Solstice Access+ D1033/D1031 · 2019. 10. 17. · wika. Pakitawagan ang toll-free na numero ng...

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Solstice Access+ D1033/D1031 Participating Providers September 2019

Transcript of Solstice Access+ D1033/D1031 · 2019. 10. 17. · wika. Pakitawagan ang toll-free na numero ng...

Page 1: Solstice Access+ D1033/D1031 · 2019. 10. 17. · wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card. ВНИМАНИЕ: бесплатные услуги

Solstice Access+D1033D1031

Participating Providers

September 2019

Welcome toSolstice

NetworkPlease take a moment to review this provider directoryIf you have any questions please contact the MemberServices Department

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

bull Namebull Locationbull Phone Number

This directory contains a listing of primary caredentists only Please refer to your enrollmentinformation for details on coverage for specialtycare

Should you have questions please call thetoll-free number listed in your enrollmentinformation

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

bull Dentist education training and experiencebull Licensure certification and other regulatory

considerationsbull Malpractice history

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

Continuing participation of dentists currentlylisted in this directory cannot be guaranteedThe network of dentists may occasionallychange We recommend that you call theMember Services Department to verify that adentist is currently participating in the networkprior to seeking care

The information contained in this document is accurate as of the first of the month You may also visitthe wwwmyuhccom for current information at any time

INTRO - 1

Notice of Nondiscrimination Solstice complies with applicable Federal civil rights laws and does not discriminate on the basis of race color national origin age disability or sex Solstice does not exclude people or treat them differently because of race color national origin age disability or sex Solstice

Provides free aids and services to people with disabilities to communicate effectively with us such as Qualified sign language interpreters Written information in other formats (large print audio accessible electronic formats other formats)

Provides free language services to people whose primary language is not English such as Qualified interpreters Information written in other languages

If you need these services contact Noel Sotes If you believe that Solstice has failed to provide these services or discriminated in another way on the basis of race color national origin age disability or sex you can file a grievance with

Civil Rights Coordinator 7901 SW 6th Court Suite 400 Plantation FL 33324 TTY ndash 711 (relay) and 1-800-791-9233 Fax 954-370-1701 Email nsotessolsticebenefitscom

You can file a grievance in person or by mail fax or email If you need help filing a grievance the Civil Rights Coordinator is available to help you You can also file a civil rights complaint with the US Department of Health and Human Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at httpsocrportalhhsgovocrportallobbyjsf or by mail or phone at

US Department of Health and Human Services 200 Independence Avenue SW Room 509F HHH Building Washington DC 20201 1-800-868-1019 800-537-7697 (TDD)

Complaint forms are available at httpwwwhhsgovocrofficefileindexhtml

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 ATENCIOacuteN Si habla espantildeol (Spanish) hay servicios de asistencia de idiomas sin cargo a su disposicioacuten Llame al nuacutemero de teleacutefono gratuito que aparece en su tarjeta de identificacioacuten

(Chinese)

XIN LƯU Yacute Nếu quyacute vị noacutei tiếng Việt (Vietnamese) quyacute vị sẽ được cung cấp dịch vụ trợ giuacutep về ngocircn ngữ miễn phiacute Vui lograveng gọi số điện thoại miễn phiacute ở mặt sau thẻ hội viecircn của quyacute vị

(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 ВНИМАНИЕ бесплатные услуги перевода доступны для людей чей родной язык является русском (Russian) Позвоните по бесплатному номеру телефона указанному на вашей идентификационной карте

)Arabic (

ATANSYON Si w pale Kreyogravel ayisyen (Haitian Creole) ou kapab benefisye segravevis ki gratis pou ede w nan lang pa w Tanpri rele nimewo gratis ki sou kat idantifikasyon w ATTENTION Si vous parlez franccedilais (French) des services drsquoaide linguistique vous sont proposeacutes gratuitement Veuillez appeler le numeacutero de teacuteleacutephone gratuit figurant sur votre carte drsquoidentification UWAGA Jeżeli moacutewisz po polsku (Polish) udostępniliśmy darmowe usługi tłumacza Prosimy zadzwonić pod bezpłatny numer telefonu podany na karcie identyfikacyjnej ATENCcedilAtildeO Se vocecirc fala portuguecircs (Portuguese) contate o serviccedilo de assistecircncia de idiomas gratuito Ligue gratuitamente para o nuacutemero encontrado no seu cartatildeo de identificaccedilatildeo ATTENZIONE in caso la lingua parlata sia lrsquoitaliano (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 Verfuumlgung Bitte rufen Sie die gebuumlhrenfreie Rufnummer auf der Ruumlckseite Ihres Mitgliedsausweises an

(Japanese)

)Farsi(

कपा यान द यद आप हद (Hindi) भाषी ह तो आपक लए भाषा सहायता सवाए नशक उपलध ह कपा अपन पहचान प$ पर दए टाल-( फ़ोन नबर पर काल कर 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

ចបរមណៈ េបសនអកនយែខរ (Khmer) េសជនយេយឥតគតៃថ គ$នសបអក សមទរសព+េេលខឥតគតៃថ ែដល$នេ1េលអត2ស34 ណបណ5 របសអក 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 DIacuteIacute BAAAacuteKONIacuteNIacuteZIN Dineacute (Navajo) bizaad bee yaacuteniłtigo saad bee aacutekaaniacutedaawoiacutegiacuteiacute taacuteaacute jiacuteiacutekeh bee naacuteahoacuteoacuteti Taacuteaacute shǫǫdiacute ninaaltsoos nitłiziacute bee neacuteeacutehoziniacutegiacuteiacute binedęę taacuteaacute jiacuteiacutekehgo beacuteeacutesh bee haneiacute bikaacuteiacutegiacuteiacute bee hodiacuteilnih 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

FLORIDA

BROWARD COUNTY

COCONUT CREEK

ABDEL-JABBAR Sana HSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124579525463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350515463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000039200945463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)BRATMAN JerrySage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121122485463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 428-1803Prov No 0000002087934660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121516335463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)CHILDERS Carmen DSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121529855463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350595463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

CORREDOR AngelicaDental Health Group Pa(954) 428-1803Prov No 0000129619834660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1962930883License DN22537License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)COWAN Marc ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000039163625463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

CRUCES Manuel IHealthy Family Dentistry Pa(954) 708-2157Prov No 0000007077335350 W Hillsboro Blvd Ste 201Coconut Creek FL 33073Language SpanishGender MaleNPI 1750511762License DN18716License Type DBP DentistBoard Certified Not ReportedEmail healthyfamilydentistrygmailcomFax (954) 708-2159Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000017716295463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

1GENERAL DENTISTS

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)DAROJAT Zuhdiyah MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000045900165463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

DIAZ YanetDental Health Group Pa(954) 428-1803Prov No 0000083604024660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Language SpanishGender FemaleNPI 1215376934License DN20123License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124353665463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)DRISCOLL Allison RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000019584525463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120946715463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000017722685463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)ESPINET KUSNIER ElaineSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000125860755463 Lyons Rd Ste CCoconut Creek FL 33073Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000115515825463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004252795463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)GARCIA Armando LHealthy Family Dentistry Pa(954) 708-2157Prov No 0000007024605350 W Hillsboro Blvd Ste 201Coconut Creek FL 33073Gender MaleNPI 1760601264License DN17663License Type DBP DentistBoard Certified Not ReportedEmail healthyfamilydentistrygmailcomFax (954) 708-2159Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000011375535463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004271965463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

2 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)GHATTAS Maureen ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120913585463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

GONCALVES CORDERO Jhezanuel CDental Health Group Pa(954) 428-1803Prov No 0000130026244660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1477979557License DN23722License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121954135463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

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 DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000012161185463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

HALL Nicole LDental Health Group Pa(954) 428-1803Prov No 0000024501014660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1487916458License DN19772License Type DBP DentistBoard Certified NEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)HORWITZ StevenSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120989735463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000125101175463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

JEAN HuguesPrime Dentistry Pllc(954) 388-3738Prov No 0000128409934515 Wiles Rd Ste 104Coconut Creek FL 33073Language FrenchGender MaleNPI 1700329968License DN23067License Type DBP DentistBoard Certified Not ReportedEmail primedentistryflgmailcomFax (855) 823-3244Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)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 NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121005355463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124447945463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

3GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

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 DN20075License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350625463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000115511005463 Lyons Rd Ste CCoconut Creek FL 33073Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)MARTINEZ Amy MDental Health Group Pa(954) 428-1803Prov No 0000121048484660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1124382866License DN20973License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000115521245463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000128168995463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)PLANES Alex ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121285475463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000020237485463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RANGEL RaulDental Health Group Pa(954) 428-1803Prov No 0000002118564660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender MaleNPI 1629154216License DN13743License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)RAPPAPORT David BSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121728075463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120666745463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350735463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

4 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)RODRIGUEZ Margarita MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004538525463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Mayra LDental Health Group Pa(954) 428-1803Prov No 0000004398954660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1972703254License DN18010License Type DBP DentistBoard Certified NEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

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 ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)ROSSEN Peter APeter A Rossen Dds(954) 975-0123Prov No 0000000188534825 Coconut Creek PkwyCoconut Creek FL 33063Gender MaleNPI 1003224643License DN8066License Type DBP DentistBoard Certified Not ReportedEmail karencoconutcreekomscomFax (954) 975-0123Accepts New Patients YHospital Affiliation NA

SAHI Gurman KGurman K Sahi Dmdpa(954) 974-7778Prov No A000000236574400 W Sample Rd Ste 118Coconut Creek FL 33073Gender MaleNPI 1689711020License DN17509License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 974-7884Accepts New Patients YHospital Affiliation NA

SANCHEZ Diego FDental Health Group Pa(954) 428-1803Prov No 0000133457184660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender MaleNPI 1902329816License DN22938License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)SCARFONE MelanieSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121753265463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

SHRAITEH Jenan AGreat Expressions DentalCenters(248) 203-1119Prov No 0000120092424660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Language ArabicGender FemaleNPI 1699115816License DN20252License Type DBP DentistBoard Certified NEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

SIEGEL Tara LDental Health Group Pa(954) 428-1803Prov No 0000122491964660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)SNIDER Erica MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000007046825463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121635035463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124542915463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

5GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)TORRES DianaDental Health Group Pa(954) 428-1803Prov No 0000121101274660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Language SpanishGender FemaleNPI 1083016257License DN20879License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124626425463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121402045463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)VERA Anny BSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120943545463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000021561795463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120193585463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)YU Joyce WSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124854105463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000012634415463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

COOPER CITY

ABDEL-JABBAR Sana HSage Dental of Davie Pllc(954) 432-2700Prov No 0000124579559870 Griffin RdCooper City FL 33328Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)AZARI Scott JSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979349870 Griffin RdCooper City FL 33328Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BIRNS Bradley MTravel-Dent-Birns and Birns Pa(954) 680-2237Prov No 0000000182285121 Sw 90th Ave Ste 7 Cooper City FL 33328Gender MaleNPI 1588788046License DN10450License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 680-4467Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979359870 Griffin RdCooper City FL 33328Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

6 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)BRATMAN JerrySage Dental of Davie Pllc(954) 432-2700Prov No 0000119979379870 Griffin RdCooper City FL 33328Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BRETON Luis FSanitas Dental of South Florida(954) 434-3229Prov No 0000012119725810 S Flamingo Rd Cooper City FL 33330Language SpanishGender MaleNPI 1538396791License DN18677License Type DBP DentistBoard Certified Not ReportedEmail wendy5810csdyahoocomFax (954) 680-6254Accepts New Patients YHospital Affiliation NA

