 33014Gender: MaleNPI: 1053435156License: DN 12876License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)DAMIAN, GianninaSmile Dental Care(305) 625-9777Prov. No.: 0000000193255632 NW 167th StMiami Lakes, FL 33014Language: EnglishGender: FemaleNPI: 1336296110License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

DE CARDENAS, Alberto A.De Cardenas Dental Clinic(305) 821-2752Prov. No.: 0000000189698060 NW 155th St Ste 200 �Miami Lakes, FL 33016Gender: MaleNPI: 1679653158License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

ERRO, Juan C.Miami Lakes Dental HealthCenter Pa(305) 557-7775Prov. No.: 00000001814615450 New Barn Rd Ste 101 �Miami Lakes, FL 33014Language: EnglishGender: MaleNPI: 1205161742License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)FERNANDEZ, LazaroLazaro Fernandez Dds(305) 512-9250Prov. No.: 0000001259458180 NW 155th St Ste 200Miami Lakes, FL 33016Gender: Not ReportedNPI: 1972715712License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 512-9257Accepts New Patients: YHospital Affiliation: N/A*

FERREL, Soraida M.Ferrel Dental Group Pa(305) 821-2233Prov. No.: 00000001975716363 NW 67th Ave �Miami Lakes, FL 33014Language: EnglishGender: FemaleNPI: 1710180070License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

FIGUEROA, Celia C.Main St Childrens Dentistry ofMiami Lakes Pllc(305) 921-4601Prov. No.: 00001250010115501 NW 67th Ave Ste 201Miami Lakes, FL 33014Language: SpanishGender: FemaleNPI: 1497962658License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

439GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)GALLO, Donald A.Main St Childrens Dentistry ofMiami Lakes Pllc(305) 921-4601Prov. No.: 00001209658915501 NW 67th Ave Ste 201Miami Lakes, FL 33014Gender: Not ReportedNPI: 1831109487License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

GHERBALI, Alexandra D.I E Terrero Dds Pa(305) 557-5775Prov. No.: 00000036325615436 NW 77th Ct �Miami Lakes, FL 33016Gender: MaleNPI: 1386841690License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 557-7284Accepts New Patients: YHospital Affiliation: N/A*

GHERBALI, Alexandra D.Alexandra D Gherbali Dds Pa(305) 512-0066Prov. No.: 0000004399567415 Miami Lakes DrMiami Lakes, FL 33014Gender: MaleNPI: 1386841690License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 826-5466Accepts New Patients: YHospital Affiliation: N/A*

GUTIERREZ, Jorge M.Jorge M Gutierrez Dds(305) 558-7615Prov. No.: 0000007047628034 NW 154th StMiami Lakes, FL 33016Gender: MaleNPI: 1043304587License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)HARATZ, ZinaMain St Childrens Dentistry ofMiami Lakes Pllc(305) 921-4601Prov. No.: 00001212869915501 NW 67th Ave Ste 201Miami Lakes, FL 33014Gender: FemaleNPI: 1972747608License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Rutsie A.101(305) 556-7010Prov. No.: 0000002068097735 NW 146th St Ste 104 �Miami Lakes, FL 33016Gender: Not ReportedNPI: 1245338565License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

HERNANDEZ, Rutsie A.Miami Lakes DentalAssociates Pa(305) 984-9825Prov. No.: 0000125601077975 NW 154th St Ste 260Miami Lakes, FL 33016Gender: FemaleNPI: 1245338565License: DN14185License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)HERNANDEZ-JEREZ, GemaBest Family Dental(305) 624-4114Prov. No.: 0000121743985190 NW 167th St Ste 216Miami Lakes, FL 33014Language: English, SpanishGender: FemaleNPI: 1699020347License: DN19881License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 624-4319Accepts New Patients: YHospital Affiliation: N/A*

IRAVANI, Mina F.Sage Dental(786) 456-1760Prov. No.: 00001251018916879 NW 67th AveMiami Lakes, FL 33014Gender: FemaleNPI: 1144688482License: DN22331License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

LABRADA, LiudmilaLuidmila Labrada Dmd Pa(305) 231-1820Prov. No.: 00000018986915525 Bull Run RdMiami Lakes, FL 33014Gender: FemaleNPI: 1972670123License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 231-1838Accepts New Patients: YHospital Affiliation: N/A*

LABRADA, LuidmilaLuidmila Labrada Dmd Pa(305) 231-1820Prov. No.: 00000205450515525 Bull Run RdMiami Lakes, FL 33014Gender: Not ReportedNPI: Not ReportedLicense: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 231-1838Accepts New Patients: YHospital Affiliation: N/A*

MIAMI-DADE COUNTY (Cont.)

Miami Lakes (Cont.)MADERAL-COZAD, AnaAna M Maderal-Cozad Dds(305) 827-9148Prov. No.: 0000000183017725 NW 146th St �Miami Lakes, FL 33016Language: EnglishGender: Not ReportedNPI: 1457476046License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

MARTINEZ, ErnestoErnesto Martinez(305) 556-7010Prov. No.: 0000020881357735 NW 146th St Ste 104 �Miami Lakes, FL 33016Language: English, SpanishGender: MaleNPI: 1740341106License: Not ReportedLicense Type: Not ReportedBoard Certified: Not ReportedEmail: Not ReportedFax: (305) 231-3984Accepts New Patients: YHospital Affiliation: N/A*

MCINTOSH FALCON, KatiuskaSage Dental(786) 456-1760Prov. No.: 00001247356216879 NW 67th AveMiami Lakes, FL 33014Gender: FemaleNPI: 1538516083License: DN22233License Type: DBP DentistBoard Certified: Not ReportedEmail: Not ReportedFax: Not ReportedAccepts New Patients: YHospital Affiliation: N/A*

440 GENERAL DENTISTS (Continued)

� Wheelchair Accessible*N/A = Not Applicable

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