CASADO JaimeSage Dental of Davie Pplc(954) 434-2700Prov No 0000130485369870 Griffin RdCooper City FL 33328Language SpanishGender MaleNPI 1750853446License DN23838License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)CASTILLO Juan ISage Dental of Davie Pllc(954) 432-2700Prov No 0000121516369870 Griffin RdCooper City FL 33328Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Davie Pllc(954) 432-2700Prov No 0000121529889870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979409870 Griffin RdCooper City FL 33328Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)COWAN Marc ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979439870 Griffin RdCooper City FL 33328Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Davie Pllc(954) 432-2700Prov No 0000109048849870 Griffin RdCooper City FL 33328Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000129109808688 Griffin RdCooper City FL 33328Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)DAROJAT Zuhdiyah MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979459870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Davie Pplc(954) 434-2700Prov No 0000124353809870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979489870 Griffin RdCooper City FL 33328Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

7GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)DUARTE BeatrizSage Dental of Davie Pllc(954) 432-2700Prov No 0000121105099870 Griffin RdCooper City FL 33328Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979499870 Griffin RdCooper City FL 33328Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Davie Pllc(954) 432-2700Prov No 0000119971599870 Griffin RdCooper City FL 33328Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000129218728688 Griffin RdCooper City FL 33328Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979569870 Griffin RdCooper City FL 33328Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979589870 Griffin RdCooper City FL 33328Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)GARRISON Harvey BSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979599870 Griffin RdCooper City FL 33328Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Davie Pllc(954) 432-2700Prov No 0000120913629870 Griffin RdCooper City FL 33328Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Davie Pllc(954) 432-2700Prov No 0000121953669870 Griffin RdCooper City FL 33328Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)GREEN BeverlySage Dental of Davie Pllc(954) 432-2700Prov No 0000122044189870 Griffin RdCooper City FL 33328Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GREENSPAN-BIRNS Robin LTravel-Dent-Birns and Birns Pa(954) 680-2237Prov No 0000000182295121 Sw 90th Ave Ste 7 Cooper City FL 33328Gender FemaleNPI 1861516320License DN10512License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 680-4467Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979649870 Griffin RdCooper City FL 33328Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

8 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)HALLER DustinSage Dental of Davie Pllc(954) 432-2700Prov No 0000132852509870 Griffin RdCooper City FL 33328Gender MaleNPI 1346502705License DN19767License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

HART Trevor HSage Dental of Davie Pllc(954) 432-2700Prov No 0000127740229870 Griffin RdCooper City FL 33328Gender MaleNPI 1033561907License DN21893License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Davie Pllc(954) 432-2700Prov No 0000120991129870 Griffin RdCooper City FL 33328Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)IRAVANI Mina FSage Dental of Davie Pllc(954) 432-2700Prov No 0000125101219870 Griffin RdCooper City FL 33328Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979759870 Griffin RdCooper City FL 33328Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Davie Pllc(954) 432-2700Prov No 0000121007049870 Griffin RdCooper City FL 33328Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)LEMINH Chau JSage Dental of Davie Pllc(954) 432-2700Prov No 0000124447979870 Griffin RdCooper City FL 33328Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Davie Pllc(954) 432-2700Prov No 0000121769339870 Griffin RdCooper City FL 33328Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979789870 Griffin RdCooper City FL 33328Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)MA RobertSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979799870 Griffin RdCooper City FL 33328Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

MENENDEZ LLERA Vivian MArt Dental Studio Llc(954) 233-0707Prov No 00001260902510026 Griffin Rd Cooper City FL 33328Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail artdentalatcoopercitygmailcomFax (954) 252-4309Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Davie Pllc(954) 432-2700Prov No 0000002414489870 Griffin RdCooper City FL 33328Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

9GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)MONCRIEFFE Tiffany ISage Dental of Davie Pllc(954) 432-2700Prov No 0000128169009870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000128396418688 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Davie Pllc(954) 432-2700Prov No 0000121285499870 Griffin RdCooper City FL 33328Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)QUICK James RSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980019870 Griffin RdCooper City FL 33328Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Davie Pllc(954) 432-2700Prov No 0000121728219870 Griffin RdCooper City FL 33328Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Davie Pllc(954) 432-2700Prov No 0000120666779870 Griffin RdCooper City FL 33328Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000130367818688 Griffin RdCooper City FL 33328Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980049870 Griffin RdCooper City FL 33328Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980059870 Griffin RdCooper City FL 33328Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)ROQUE-RUANO MaikelSage Dental of Davie Pllc(954) 432-2700Prov No 0000125239239870 Griffin RdCooper City FL 33328Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Davie Pllc(954) 432-2700Prov No 0000121753249870 Griffin RdCooper City FL 33328Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000131582978688 Griffin RdCooper City FL 33328Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

10 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)SNIDER Erica MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980149870 Griffin RdCooper City FL 33328Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000130370148688 Griffin RdCooper City FL 33328Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Davie Pllc(954) 432-2700Prov No 0000121635119870 Griffin RdCooper City FL 33328Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)STRONG Shanice De OnaSage Dental of Davie Pllc(954) 432-2700Prov No 0000124542949870 Griffin RdCooper City FL 33328Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Davie Pllc(954) 432-2700Prov No 0000124626459870 Griffin RdCooper City FL 33328Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Davie Pllc(954) 432-2700Prov No 0000121461839870 Griffin RdCooper City FL 33328Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)VERA Anny BSage Dental of Davie Pllc(954) 432-2700Prov No 0000120943579870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119980259870 Griffin RdCooper City FL 33328Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Davie Pllc(954) 432-2700Prov No 0000120193619870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)YU Joyce WSage Dental of Davie Pllc(954) 432-2700Prov No 0000124854079870 Griffin RdCooper City FL 33328Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980279870 Griffin RdCooper City FL 33328Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CORAL SPRINGS

ABDEL-JABBAR Sana HSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124579155810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

11GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ABDEL-JABBAR Sana HSage Dental of Jupiter(954) 753-4005Prov No 000012457954987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

AKPAKA Wisdom DWisdom Akpaka Dds Pa(954) 346-0010Prov No 0000122314679750 Nw 33rd St Ste 217Coral Springs FL 33065Gender MaleNPI 1114338738License DN21551License Type DBP DentistBoard Certified Not ReportedEmail adminwisdomdentalcomFax (954) 346-1967Accepts New Patients YHospital Affiliation NA

ALVAREZ Eric IHeron Dentistry(954) 753-1160Prov No 0000003810496240 Coral Ridge Dr Ste 1 07Coral Springs FL 33076Gender MaleNPI 1326237454License DN15919License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 753-1161Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ANAND Payal MPayal M Anand Dds(954) 757-5353Prov No 0000124371382929 N University Dr Ste203Coral Springs FL 33065Gender FemaleNPI 1801088919License DN18901License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-5341Accepts New Patients YHospital Affiliation NA

AROCHA MiguelinaDental Health Group Pa(954) 755-1014Prov No 0000128501322365 N University DrCoral Springs FL 33065Gender FemaleNPI 1407081540License DN20006License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

AZAR Diego MCoral Springs Dental Associates(954) 575-9800Prov No 000000303700730 Riverside Dr Coral Springs FL 33071Gender MaleNPI 1841207065License DN17120License Type DBP DentistBoard Certified Not ReportedEmail coralspringssmiledesigndentalflcomFax (954) 575-1868Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)AZARI Scott JSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096455810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001956168987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BACCHELLI LaraTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000132443768214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BAGHAEI Anoushirvan ACoral Springs Dental Associates(954) 575-9800Prov No 000006365412730 Riverside Dr Coral Springs FL 33071Gender MaleNPI 1922385640License DN17121License Type DBP DentistBoard Certified Not ReportedEmail coralspringssmiledesigndentalflcomFax (954) 575-1868Accepts New Patients YHospital Affiliation NA

BELOTSERKOVSKY DanielDaniel Belotserkovsky(954) 227-8133Prov No 0000129981342801 N University DrCoral Springs FL 33065Gender MaleNPI 1912344904License DN21757License Type DBP DentistBoard Certified Not ReportedEmail infodanielcosmeticdentistrycomFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000004029476987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

12 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BOCKIAN Joshua ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000040294795810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Coral SpringsPllc(954) 753-4005Prov No 000000018930987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Parkland Pllc(954) 905-1290Prov No 0000121297505810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BRETOS Alexander LMagnolia Dental(954) 227-1417Prov No 0000000398799625 Westview Dr Coral Springs FL 33076Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmail magnoliadental1gmailcomFaxAccepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 755-1014Prov No 0000015512182365 N University DrCoral Springs FL 33065Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 753-7400Prov No 0000124405979601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BRODY Robert ADana Busciglio(954) 393-0303Prov No 0000125546851881 N University Dr Ste208Coral Springs FL 33071Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmail infofamily-orthdontistcomFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

CARVALHO Sandra EDentist Art(954) 906-8177Prov No 0000122463459955 Nw 31st St Ste 201 Coral Springs FL 33065Language SpanishGender FemaleNPI 1578792552License DN18811License Type DBP DentistBoard Certified Not ReportedEmail infodentistartco mFax (954) 323-5474Accepts New Patients YHospital Affiliation NA

CASADO Candida MSagedental Ofparkland(561) 999-9650Prov No 0000130117435810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1053889105License DN23832License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CASADO Candida MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000013023536987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1053889105License DN23832License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Jupiter(954) 753-4005Prov No 000012151635987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

CHENG XiaofangLakeview Bright Smiles Pa(954) 341-1888Prov No 00000041943212434 W Atlantic Blvd Coral Springs FL 33071Gender MaleNPI 1104945807License DN15384License Type DBP DentistBoard Certified Not ReportedEmail lakeview1666attn etFax (954) 341-1666Accepts New Patients YHospital Affiliation NA

13GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CHILDERS Carmen DSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121529765810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746911987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHOKSI Rachana DRachana Arora Dmd Pa(954) 399-7000Prov No 0000120394575521 N University Dr Ste102Coral Springs FL 33067Gender FemaleNPI 1174774335License DN18505License Type DBP DentistBoard Certified Not ReportedEmail affordablefamilysmilesgmailcomFax (954) 251-4150Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CICORTAS Florin NTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000127190598214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

COHEN Freyda BDental Health Group Pa(954) 755-1014Prov No 0000012123572365 N University DrCoral Springs FL 33065Gender FemaleNPI 1073775334License DN19277License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

COLLAZO Ralph CMagnolia Dental(954) 227-1417Prov No 0000000398809625 Westview Dr Coral Springs FL 33076Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmail magnoliadental1gmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CORONADO EfrainSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096525810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001540176987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

COUTRAS ElevteriaTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000016571208214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)COWAN Marc ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000003916235987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000039163555810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CRISCUOLO StephenJampY Dental Llc(954) 344-8800Prov No 0000126052531700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

14 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CRUZ Antonio RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000017716265810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001771638987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

CUNHA Renata FDental Health Group Pa(954) 753-7400Prov No 0000121049779601 W Atlantic BlvdCoral Springs FL 33071Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DANESNGAR MehrdadSylvia Mentrasti Pa(954) 755-3337Prov No 0000127673171314 N University DrCoral Springs FL 33071Gender MaleNPI 1720599152License DN23015License Type DBP DentistBoard Certified Not ReportedEmail prodentgroupofcoralspringsgmailcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000004589931987 N University Dr Ste 1 05Coral Springs FL 33071Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000045899505810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DOOLEY Jill CDental Health Group Pa(954) 753-7400Prov No 0000051788149601 W Atlantic BlvdCoral Springs FL 33071Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124364125810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CGentle Dental Group of CoralSprings Pllc(954) 753-4005Prov No 000012448060987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DOUGHERTY CleydesCima Dental Llc(954) 575-0880Prov No 0000012416652801 N University Dr Ste301Coral Springs FL 33065Gender FemaleNPI 1649587064License DN19155License Type DBP DentistBoard Certified Not ReportedEmail frontdeskdentalhealthandbeautycomFax (954) 575-0890Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000019584545810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001958465987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

15GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DUARTE BeatrizSage Dental of Jupiter(954) 753-4005Prov No 000012110508987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121105435810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DULCEY Monica AInnovation Dental(954) 227-2718Prov No 0000125433756180 W Sample RdCoral Springs FL 33067Language Portuguese SpanishGender FemaleNPI 1003195694License DN19480License Type DBP DentistBoard Certified Not ReportedEmail contactusinnovationdentalflcomFax (954) 227-7421Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DURAN FeliciaFelicia Duran Dds Pa(954) 575-3433Prov No 0000020882269565 W Atlantic Blvd Coral Springs FL 33071Gender FemaleNPI 1881959211License DN19859License Type DBP DentistBoard Certified NEmail adminsmilesbydurancomFax (954) 575-1313Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000017722675810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001772288987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ELEFANT Jacob IJ + Y Dental Llc(954) 344-8800Prov No 0000122318761700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1154511376License DN12892License Type DBP DentistBoard Certified Not ReportedEmail nadiakk143gmailc omFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Jupiter(954) 753-4005Prov No 000012585925987 N University Dr Ste 1 05Coral Springs FL 33071Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Parkland Pllc(954) 905-1290Prov No 0000125859345810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011551567987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Parkland Pllc(954) 905-1290Prov No 0000115515695810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

FORERO William AWilliam A Forero Dmd Pa(954) 752-4900Prov No 0000002774363000 N University Dr Ste PCoral Springs FL 33065Gender MaleNPI 1104924521License DN16965License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 752-3490Accepts New Patients YHospital Affiliation NA

16 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)FOX Jeffrey MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004252785810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001593132987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental Coral Springs Llc(954) 344-1999Prov No 0000131178718214 Wiles Rd Coral Springs FL 33067Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GARCES CarolinaCoral Springs ModernDentistry(954) 314-8343Prov No 0000131557135810 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA Maria CDental Health Group Pa(954) 755-1014Prov No 0000126414012365 N University DrCoral Springs FL 33065Gender FemaleNPI 1295261774License DN22136License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000000197574987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GARCIA-PORRAS MarcelaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000011375485810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004175545810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Jupiter(954) 753-4005Prov No 000012104287987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GHATTAS Maureen ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000120913755810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Jupiter(954) 753-4005Prov No 000012112738987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen BSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746696987 N University Dr Ste 105Coral Springs FL 33071Gender FemaleNPI 1285915421License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

17GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GOLDBERG Douglas ADouglas A Goldberg Dmd(954) 346-1075Prov No 0000000215812706 N University DrCoral Springs FL 33065Gender MaleNPI 1275757452License DN11266License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 346-2200Accepts New Patients YHospital Affiliation NA

GONCALVES CORDERO Jhezanuel CDental Health Group Pa(954) 755-1014Prov No 0000133346482365 N University DrCoral Springs FL 33065Gender FemaleNPI 1477979557License DN23722License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121951605810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GONZALES AngelicaSage Dental of Jupiter(954) 753-4005Prov No 000012195365987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

GONZALEZ DarlenTlc Dental Coral Springs Llc(954) 344-1999Prov No 0000130479528214 Wiles Rd Coral Springs FL 33067Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Jupiter(954) 753-4005Prov No 000012204417987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GREEN BeverlySage Dental of Parkland Pllc(954) 905-1290Prov No 0000122044525810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000012161105810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Jupiter(954) 753-4005Prov No 000001216115987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GULTZ Jerrold PSage Dental of Jupiter(954) 753-4005Prov No 000012435378987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1851326581License DN10295License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

HALLER DustinGreat Expressions DentalCenters(954) 755-1014Prov No 0000021563832365 N University DrCoral Springs FL 33065Gender MaleNPI 1346502705License DN19767License Type DBP DentistBoard Certified NEmailFax (954) 755-7428Accepts New Patients YHospital Affiliation NA

HEIDER Joseph MJ amp Y Dental Llc(954) 344-8800Prov No 0000127901061700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1609879667License DN9225License Type DBP DentistBoard Certified Not ReportedEmail nadiakk143gmailc omFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

18 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)HELFANT JaredTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000016571198214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012098975987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120989775810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)IRAVANI Mina FSage Dental of Jupiter(954) 753-4005Prov No 000012510120987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Parkland Pllc(954) 905-1290Prov No 0000125101515810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

IURCOVICH Maximillian ODental Health Group Pa(954) 753-7400Prov No 0000120317439601 W Atlantic BlvdCoral Springs FL 33071Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)JACOBSOHN Henry DTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000124260538214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011116480987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Parkland Pllc(954) 905-1290Prov No 0000113317605810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)KAREDAN Jerry JGentle Teeth of Coral Springs ampParkland Inc(954) 344-3932Prov No 0000131819315521 N University Dr Ste102Coral Springs FL 33067Language Other(Non-English) SpanishGender MaleNPI 1053835942License DN22939License Type DBP DentistBoard Certified Not ReportedEmail genteethcsgmailc omFax (844) 260-5713Accepts New Patients YHospital Affiliation NA

KARIM SaraCoral Springs ModernDentistry(954) 314-8343Prov No 0000129334755810 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1376038000License DN23520License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KEANE ChrisCoral Springs ModernDentistry Pa(954) 314-8343Prov No 0000129083345810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 314-8345Accepts New Patients YHospital Affiliation NA

19GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)KELLNER Alan SJampY Dental Llc(954) 344-8800Prov No 0000004636301700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1508984626License DN14054License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental Coral Springs Llc(954) 344-1999Prov No 0000125884518214 Wiles Rd Coral Springs FL 33067Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121007005810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)LAMB NicoleSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746385987 N University Dr Ste 105Coral Springs FL 33071Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Jupiter(954) 753-4005Prov No 000012444796987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124449595810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)LEONARD Thomas PDr Nilesh Dalal Pa(954) 341-1000Prov No 0000123128225521 N University Dr Ste101Coral Springs FL 33067Gender MaleNPI 1831468735License DN19469License Type DBP DentistBoard Certified NEmail smiledesignersmilesusFax (954) 341-0030Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121766525810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Jupiter(954) 753-4005Prov No 000012176932987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)LONDONO Jennifer DSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096635810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Jupiter(954) 753-4005Prov No 000012112739987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

LUSSIER MeghannCoral Dental Specialists Llc(954) 642-1013Prov No 00001327779211332 Wiles RdCoral Springs FL 33076Gender FemaleNPI 1083160345License DN23327License Type DBP DentistBoard Certified Not ReportedEmail coraldentalsgmailcomFax (754) 300-1484Accepts New Patients YHospital Affiliation NA

20 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MA RobertSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011551122987 N University Dr Ste 1 05Coral Springs FL 33071Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Parkland Pllc(954) 905-1290Prov No 0000115511305810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

Marti Bagdasarov AnjelikaSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000013020303987 N University Dr Ste 1 05Coral Springs FL 33071Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MARTINASEVIC SuncicaJampY Dental Llc(954) 344-8800Prov No 0000129920561700 N University Dr Ste101Coral Springs FL 33071Gender FemaleNPI 1720333636License DN19844License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

MARTINEZ Amy MDental Health Group Pa(954) 755-1014Prov No 0000120870712365 N University DrCoral Springs FL 33065Gender FemaleNPI 1124382866License DN20973License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LMiami Shores ModernDentistry(954) 314-8343Prov No 0000126405015810 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MCCOWN Michael GDental Health Group Pa(954) 753-7400Prov No 0000121049819601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

MENTRASTI-SANTANA SylviaSylvia Mentrasti Pa(954) 755-3337Prov No 0000128528681314 N University DrCoral Springs FL 33071Language SpanishGender FemaleNPI 1679820344License DN19864License Type DBP DentistBoard Certified NEmail prodentgroupofcoralspringsgmailcomFaxAccepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Parkland Pllc(954) 905-1290Prov No 0000117711335810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MOHR Eric ESage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011771141987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746634987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Parkland Pllc(954) 905-1290Prov No 0000128194805810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

21GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MORALES Ronald JDental Health Group Pa(954) 753-7400Prov No 0000124225869601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000125582508214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(954) 753-7400Prov No 0000126837049601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)NAGUIB Michelle ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000012796095810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

OCHOA LuisDentist Art(954) 906-8177Prov No 0000121605449955 Nw 31st St Ste 201 Coral Springs FL 33065Gender MaleNPI 1528262052License DN17926License Type DBP DentistBoard Certified Not ReportedEmail infodentistartco mFax (954) 323-5474Accepts New Patients YHospital Affiliation NA

OLIVEIRA Paulo ACoral Springs ModernDentistry(954) 314-8343Prov No 0000127050695810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1285157826License DN22922License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)PETRUK MarielWisdom Dental(954) 346-0010Prov No 0000122354869750 Nw 33rd St Ste 217Coral Springs FL 33065Gender FemaleNPI 1518373018License DN20744License Type DBP DentistBoard Certified Not ReportedEmail adminwisdomdentalcomFax (954) 346-1967Accepts New Patients YHospital Affiliation NA

PHAM Minh BCoral Springs ModernDentistry(954) 314-8343Prov No 0000128515275810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000121285365810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)PLANES Alex ASaga Dental of Coral SpringsPllc(561) 999-9650Prov No 000012746967987 N University Dr Ste 105Coral Springs FL 33071Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000020237515810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000002023761987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

22 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RAND Matthew KJampY Dental Llc(954) 344-8800Prov No 0000122464031700 N University Dr Ste101Coral Springs FL 33071Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121616985810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Jupiter(954) 753-4005Prov No 000012172809987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RIEGER Eric RSage Dental of Jupiter(954) 753-4005Prov No 000012066676987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120667315810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096665810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RING Stephen GSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001549136987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental Coral Springs Llc(954) 344-1999Prov No 0000122531388214 Wiles Rd Coral Springs FL 33067Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

ROBISON Walter GAegean Dental of Coral SpringsLlc(954) 227-5921Prov No 00001217563610220 W Sample RdCoral Springs FL 33065Gender MaleNPI 1144492935License DN20424License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RODRIGUEZ Margarita MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004538535810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSaga Dental of Coral SpringsPllc(561) 999-9650Prov No 000012746691987 N University Dr Ste 105Coral Springs FL 33071Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Jupiter(954) 753-4005Prov No 000012523922987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

23GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ROQUE-RUANO MaikelSage Dental of Parkland Pllc(954) 905-1290Prov No 0000125239375810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

ROSTOCK Jennifer LTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000125305808214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(954) 753-7400Prov No 0000129659319601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SARRIA Paulo ASarria Dental Inc(954) 227-2718Prov No 0000095746886180 W Sample Rd 109Coral Springs FL 33067Language SpanishGender MaleNPI 1598067407License DN19057License Type DBP DentistBoard Certified NEmail contactusinnovationdentalflcomFax (954) 227-7421Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121753125810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Jupiter(954) 753-4005Prov No 000012175323987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SEMPRUN-ARRIVLLAGA Maria ACima Dental Llc(954) 575-0880Prov No 0000012416622801 N University Dr Ste301Coral Springs FL 33065Gender FemaleNPI 1124320718License DN19062License Type DBP DentistBoard Certified Not ReportedEmail frontdeskdentalhealthandbeautycomFax (954) 575-0890Accepts New Patients YHospital Affiliation NA

SHULMAN Jared DJampY Dental Llc(954) 344-8800Prov No 0000124344601700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1033537162License DN21818License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

SINGH ROY AnurupaGentle Teeth of Coral Springs ampParkland Inc(954) 344-3932Prov No 0000125623195521 N University Dr Ste102Coral Springs FL 33067Gender FemaleNPI 1073956447License DN20537License Type DBP DentistBoard Certified Not ReportedEmail genteethcsgmailc omFax (844) 260-5713Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SNIDER Erica MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000007046885810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001956226987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

SNYDER Brian HBrian H Snyder Dds Pa(954) 753-4101Prov No 00000002039010347 Royal Palm BlvdCoral Springs FL 33065Gender MaleNPI 1992854871License DN9733License Type DBP DentistBoard Certified Not ReportedEmail bhsnyderddsgmailcomFax (954) 753-7133Accepts New Patients YHospital Affiliation NA

24 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SORROZA JenniferTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000016571228214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

SPINGARN Joseph HDental Health Group Pa(954) 753-7400Prov No 0000109031699601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1508886136License DN5044License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

STEIN IlyaIlya Stein(954) 341-4766Prov No 0000002099216267 W Sample RdCoral Springs FL 33067Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 255-8131Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)STEINER Samantha LSage Dental of Jupiter(954) 753-4005Prov No 000012163505987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121635105810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Jupiter(954) 753-4005Prov No 000012454293987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)STRONG Shanice De OnaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124543115810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

TAHA Ahmed ADental Health Group Pa(954) 753-7400Prov No 0000127611189601 W Atlantic BlvdCoral Springs FL 33071Language SpanishGender MaleNPI 1225411069License DN21380License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

TAYLOR ShellyDental Health Group Pa(954) 753-7400Prov No 0000125099109601 W Atlantic BlvdCoral Springs FL 33071Gender FemaleNPI 1508224155License DN22291License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)TCHOU LuisaSegelnick Specialists Llc(954) 575-5488Prov No 0000032746305481 N University Dr Ste102Coral Springs FL 33067Language SpanishGender FemaleNPI 1124315270License DN19419License Type DBP DentistBoard Certified Not ReportedEmail managermini-mouthcomFax (954) 575-1859Accepts New Patients YHospital Affiliation NA

THOMAS Antony PCoral Springs ModernDentistry Pa(954) 314-8343Prov No 0000135023535810 Wiles RdCoral Springs FL 33067Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 314-8345Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Jupiter(954) 753-4005Prov No 000012462644987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

25GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)URCUYO Jacqueline CSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124626605810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VAN JimCoral Springs ModernDentistry(954) 314-8343Prov No 0000128801005810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1649796293License DN23005License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

VATHIELIL Jelena MGentle Teeth of Coral Springs ampParkland Inc(954) 344-3932Prov No 0000126554315521 N University Dr Ste102Coral Springs FL 33067Gender FemaleNPI 1699184150License DN20854License Type DBP DentistBoard Certified Not ReportedEmail genteethcsgmailc omFax (844) 260-5713Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)VAZANA Todd ADental Health Group Pa(954) 755-1014Prov No 0000120687972365 N University DrCoral Springs FL 33065Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000121461305810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASaga Dental of Coral SpringsPllc(561) 999-9650Prov No 000012747271987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)VERA Anny BSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120942665810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746450987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ADental Health Group Pa(954) 755-1014Prov No 0000015388592365 N University DrCoral Springs FL 33065Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)VIGNOLA Jennifer ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000021561815810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000002156187987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

VULTAGGIO Francesco PVultaggio Dentistry of CoralSprings Llc(954) 840-1940Prov No 00000113417110339 W Sample Rd Coral Springs FL 33065Gender MaleNPI 1861645038License DN18316License Type DBP DentistBoard Certified Not ReportedEmail vultaggiodentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

26 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)YU Cynthia WSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012019360987 N University Dr Ste 1 05Coral Springs FL 33071Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120193685810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124854045810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)YU Joyce WSage Dental of Jupiter(954) 753-4005Prov No 000012485412987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

ZUSSELMAN ArnoldDental Health Group Pa(954) 753-7400Prov No 0000121049839601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1134347172License DN13888License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000000723587987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ZYLBERING Jason MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000011941595810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DANIA

SCHOPLER Thomas AAtlantic Florida Dental Inc(954) 922-1947Prov No 000000019066250 E Dania Beach BlvdDania FL 33004Gender MaleNPI 1982807012License DN5316License Type DBP DentistBoard Certified Not ReportedEmail 445thorper5attne tFax (954) 920-2042Accepts New Patients YHospital Affiliation NA

DANIA BEACH

COUTRAS ElevteriaTlc Dental Dania Llc(954) 926-5888Prov No 000000306536435 E Sheridan St Dania Beach FL 33004Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DANIA BEACH (Cont)HELFANT JaredTlc Dental - Dania(954) 926-5888Prov No 000001657128435 E Sheridan StDania Beach FL 33004Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

JACOBSOHN Henry DTlc Dental Dania Llc(954) 926-5888Prov No 000012426233435 E Sheridan St Dania Beach FL 33004Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

LOBAINA Yoan ELobaina Dental Corp(954) 925-2977Prov No 000012508817801 S Federal Hwy Ste 829Dania Beach FL 33004Gender MaleNPI 1245468131License DN18774License Type DBP DentistBoard Certified NEmailFax (754) 263-3982Accepts New Patients YHospital Affiliation NA

27GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DANIA BEACH (Cont)PINNOCK Alyssa HSunheart Dental Pa(954) 925-2977Prov No 000012504096801 S Federal Hwy Ste 829Dania Beach FL 33004Gender FemaleNPI 1003987157License DN17610License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

RAND Matthew KTlc Dental - Dania(954) 926-5888Prov No 000012251620435 E Sheridan StDania Beach FL 33004Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental Dania Llc(954) 926-5888Prov No 000012253146435 E Sheridan St Dania Beach FL 33004Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DANIA BEACH (Cont)SORROZA JenniferTlc Dental Dania Llc(954) 926-5888Prov No 000000417493435 E Sheridan St Dania Beach FL 33004Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

TAYLOR Nathan MAspen Dental(954) 364-0402Prov No 0000129603341704 Stirling RdDania Beach FL 33004Gender MaleNPI 1295183945License DN21825License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

TRAN BrianAspen Dental(954) 364-0402Prov No 0000129561051704 Stirling RdDania Beach FL 33004Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE

AZADI Anthony ADavie Modern Dentistry(954) 248-2742Prov No 0000127331235796 S University Dr Ste102Davie FL 33328Gender MaleNPI 1326491853License DN22177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BENJAMIN ReenuPristine Dental Care Inc(954) 680-2047Prov No 0000121504178218 Griffin RdDavie FL 33328Gender MaleNPI 1992832653License DN15371License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 212-2846Accepts New Patients YHospital Affiliation NA

CORPAS Alfredo DDental Associates of Davie Inc(954) 474-2422Prov No 0000013240502879 S University DrDavie FL 33328Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-1966Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)CUARTAS Sandra PCuartas Advanced Dentistry(954) 424-3220Prov No 00000358919910650 W State Road 84 Ste 213Davie FL 33324Language SpanishGender FemaleNPI 1003008418License DN18113License Type DBP DentistBoard Certified Not ReportedEmail frontdeskcuartasadcomFax (954) 424-3223Accepts New Patients YHospital Affiliation NA

DIAZ YanetDiaz Dental Group Llc(954) 474-2422Prov No 0000124844672879 S University DrDavie FL 33328Language SpanishGender FemaleNPI 1215376934License DN20123License Type DBP DentistBoard Certified Not ReportedEmail diazdentalgroupgmailcomFax (954) 474-1966Accepts New Patients YHospital Affiliation NA

FEINER Jaymie BDavid A Sachs Dds Pa(954) 475-0700Prov No 0000002306592263 S University Dr Davie FL 33324Gender FemaleNPI 1740404912License DN16837License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

28 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DAVIE (Cont)FUNDORA Yolaivys VWhole Dental Design Llc(954) 320-9555Prov No 0000129958961875 S University DrDavie FL 33324Gender FemaleNPI 1285074112License DN20186License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ Monica GDavie Modern Dentistry(954) 248-2742Prov No 0000124601245796 S University Dr Ste102Davie FL 33328Gender FemaleNPI 1699115741License DN20163License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KEANE ChrisPreferred Dental Care Pa(954) 475-0700Prov No 0000128130582263 S University Dr Davie FL 33324Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail preferreddentaldaviegmailcomFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)KOCHER JenniferKocher amp Kocher Dentistry Pa(954) 434-0600Prov No 0000004528364801 S University Dr Ste 112Davie FL 33328Gender FemaleNPI 1942478953License DN17970License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

KOCHER JenniferKocher amp Kocher Dentistry(954) 434-0600Prov No 0000004528364801 S University Dr Ste 112Davie FL 33328Gender FemaleNPI 1942478953License DN17970License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

KOCHER MichaelKocher amp Kocher Dentistry Pa(954) 434-0600Prov No 0000004565334801 S University Dr Ste 112Davie FL 33328Gender MaleNPI 1336302587License DN18328License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)KOCHER MichaelKocher amp Kocher Dentistry(954) 434-0600Prov No 0000004565334801 S University Dr Ste 112Davie FL 33328Gender MaleNPI 1336302587License DN18328License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VPreferred Dental Care Pa(954) 475-0700Prov No 0000127831132263 S University Dr Davie FL 33324Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail preferreddentaldaviegmailcomFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

LASKA Mario LDavie Modern Dentistry(954) 248-2742Prov No 0000124340295796 S University Dr Ste102Davie FL 33328Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)MCCANN LEE Katie LDavie Modern Dentistry(954) 248-2742Prov No 0000123381145796 S University Dr Ste102Davie FL 33328Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MCHUGH Allyson MDavie Modern Dentistry(954) 248-2742Prov No 0000129783285796 S University Dr Ste102Davie FL 33328Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PALACIN Matilde AMatilde Palacin(954) 472-4656Prov No 00000030888213728 W State Road 84 Ste 84Davie FL 33325Language SpanishGender FemaleNPI 1962586164License DN17070License Type DBP DentistBoard Certified Not ReportedEmail smilepalacindentalcomFax (866) 401-0408Accepts New Patients YHospital Affiliation NA

29GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DAVIE (Cont)PHAM Minh BDavie Modern Dentistry(954) 248-2742Prov No 0000128426535796 S University Dr Ste102Davie FL 33328Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SACHS David ADavid A Sachs Dds Pa(954) 475-0700Prov No 0000000189022263 S University Dr Davie FL 33324Gender MaleNPI 1588790430License DN6123License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

SACHS Randy JDavid A Sachs Dds Pa(954) 475-0700Prov No 0000000610102263 S University Dr Davie FL 33324Gender MaleNPI 1417080490License DN15737License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)THOMAS Antony PDavie Modern Dentistry(954) 248-2742Prov No 0000130425685796 S University Dr Ste102Davie FL 33328Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

TRUJILLO MadeleneFortune Smiles Inc(954) 474-2499Prov No 0000123143862879 S University DrDavie FL 33328Gender FemaleNPI 1881835767License DN18770License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VALDMAN VadimPreferred Dental Care Pa(954) 475-0700Prov No 0000127267972263 S University Dr Davie FL 33324Language RussianGender MaleNPI 1184860413License DN17761License Type DBP DentistBoard Certified Not ReportedEmail preferreddentaldaviegmailcomFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH

ABDEL-JABBAR Sana HSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124579562265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

ATLURI SuneethaAtluri Suneetha(754) 264-7264Prov No 000012280919700 W Hillsboro Blvd Ste 1-109Deerfield Beach FL 33441Gender FemaleNPI 1063525731License DN15925License Type DBP DentistBoard Certified Not ReportedEmail dratlurismilesdentalnetFax (954) 248-2484Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000019561692265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)BOCKIAN Joshua ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000039200982265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000008590652265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121516372265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

30 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)CHILDERS Carmen DSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121529892265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015401742265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000039163682265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)CRUZ Antonio RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000017716352265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000045899322265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124353842265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)DRISCOLL Allison RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000019584492265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121105102265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000017722722265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)ESPINET KUSNIER ElaineSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000125859272265 W Hillsboro BlvdDeerfield Beach FL 33442Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000115515722265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

FIGUEROA Juan ADental Care of Deerfield Beach(954) 666-0403Prov No 0000125625561809 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1841419447License DN16545License Type DBP DentistBoard Certified Not ReportedEmail dentalcareofdeerfieldgmailcomFax (954) 666-0408Accepts New Patients YHospital Affiliation NA

31GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)FOX Jeffrey MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015931332265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000008590842265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121042862265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)GHATTAS Maureen ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120913602265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GOBER Franklyn LFrank L Gober Dds Pa(954) 427-4287Prov No 0000000186461800 W Hillsboro Blvd Ste 210Deerfield Beach FL 33442Language HebrewGender MaleNPI 1356690127License DN8433License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 427-2385Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121953672265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)GREEN BeverlySage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000122044192265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000012161122265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GULTZ Jerrold PSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124353862265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1851326581License DN10295License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)HERNANDEZ-BARCELO Odalis EDeerfield Dental Llc(954) 428-4575Prov No 0000102162121874 W Hillsboro Blvd Ste ADeerfield Beach FL 33442Gender FemaleNPI 1568553816License DN17753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-3708Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120989762265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000125101222265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

32 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)JUMA ZaileenSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000113316602265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121007052265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124447982265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)LEPORE KrystinaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121769342265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121129292265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000115511232265 W Hillsboro BlvdDeerfield Beach FL 33442Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)Marti Bagdasarov AnjelikaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000130203532265 W Hillsboro BlvdDeerfield Beach FL 33442Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000115520532265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000128166302265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)PLANES Alex ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121285502265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000020237402265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121728222265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

33GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)RIEGER Eric RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120666782265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015491432265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015566232265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

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 credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121752922265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000019562582265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)STEINER Samantha LSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121635122265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124542952265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124626462265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)VAZANA Todd ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121461352265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120943582265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000021561762265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

34 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)VULTAGGIO Francesco PFrancesco P Vultaggio Dmd Llc(954) 421-2122Prov No 000000459739841 Se 8th AveDeerfield Beach FL 33441Gender MaleNPI 1861645038License DN18316License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120193622265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124854132265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)ZYLBERING Jason MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000004319792265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

FORT LAUDERDALE

ABDEL-JABBAR Sana HSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012457921551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124579246171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(954) 776-3320Prov No 0000129777344358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300286171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130492551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)BACCHELLI LaraTlc Dental Ft Lauderdale(954) 491-7100Prov No 0000132443773001 E Commercial Blvd Fort Lauderdale FL 33308Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BAGHDASSARIAN RosemaryHab Dental Inc(954) 489-2517Prov No 0000003304112500 E Commercial Blvd StE GFort Lauderdale FL 33308Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail doreenhabdentalflacomFax (954) 489-2514Accepts New Patients YHospital Affiliation NA

BARNARD Michael RDr Michael Bernard Dds Pa(954) 763-3358Prov No 0000000192841209 W Broward Blvd Fort Lauderdale FL 33312Gender MaleNPI 1487752861License DN9973License Type DBP DentistBoard Certified Not ReportedEmail browardddsgmailcomFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

35GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)BETANCUR Alvaro LTowncare Dental of FortLauderdale Pllc(954) 563-1362Prov No 0000124727393343 Ne 33rd St Fort Lauderdale FL 33308Language SpanishGender MaleNPI 1750586079License DN12267License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300296171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130488551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)BOERAS GARCIA SuibelDental Excellence Partners Llc(954) 776-3320Prov No 0000128372904358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120470976171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130489551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CALVO Jose REast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000125182734358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1831100452License DN11226License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(954) 776-3320Prov No 0000129735284358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(954) 776-3320Prov No 0000132580904358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(954) 776-3320Prov No 0000131580044358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121516216171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012151638551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

36 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CERRA Frank ACoast Florida Pa(954) 584-5031Prov No 0000126182533937 W Broward BlvdFort Lauderdale FL 33312Gender MaleNPI 1598876435License DN8482License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 584-5303Accepts New Patients YHospital Affiliation NA

CHAMI MonaChaden Inc(954) 581-3644Prov No 0000000200333190 Davie Blvd Fort Lauderdale FL 33312Language Arabic SpanishGender FemaleNPI 1922178607License DN13046License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000128902764358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CHILDERS Carmen DSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152960551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121530036171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CICORTAS Florin NTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000127189633001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CIPORKIN Peter DDental Team of Bayview(954) 776-4720Prov No 0000121756622826 E Oakland Park Blvd Ste 300Fort Lauderdale FL 33306Language Arabic FrenchHebrew SpanishGender MaleNPI 1295898278License DN8036License Type DBP DentistBoard Certified Not ReportedEmail dentalteamofbayviewgmailcomFax (954) 489-0004Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000128665674358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120470986171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CORONADO EfrainSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130500551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORREA PINTO Rafaella1500 Dental Llc(954) 715-1000Prov No 0000129346671500 N Federal Hwy Ste 25 0Fort Lauderdale FL 33304Gender FemaleNPI 1629238407License DN 18323License Type DBP DentistBoard Certified NEmail info1500dentalco mFaxAccepts New Patients YHospital Affiliation NA

COUTRAS ElevteriaTlc Dental Ft Lauderdale(954) 491-7100Prov No 0000003065393001 E Commercial Blvd Fort Lauderdale FL 33308Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

37GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)COWAN Marc ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300316171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130501551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300326171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CRUZ Antonio RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012181423551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(954) 776-3320Prov No 0000125343804358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120301026171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DAROJAT Zuhdiyah MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152159551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DICRESCENTO Donna LDonna L Dicrescento Dds(954) 565-3353Prov No 0000004270934144 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1063531879License DN14562License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 567-4547Accepts New Patients YHospital Affiliation NA

DIEZ Federico1500 Dental Llc(954) 715-1000Prov No 0000128968371500 N Federal Hwy Ste 25 0Fort Lauderdale FL 33304Gender MaleNPI 1043392111License DN14284License Type DBP DentistBoard Certified Not ReportedEmail info1500dentalco mFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(954) 776-3320Prov No 0000129735304358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Downtown FortLauderdale(954) 358-2772Prov No 000012436434551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124364466171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

38 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DOOLEY Jill CSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012448048551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120301056171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130504551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DUARTE BeatrizSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121105376171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130505551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120470996171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DURKAN Marcia ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130506551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ELEFANT Jacob IJacob Elefant(954) 566-1281Prov No 0000130412492300 Ne 9th StFort Lauderdale FL 33304Gender MaleNPI 1154511376License DN12892License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000125860656171 N Federal HwyFort Lauderdale FL 33308Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)FAHEY Dana AJacob Elefant(954) 566-1281Prov No 0000131576092300 Ne 9th StFort Lauderdale FL 33304Gender FemaleNPI 1265617617License DN12687License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300826171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130547551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

39GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)FOX Jeffrey MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300836171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130548551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000131178723001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)FREDERICKSON Waynerd BDr Michael Barnard Dds Pa(954) 763-3358Prov No 0000128528241209 W Broward Blvd Fort Lauderdale FL 33312Gender MaleNPI 1750669420License DN23167License Type DBP DentistBoard Certified Not ReportedEmail browarddsgmailco mFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300846171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130549551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GARRISON Harvey BSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120435256171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130550551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GERBER JeremyJeremy Gerber Dds(954) 763-4403Prov No 0000012430561332 Se 17th St Fort Lauderdale FL 33316Gender MaleNPI 1568588580License DN16721License Type DBP DentistBoard Certified Not ReportedEmail jeremygerberdmdgmailcomFax (954) 763-0989Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GHATTAS Maureen ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120913696171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130553551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121951956171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

40 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GONZALES AngelicaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012195368551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ DarlenDr Michael Barnard Dds Pa(954) 763-3358Prov No 0000125397201209 W Broward Blvd Fort Lauderdale FL 33312Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail browarddsgmailco mFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

GONZALEZ DarlenTlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000130114483001 E Commercial BlvdFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GONZALEZ GiovanniDental Excellence Partners Llc(954) 776-3320Prov No 0000129735294358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GOYAL LakshayDentists of Fort Lauderdale(954) 947-1458Prov No 0000133711011865 Cordova RdFort Lauderdale FL 33316Gender MaleNPI 1609364876License DN23757License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 914-7811Accepts New Patients YHospital Affiliation NA

GRAFF Brad WDr Brad W Graff(954) 963-3706Prov No 0000000190673107 Stirling Rd Ste 108 Fort Lauderdale FL 33312Gender MaleNPI 1992099550License DN11270License Type DBP DentistBoard Certified Not ReportedEmail bgraffgraffdental comFax (954) 963-1223Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GREEN BeverlySage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012204420551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000122044456171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300886171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GUERRERO Luis ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130512551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUILARTE Rhona EGuilco Family Dental(954) 771-7007Prov No 0000004458036550 N Federal Hwy Ste 55 0Fort Lauderdale FL 33308Gender FemaleNPI 1619956323License DN17335License Type DBP DentistBoard Certified Not ReportedEmail infoguilcofamilydentalcomFax (954) 771-7008Accepts New Patients YHospital Affiliation NA

HAGHIGHI AzinSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000128724926171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

41GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)HELFANT JaredTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000121572193001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

HERNANDEZ Liliana JLiliana J Hernandez Dds Pa(954) 523-0566Prov No 0000000188581330 Se 4th Ave Ste K Fort Lauderdale FL 33316Language SpanishGender FemaleNPI 1902927452License DN12715License Type DBP DentistBoard Certified Not ReportedEmail drlhernandezofficesmileflorida954comFax (954) 532-3013Accepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(954) 776-3320Prov No 0000129777334358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)HORWITZ StevenSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120989866171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130516551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012510124551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)IRAVANI Mina FSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000125101986171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JACOBSOHN Henry DTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000124259393001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300926171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)JUMA ZaileenSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130524551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KALAFATIC Frank KSmile Now Dental Care(954) 916-7646Prov No 0000121276466230 N Federal Hwy Fort Lauderdale FL 33308Gender MaleNPI 1932262581License DN16754License Type DBP DentistBoard Certified Not ReportedEmail fkddssmilenowdentalcarecomFaxAccepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000125890323001 E Commercial BlvdFort Lauderdale FL 33308Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

42 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)KRIKORIAN Charles RDental Specialists of BrowardGroup Co(954) 588-4671Prov No 0000053005699 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1720272081License DN15836License Type DBP DentistBoard Certified YEmail dspayroll1gmailc omFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121007156171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130526551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LASKA Mario LMiguel Fernando Borda Pa(954) 938-2447Prov No 0000024617642740 E Commercial Blvd Fort Lauderdale FL 33308Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail drbordaassociatesdmcomFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012444748551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124447516171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LEONARD Thomas PMiguel Fernando Borda Pa(954) 938-2447Prov No 0000121302132740 E Commercial Blvd Fort Lauderdale FL 33308Gender MaleNPI 1831468735License DN19469License Type DBP DentistBoard Certified NEmail drbordaassociatesdmcomFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121769376171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012202222551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LICINA ZeljkaMichael R Barnard Dds(954) 763-3358Prov No 0000089782761209 W Broward Blvd Fort Lauderdale FL 33312Gender FemaleNPI 1013263292License DN20101License Type DBP DentistBoard Certified NEmail browardddsgmailcomFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300946171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130528551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

43GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LOPEZ Grace PGrace Lopez Dmd Pa(954) 565-3353Prov No 0000126533564144 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1407101462License DN19810License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LOPEZ Santiago1500 Dental(954) 715-1000Prov No 0000128882271500 N Federal Hwy Ste 250Fort Lauderdale FL 33304Gender MaleNPI 1548616360License DN23317License Type DBP DentistBoard Certified Not ReportedEmail info1500dentalco mFax (954) 372-1000Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300956171 N Federal HwyFort Lauderdale FL 33308Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MA RobertSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130529551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

Marti Bagdasarov AnjelikaSage Dental of Ft Lauderdale(561) 641-5610Prov No 0000129901826171 N Federal HwyFort Lauderdale FL 33308Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MAZZUCCO Maria ONorth Broward HospitalDistrict(954) 459-6600Prov No 000012199601200 Nw 7th AveFort Lauderdale FL 33311Gender FemaleNPI 1003941022License DN15711License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 759-6665Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MCCANN LEE Katie LDentists of Fort Lauderdale Pa(954) 947-1458Prov No 0000133716301865 Cordova RdFort Lauderdale FL 33316Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 914-7811Accepts New Patients YHospital Affiliation NA

MCHUGH Allyson MTowncare Dental of FortLauderdale(954) 563-1362Prov No 0000131813703343 Ne 33rd St Fort Lauderdale FL 33308Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

MEHTA Ravindra SRavin Mehta Dds(954) 739-1430Prov No 0000001269123796 Nw 19th StFort Lauderdale FL 33311Gender MaleNPI 1609055532License DN10114License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MICHEL RaynaldRaynald Michel Dds(954) 563-5800Prov No 0000126108323051 N Federal HwyFort Lauderdale FL 33306Language FrenchGender MaleNPI 1376859306License DN19473License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MODESTO Daniela ODaniela Modesto Dds(954) 990-6278Prov No 0000061052992626 E Commercial BlvdFort Lauderdale FL 33308Language Portuguese SpanishGender FemaleNPI 1659426369License DN17097License Type DBP DentistBoard Certified Not ReportedEmail infobellasmilefl comFax (954) 990-6293Accepts New Patients NHospital Affiliation NA

MOHR Eric ESage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300986171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

44 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MOHR Eric ESage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130531551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012816907551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000128194786171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MORALES Ronald JTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000125581353001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

MOULINOS Sotirios SDr Brad W Graff(954) 963-3706Prov No 0000000190683107 Stirling Rd Ste 108 Fort Lauderdale FL 33312Gender MaleNPI 1760601520License DN14630License Type DBP DentistBoard Certified Not ReportedEmail bgraffgraffdental comFax (954) 963-1223Accepts New Patients YHospital Affiliation NA

MOUSHATI JohnComplete Family Dentistry(954) 564-3244Prov No 0000000333553015 Bayview Dr Ste BFort Lauderdale FL 33306Gender MaleNPI 1679993992License DN13133License Type DBP DentistBoard Certified Not ReportedEmail frontdeskcosmeticsolutionnetFax (954) 564-3245Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)NAIERMAN Eric HDental Specialists of BrowardGroup Co(954) 588-4671Prov No 0000069624169 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1982981643License DN19906License Type DBP DentistBoard Certified NEmail dspayroll1gmailc omFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

NUDEL MarinaCoast Florida Pa(954) 584-5031Prov No 0000016596153937 W Broward BlvdFort Lauderdale FL 33312Language RussianGender FemaleNPI 1821088741License DN19619License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 584-5303Accepts New Patients YHospital Affiliation NA

ORTEGA Laura OEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000125183184358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558742528License DN21243License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)PELTON Ivan SDental Specialists of BrowardGroup Co(954) 588-4671Prov No 0000127065229 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail dspayroll1gmailc omFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

PERLSTEIN RobertSage Dental of Ft Lauderdale(561) 641-5610Prov No 0000130313996171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1104258813License DN20317License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PHAM Minh BDentists of Fort Lauderdale Pa(954) 947-1458Prov No 0000131557381865 Cordova RdFort Lauderdale FL 33316Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 914-7811Accepts New Patients YHospital Affiliation NA

45GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)PLANES Alex ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121285526171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152160551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PYSER Douglas NTowncare Dental of FortLauderdale Pllc(954) 563-1362Prov No 0000000201213343 Ne 33rd St Fort Lauderdale FL 33308Gender MaleNPI 1194728162License DN9139License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)QUICK James RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300426171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152477551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUILICHINI Carlos ADental Specialists of BrowardGroup(954) 588-4671Prov No 0000097554469 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1700079399License DN11673License Type DBP DentistBoard Certified Not ReportedEmailFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RAMOS YilianDental Specialists of BrowardGroup(786) 355-4401Prov No 0000121526269 Sw 17th StFort Lauderdale FL 33315Gender FemaleNPI 1699030205License DN19848License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012172823551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121853096171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)REYES Christina MDental Excellence Partners Llc(954) 776-3320Prov No 0000128955904358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(954) 776-3320Prov No 0000125003554358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120666506171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

46 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RIEGER Eric RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152480551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300456171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152481551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RIOS KU HOP Milagritos CTlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000122531413001 E Commercial BlvdFort Lauderdale FL 33308Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000128665984358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

ROCA-GODINEZ Lilian RGrace Lopez Dmd Pa(954) 565-3353Prov No 0000022982574144 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1639261563License DN12949License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RODRIGUEZ Margarita MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300466171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130999551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012523925551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)ROQUE-RUANO MaikelSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000125239286171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROSTOCK Jennifer LTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000125305903001 E Commercial BlvdFort Lauderdale FL 33308Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

RUIZ FRONTARY YarimarBella Family Dental(954) 621-7959Prov No 00000585519019551 Sheridan StFort Lauderdale FL 33332Language SpanishGender FemaleNPI 1134429251License DN19939License Type DBP DentistBoard Certified Not ReportedEmail mybellafamilydentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

47GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SANTIAGO-HERZOG Tatiana ETowncare Dental of FortLauderdale Pllc(954) 563-1362Prov No 0000033797393343 Ne 33rd St Fort Lauderdale FL 33308Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121752886171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012175293551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SCHMID HIDALGO Federico JTango Dental Pa(954) 563-9722Prov No 0000022291343015 Bayview Dr Ste A Fort Lauderdale FL 33306Gender MaleNPI 1407178247License DN18919License Type DBP DentistBoard Certified Not ReportedEmail tangodentalpagmailcomFax (954) 563-1912Accepts New Patients YHospital Affiliation NA

SEGRERA Maria CMaria Claudia Sgrera Pa DbaDental Clinique(954) 228-6661Prov No 00001261907616636 Sheridan StFort Lauderdale FL 33331Gender FemaleNPI 1295046662License DN19055License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SEVEL Dennis SFort Lauderdale Galleria DentalImplant and Orthod(954) 566-1281Prov No 0000128957062300 Ne 9th StFort Lauderdale FL 33304Gender MaleNPI 1568665966License DN11695License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 699-0417Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SIPKIN Lloyd ALloyd Sipkin Dds(954) 565-7555Prov No 0000123113282655 E Oakland Park BlvdSte EFort Lauderdale FL 33306Gender MaleNPI 1104046176License DN5053License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 565-7555Accepts New Patients YHospital Affiliation NA

SIPKIN Lloyd ADr Lloyd Sipkin Dds(954) 565-7555Prov No 0000129603332655 E Oakland Park BlvdSte 3Fort Lauderdale FL 33306Gender MaleNPI 1104046176License DN5053License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 565-7555Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300516171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SNIDER Erica MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131160551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000121753753001 E Commercial BlvdFort Lauderdale FL 33308Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012163513551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

48 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)STEINER Samantha LSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121635156171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012454297551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124543006171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SZPOGANICZ TadeuAmerican Dental of Florida FortLauderdale(954) 938-2447Prov No 0000121155452740 E Commercial BlvdFort Lauderdale FL 33308Language Portuguese SpanishGender MaleNPI 1871870659License DN20043License Type DBP DentistBoard Certified NEmail hallendalesmiledesigndentalflcomFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012462648551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124626516171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)VAZANA Todd ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131165551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121461786171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120942086171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)VERA Anny BSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131166551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300186171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131167551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

49GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)YU Cynthia WSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300206171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130462551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012485415551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)YU Joyce WSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124854306171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZAKI Fady AHab Dental Inc(954) 489-2517Prov No 0000130294182500 E Commercial Blvd StE GFort Lauderdale FL 33308Gender MaleNPI 1831322304License DN20041License Type DBP DentistBoard Certified NEmail doreenhabdentalflacomFax (954) 489-2514Accepts New Patients YHospital Affiliation NA

ZAKKO DalalShmuel Stern(954) 776-4720Prov No 0000121756662826 E Oakland Park BlvdSte 300Fort Lauderdale FL 33306Language Arabic FrenchHebrew SpanishGender FemaleNPI 1851454821License DN15524License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 489-0004Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)ZYLBERING Jason MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300226171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130460551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FT LAUDERDALE

BENDA Natalia MNatalia M Benda Dds(954) 491-8812Prov No 0000003311226361 N Andrews AveFt Lauderdale FL 33309Gender FemaleNPI 1063514131License DN15626License Type DBP DentistBoard Certified Not ReportedEmail drpearlwhitedentistrycomFax (954) 491-8813Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FT LAUDERDALE (Cont)BRODY Robert AJessica B Papir Dmd(954) 566-4167Prov No 0000003494011201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHENCIN JosefJosef Chencin Dds(954) 561-4730Prov No 0000000223753015 Bayview Dr Ste DFt Lauderdale FL 33306Gender MaleNPI 1245393222License DN9414License Type DBP DentistBoard Certified Not ReportedEmail josefchencinddsgmailcomFaxAccepts New Patients NHospital Affiliation NA

CORREIA Philip JDental Health Group Pa(954) 566-4167Prov No 0000127676501201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1871538751License DN20255License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

50 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FT LAUDERDALE (Cont)DAVIS Deborah LAids Healthcare Foundation Inc(954) 761-2230Prov No 000012093899700 Se 3rd Ave Ste 206Ft Lauderdale FL 33316Gender FemaleNPI 1881847739License DN12301License Type DBP DentistBoard Certified Not ReportedEmail amachucapracticeworxcomFax (954) 761-2231Accepts New Patients YHospital Affiliation NA

FRAND Joel IDental Health Group Pa(954) 566-4167Prov No 0000020229671201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1568675866License DN19603License Type DBP DentistBoard Certified NEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

GARCIA RicardoDental Health Group Pa(954) 566-4167Prov No 0000002452781201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1184700783License DN14737License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FT LAUDERDALE (Cont)LEIVA LOPEZ KarinaGreat Expressions DentalCenters(954) 566-4167Prov No 0000130479501201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender FemaleNPI 1669997565License DN22764License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

HALLANDALE BEACH

ALBERTO JuanSage Dental of HallandaleBeach Pllc(954) 779-3000Prov No 0000021575051701 E Hallandale Beach BLvdHallandale Beach FL 33009Gender MaleNPI 1932112828License DN17637License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE PENA LauraLaura De Pena(954) 454-3883Prov No 000012709601226 S Dixie HwyHallandale Beach FL 33009Language SpanishGender FemaleNPI 1710328141License DN20244License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)DEFELICE Janice RHallandale Family Dental Care(954) 454-3883Prov No 000000309693226 S Dixie Hwy Hallandale Beach FL 33009Gender FemaleNPI 1386702827License DN17618License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of HallandaleBeach Pllc(954) 779-3000Prov No 0000125860661701 E Hallandale Beach BLvdHallandale Beach FL 33009Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyHallandale Family Dental Care(954) 454-3883Prov No 000012130326226 S Dixie Hwy Hallandale Beach FL 33009Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)GUEVARA AnaelyDs Dental Care Llc(954) 456-2100Prov No 0000128788962100 E Hallandale Beach BLvd Ste 304Hallandale Beach FL 33009Language SpanishGender FemaleNPI 1184007932License DN21384License Type DBP DentistBoard Certified Not ReportedEmail officedsdentalcareflcomFaxAccepts New Patients YHospital Affiliation NA

MANDEL Jonathan OSage Dental of HallandaleBeach Pllc(954) 779-3000Prov No 0000128900471701 E Hallandale Beach BLvdHallandale Beach FL 33009Gender MaleNPI 1689088148License DN21469License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ORTA Nicolas RNicolas Orta Dmd Pa(954) 454-2504Prov No 0000012482832518 E Hallandale Beach BLvdHallandale Beach FL 33009Gender MaleNPI 1346456175License DN 17823License Type DBP DentistBoard Certified Not ReportedEmail ortadmdpagmailco mFaxAccepts New Patients YHospital Affiliation NA

51GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)QUEVEDO FernandoHallandale Family Dental Care(954) 454-3883Prov No 000012313985226 S Dixie Hwy Hallandale Beach FL 33009Gender MaleNPI 1699157800License DN21354License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

RIVERA-SOTOMAYOR MarleneHallandale Family Dental Care(954) 454-3883Prov No 000012494901226 S Dixie Hwy Hallandale Beach FL 33009Language SpanishGender FemaleNPI 1033477229License DN21562License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

ROTHENBERG StephenStephen Rothenberg Dds(954) 457-8288Prov No 000000018095416 E Hallandale Beach Bl VdHallandale Beach FL 33009Gender MaleNPI 1083802052License DN7410License Type DBP DentistBoard Certified Not ReportedEmail rothenbergdds416gmailcomFax (954) 457-8819Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)SANTANA DaniaDs Dental Care Llc(954) 456-2100Prov No 0000127386032100 E Hallandale Beach BLvd Ste 304Hallandale Beach FL 33009Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail officedsdentalcareflcomFaxAccepts New Patients YHospital Affiliation NA

HOLLYWOOD

ABDEL-JABBAR Sana HSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124579264461 Sheridan StHollywood FL 33021Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001245795312129 Sheridan StHollywood FL 33026Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)AGUDELO Monica AHollywood Perfect Smile Pa(954) 987-3309Prov No 0000122304946720 Taft StHollywood FL 33024Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 986-6838Accepts New Patients YHospital Affiliation NA

ALVAREZ-PENABAD PeggyHollywood Dental Care(954) 367-5671Prov No 0000128339742303 Hollywood Blvd Ste 14Hollywood FL 33020Language SpanishGender FemaleNPI 1205260601License DN20378License Type DBP DentistBoard Certified Not ReportedEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

ASKOWITZ Ronald LHollywood Dental Care(954) 367-5671Prov No 0000047057522303 Hollywood Blvd Ste 14Hollywood FL 33020Language Hebrew SpanishGender MaleNPI 1134372410License DN3884License Type DBP DentistBoard Certified NEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)AZARI Scott JSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068916312129 Sheridan StHollywood FL 33026Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157984461 Sheridan StHollywood FL 33021Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BACCHELLI LaraTlc Dental-Hollywood Llc(954) 926-5888Prov No 0000132443751718 Sheridan St Hollywood FL 33020Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

52 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)BARON-SNOW Deborah BEmerald Hills Dntl Center(954) 983-2450Prov No 0000000184623856 Sheridan St Hollywood FL 33021Gender FemaleNPI 1902023856License DN10640License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 963-3338Accepts New Patients YHospital Affiliation NA

BENITO Juan CDental Associates of Hollywood(954) 921-7339Prov No 0000126836963801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1871619304License DN14807License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

BERKOWITZ Harry DDental Associates of HollywoodPa(954) 921-7339Prov No 0000003545193801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1427243807License DN6292License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)BOBADILLA Patricia MSheridan Dental Care(954) 964-4229Prov No 0000051788864350 Sheridan St Ste 201EHollywood FL 33021Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmail sheridandentalcare4350gmailcomFax (954) 653-0886Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000392009512129 Sheridan StHollywood FL 33026Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158004461 Sheridan StHollywood FL 33021Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)BORDA Miguel FMiguel Fernando Borda Pa(954) 923-7348Prov No 0000126295411876 Radius DrHollywood FL 33020Gender MaleNPI 1518254051License DN 19392License Type DBP DentistBoard Certified NEmail smileonusyahooco mFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Cooper City Pllc(954) 433-1888Prov No 00001211276312129 Sheridan StHollywood FL 33026Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158014461 Sheridan StHollywood FL 33021Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CANELA-PICHARDO Dalinda ADalinda Canela-Pichardo DdsPa(954) 920-6616Prov No 000000124501603 N Federal HwyHollywood FL 33020Gender FemaleNPI 1831312040License DN14834License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 920-2401Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121516224461 Sheridan StHollywood FL 33021Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Cooper City Pllc(954) 433-1888Prov No 00001215163412129 Sheridan StHollywood FL 33026Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

53GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CASTILLO Sandra MSoto and Castillo Dental CareInc(954) 987-3344Prov No 0000126022713911 Hollywood Blvd Ste 102Hollywood FL 33021Language SpanishGender FemaleNPI 1245636133License DN20757License Type DBP DentistBoard Certified Not ReportedEmail scdentalhollywoodgmailcomFax (954) 987-7224Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001215298612129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121530044461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CICORTAS Florin NTlc Dental Hollywood Llc(954) 926-5888Prov No 0000127190611718 Sheridan StHollywood FL 33020Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068914912129 Sheridan StHollywood FL 33026Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158054461 Sheridan StHollywood FL 33021Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)COUTRAS ElevteriaTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865251718 Sheridan StHollywood FL 33020Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000391636612129 Sheridan StHollywood FL 33026Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158064461 Sheridan StHollywood FL 33021Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CRUZ Antonio RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000177163112129 Sheridan StHollywood FL 33026Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158074461 Sheridan StHollywood FL 33021Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000129217286821 Taft StHollywood FL 33024Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

54 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DAROJAT Zuhdiyah MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000459001912129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121155954461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001243537212129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DOOLEY Jill CSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124355634461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000195843712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121155984461 Sheridan StHollywood FL 33021Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DUARTE BeatrizDental Associates of Hollywood(954) 921-7339Prov No 0000119977163801 Hollywood Blvd Ste 225Hollywood FL 33021Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001211050712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121155994461 Sheridan StHollywood FL 33021Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DULCEY Monica AHollywood Dental Care(954) 367-5671Prov No 0000132546122303 Hollywood Blvd Ste 14Hollywood FL 33020Language Portuguese SpanishGender FemaleNPI 1003195694License DN19480License Type DBP DentistBoard Certified Not ReportedEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000177226912129 Sheridan StHollywood FL 33026Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156004461 Sheridan StHollywood FL 33021Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

55GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ESPINET KUSNIER ElaineSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000125860674461 Sheridan StHollywood FL 33021Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001258607612129 Sheridan StHollywood FL 33026Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

FATMI NavedDental Associates of Hollywood(954) 921-7339Prov No 0000011361533801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1558690974License DN18878License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001155158112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156024461 Sheridan StHollywood FL 33021Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000129218736821 Taft StHollywood FL 33024Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)FOX Jeffrey MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915512129 Sheridan StHollywood FL 33026Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156034461 Sheridan StHollywood FL 33021Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental-Hollywood Llc(954) 926-5888Prov No 0000131178731718 Sheridan St Hollywood FL 33020Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)FREEDMAN Saman MDental Associates of SouthBroward(954) 432-7539Prov No 0000111148999900 Stirling Rd Ste 100Hollywood FL 33024Language PersianGender FemaleNPI 1629269923License DN17906License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 432-8106Accepts New Patients YHospital Affiliation NA

GANGI Yudancy PHollywood Dental Care(954) 367-5671Prov No 0000129818382303 Hollywood Blvd Ste 14Hollywood FL 33020Language SpanishGender FemaleNPI 1821579459License DN23785License Type DBP DentistBoard Certified Not ReportedEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000113765312129 Sheridan StHollywood FL 33026Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

56 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GARCIA-PORRAS MarcelaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156044461 Sheridan StHollywood FL 33021Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915112129 Sheridan StHollywood FL 33026Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156054461 Sheridan StHollywood FL 33021Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GERENA Dorene M4350 Dental P A(954) 964-4229Prov No 0000133728214350 Sheridan St Ste 201EHollywood FL 33021Gender FemaleNPI 1508282252License DN20460License Type DBP DentistBoard Certified Not ReportedEmail sheridandentalcare4350gmailcomFax (954) 239-8705Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00001209135912129 Sheridan StHollywood FL 33026Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157074461 Sheridan StHollywood FL 33021Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GOLDSTEIN EmilyEmerald Hills Dntl Center(954) 983-2450Prov No 0000000184633856 Sheridan St Hollywood FL 33021Gender FemaleNPI 1104043033License DN11983License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 963-3338Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121951964461 Sheridan StHollywood FL 33021Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001219541412129 Sheridan StHollywood FL 33026Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GONZALEZ DarlenTlc Dental - Hollywood Llc(954) 926-5888Prov No 0000130115191718 Sheridan StHollywood FL 33020Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

GORBATOV DmitryAbc Dental(954) 342-8315Prov No 000000715675650 S Federal Hwy Ste 2 Hollywood FL 33020Gender MaleNPI 1316025067License DN15160License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 342-8317Accepts New Patients YHospital Affiliation NA

GORBATOV DmitryDg Dentistry(954) 458-9999Prov No 0000124206583800 S Ocean Dr Ste 210Hollywood FL 33019Gender MaleNPI 1316025067License DN15160License Type DBP DentistBoard Certified Not ReportedEmail dmitrygorbatovyahoocomFax (954) 639-7262Accepts New Patients YHospital Affiliation NA

57GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GREEN BeverlySage Dental of Cooper City Pllc(954) 433-1888Prov No 00001220441612129 Sheridan StHollywood FL 33026Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Hollywood Pllc(954) 966-6352Prov No 0000122044464461 Sheridan StHollywood FL 33021Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000121611112129 Sheridan StHollywood FL 33026Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GUERRERO Luis ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157124461 Sheridan StHollywood FL 33021Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HELFANT JaredTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865261718 Sheridan StHollywood FL 33020Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JHollywood Perfect Smile Pa(954) 987-3309Prov No 0000123145606720 Taft StHollywood FL 33024Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmailFax (954) 986-6838Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)HERNANDEZ RIVERA Ricardo NNicolas Hernandez Rivera DdsPa(954) 399-7839Prov No 0000119980376517 Taft St Ste 201Hollywood FL 33024Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmail pdchollywood1primarydentalcareflcomFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001209897412129 Sheridan StHollywood FL 33026Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157214461 Sheridan StHollywood FL 33021Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)IRAVANI Mina FSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001251011812129 Sheridan StHollywood FL 33026Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000125102004461 Sheridan StHollywood FL 33021Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

JACOBSOHN Henry DTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865321718 Sheridan StHollywood FL 33020Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

58 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)JUMA ZaileenSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001111647812129 Sheridan StHollywood FL 33026Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157154461 Sheridan StHollywood FL 33021Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental - Hollywood Llc(954) 926-5888Prov No 0000125890311718 Sheridan StHollywood FL 33020Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)KUSHNER Bruce ADental Associates of Hollywood(954) 921-7339Prov No 0000003714513801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1164623641License DN9257License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001210053612129 Sheridan StHollywood FL 33026Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157164461 Sheridan StHollywood FL 33021Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LANTIGUA KelvinTotal Dental amp Denture Care(954) 964-1494Prov No 0000001633097076 Taft St Hollywood FL 33024Gender MaleNPI 1215944368License DN16003License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LASKA Mario LMiguel Fernando Borda Pa(954) 923-7348Prov No 0000126450511876 Radius DrHollywood FL 33020Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail smileonusyahooco mFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

LASKA Mario L4350 Dental Pa(954) 964-4229Prov No 0000133449734350 Sheridan St Ste 201EHollywood FL 33021Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail sheridandentalcare4350gmailcomFax (954) 239-8705Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LEMINH Chau JSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124447534461 Sheridan StHollywood FL 33021Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001244479512129 Sheridan StHollywood FL 33026Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001217693112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

59GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LEPORE KrystinaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121769384461 Sheridan StHollywood FL 33021Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LLAPUR CarlosDental Associates of Hollywood(954) 921-7339Prov No 0000120870913801 Hollywood Blvd Ste 225Hollywood FL 33021Language SpanishGender MaleNPI 1275947913License DN20712License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915612129 Sheridan StHollywood FL 33026Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LONDONO Jennifer DSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157184461 Sheridan StHollywood FL 33021Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001155110412129 Sheridan StHollywood FL 33026Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157754461 Sheridan StHollywood FL 33021Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)MAHARAJ Vindra RDental Associates of SouthBroward(954) 432-7539Prov No 0000121289639900 Stirling Rd Ste 100Hollywood FL 33024Gender FemaleNPI 1720176969License DN11308License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 432-8106Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Cooper City Pllc(954) 433-1888Prov No 00001155202812129 Sheridan StHollywood FL 33026Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157794461 Sheridan StHollywood FL 33021Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)MONCRIEFFE Tiffany ISage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121790114461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Cooper City Pllc(954) 433-1888Prov No 00001281662912129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental Hollywood Llc(954) 926-5888Prov No 0000125582531718 Sheridan StHollywood FL 33020Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

60 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)NAVARRO Jessica MPembroke Pines Dental HealthCenter(954) 437-2040Prov No 0000121093351806 N Flamingo RdHollywood FL 33028Language SpanishGender FemaleNPI 1932250685License DN17047License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

NIETO Gloria YCngy Dental Inc(954) 589-0750Prov No 0000121275505937 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1124233648License DN16408License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 639-7143Accepts New Patients YHospital Affiliation NA

PATINO JoelyzChoice Dental Care Llc(954) 983-8844Prov No 0000126182652536 N State Road 7Hollywood FL 33021Gender FemaleNPI 1962630103License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmailFax (954) 983-8855Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)PELTON Ivan SElite Dental Center(954) 589-2176Prov No 0000013997042219 Hollywood Blvd Ste 104Hollywood FL 33020Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail sheridan4000gmailcomFax (954) 589-2179Accepts New Patients YHospital Affiliation NA

PEREZ DIAZ AguedaAffordable Dentistry of SouthFlorida(954) 534-9181Prov No 0000128675604000 Sheridan St Ste BHollywood FL 33021Gender FemaleNPI 1598033540License DN19248License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFax (954) 404-7256Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00001212854812129 Sheridan StHollywood FL 33026Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)PLANES Alex ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121285534461 Sheridan StHollywood FL 33021Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUEVEDO FernandoSheridan Dental Care(954) 964-4229Prov No 0000125017144350 Sheridan St Ste 201EHollywood FL 33021Gender MaleNPI 1699157800License DN21354License Type DBP DentistBoard Certified Not ReportedEmail sheridandentalcare4350gmailcomFax (954) 653-0886Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000202373012129 Sheridan StHollywood FL 33026Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)QUICK James RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157904461 Sheridan StHollywood FL 33021Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121616994461 Sheridan StHollywood FL 33021Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001217280812129 Sheridan StHollywood FL 33026Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

61GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)REZAIE YeganehDental Associates of Hollywood(954) 921-7339Prov No 0000012485623801 Hollywood Blvd Ste 225Hollywood FL 33021Gender FemaleNPI 1043506041License DN19415License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001206667512129 Sheridan StHollywood FL 33026Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157284461 Sheridan StHollywood FL 33021Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000130370066821 Taft StHollywood FL 33024Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068916412129 Sheridan StHollywood FL 33026Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157294461 Sheridan StHollywood FL 33021Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)RIOS KU HOP Milagritos CTlc Dental - Hollywood Llc(954) 926-5888Prov No 0000124865341718 Sheridan StHollywood FL 33020Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157304461 Sheridan StHollywood FL 33021Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ROGOWSKA Kinga EKinga E Rogowska Dds Pa(954) 961-4300Prov No 0000003862303872 Sheridan St Ste A Hollywood FL 33021Language PolishGender FemaleNPI 1144325382License DN14932License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000125239294461 Sheridan StHollywood FL 33021Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001252605312129 Sheridan StHollywood FL 33026Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

62 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ROTHFIELD Elizabeth ARothfield Dental Assoc(954) 989-8800Prov No 0000000217494601 Hollywood Blvd Hollywood FL 33021Gender FemaleNPI 1922179704License DN12846License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SANTIAGO-HERZOG Tatiana EDental Associates of Hollywood(954) 921-7339Prov No 0000020192793801 Hollywood Blvd Ste 225Hollywood FL 33021Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121752894461 Sheridan StHollywood FL 33021Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SCARFONE MelanieSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001217532512129 Sheridan StHollywood FL 33026Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000131582866821 Taft StHollywood FL 33024Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

SCHUETZ Eric JDental Smiles of Hollywood(954) 589-2176Prov No 0000126622752219 Hollywood Blvd Ste 104Hollywood FL 33020Gender MaleNPI 1720277320License DN14786License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SCHUETZ Eric JDental Smiles of Hollywood(954) 534-9181Prov No 0000126642424000 Sheridan St Ste BHollywood FL 33021Gender MaleNPI 1720277320License DN14786License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFaxAccepts New Patients YHospital Affiliation NA

SILVER Richard MRichard Silver(954) 589-2176Prov No 0000121276882219 Hollywood Blvd Ste 104Hollywood FL 33020Gender MaleNPI 1013017599License DN7158License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFax (954) 589-2179Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000070469112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SNIDER Erica MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157374461 Sheridan StHollywood FL 33021Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SNOW Darren BEmerald Hills Dntl Center(954) 983-2450Prov No 0000000184643856 Sheridan St Hollywood FL 33021Gender MaleNPI 1275757544License DN10639License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 963-3338Accepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865231718 Sheridan StHollywood FL 33020Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

63GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SOTO Paola FSoto and Castillo Dental CareInc(954) 987-3344Prov No 0000126217833911 Hollywood Blvd Ste 102Hollywood FL 33021Language Portuguese SpanishGender FemaleNPI 1336572007License DN20370License Type DBP DentistBoard Certified Not ReportedEmail scdentalhollywoodgmailcomFax (954) 987-7224Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000130370106821 Taft StHollywood FL 33024Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001216350412129 Sheridan StHollywood FL 33026Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)STEINER Samantha LSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121635164461 Sheridan StHollywood FL 33021Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001245429212129 Sheridan StHollywood FL 33026Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124543024461 Sheridan StHollywood FL 33021Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)URCUYO Jacqueline CSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001246264312129 Sheridan StHollywood FL 33026Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124626534461 Sheridan StHollywood FL 33021Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156894461 Sheridan StHollywood FL 33021Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)VAZANA Todd ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00001214618412129 Sheridan StHollywood FL 33026Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001209435512129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156904461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

64 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)VIGNOLA Jennifer ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000215614712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156914461 Sheridan StHollywood FL 33021Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VILA GabrielaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000130429694461 Sheridan StHollywood FL 33021Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)WILNER Jason MFlorida Dental Solutions(954) 362-4102Prov No 0000129661356902 Stirling RdHollywood FL 33024Gender MaleNPI 1790210201License DN22956License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 252-3883Accepts New Patients YHospital Affiliation NA

YOUNG Lisa BDental Associates of SouthBroward(954) 432-7539Prov No 0000102152019900 Stirling Rd Ste 100Hollywood FL 33024Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 432-8106Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001201935912129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)YU Cynthia WSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156944461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001248541112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124854184461 Sheridan StHollywood FL 33021Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ZYLBERING Jason MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000119416312129 Sheridan StHollywood FL 33026Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156954461 Sheridan StHollywood FL 33021Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LAUDERDALE LAKES

ACOSTA-ORTIZ RodolfoAcosta Dental Services ofLauderhill Pa(954) 486-6989Prov No 0000004353212331 N State Road 7 Ste 109Lauderdale Lakes FL 33313Language SpanishGender MaleNPI 1689782435License DN16118License Type DBP DentistBoard Certified Not ReportedEmail contactdentist4c omFax (954) 486-6992Accepts New Patients YHospital Affiliation NA

65GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

LAUDERDALE LAKES (Cont)ARON Robert SOakland Dental Llc(954) 486-0101Prov No 0000004366554416 W Oakland Park Blvd Lauderdale Lakes FL 33313Gender MaleNPI 1811160641License DN11026License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 486-0588Accepts New Patients YHospital Affiliation NA

BORDA Miguel FMiguel Fernando Borda Pa(954) 533-8080Prov No 0000126830443500 N State Road 7Lauderdale Lakes FL 33319Gender MaleNPI 1518254051License DN 19392License Type DBP DentistBoard Certified NEmailFax (954) 923-9272Accepts New Patients YHospital Affiliation NA

CORTES Astrid IAcosta Dental Services ofLauderhill Pa(954) 486-6989Prov No 0000123128092331 N State Road 7 Ste 109Lauderdale Lakes FL 33313Language SpanishGender FemaleNPI 1346689155License DN20122License Type DBP DentistBoard Certified Not ReportedEmail contactdentist4c omFax (954) 486-6992Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERDALE LAKES (Cont)DEVACK JustinOakland Dental Llc(954) 486-0101Prov No 0000016558554416 W Oakland Park Blvd Lauderdale Lakes FL 33313Gender MaleNPI 1346411428License DN18210License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 486-0588Accepts New Patients YHospital Affiliation NA

EUGENE DavidDavid Eugene Dds Pllc(954) 733-9971Prov No 0000006867502447 N State Road 7Lauderdale Lakes FL 33313Gender MaleNPI 1306080304License DN18594License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 733-5521Accepts New Patients YHospital Affiliation NA

LAUDERHILL

AKEL BassilBassil Akel Dmd Pllc(954) 581-9228Prov No 0000121277231600 N State Road 7 Ste 400Lauderhill FL 33313Gender MaleNPI 1700040557License DN18305License Type DBP DentistBoard Certified NEmailFax (954) 367-5671Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)ARENAS Jorge AGampG Dental Associates(954) 722-1082Prov No 0000006972517030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1528151131License DN17629License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BENCHIMOL JacquesGampG Dental Associates(954) 722-1082Prov No 0000121383227030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1780841940License DN18114License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BENITO Juan CGampG Dental Associates(954) 722-1082Prov No 0000126836697030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1871619304License DN14807License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000128956547165 W Oakland Park BlvdLauderhill FL 33313Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizGampG Dental Associates(954) 722-1082Prov No 0000011064867030 Nw 57th StLauderhill FL 33319Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

FALLAH R LDeborah E Luis Dmd Pa(954) 741-6556Prov No 0000000187457100 W Commercial Blvd St E 108Lauderhill FL 33319Gender MaleNPI 1295855500License DN9938License Type DBP DentistBoard Certified Not ReportedEmail fdscomtactusgmailcomFax (954) 741-1715Accepts New Patients YHospital Affiliation NA

66 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000129218527165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

HOGAN HelenaGampG Dental Associates(954) 722-1082Prov No 0000016600807030 Nw 57th StLauderhill FL 33319Gender FemaleNPI 1851520456License DN18687License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

KARPEL JoelJoel Karpel Dds(954) 741-0102Prov No 0000000192377193 W Oakland Park BlvdLauderhill FL 33313Gender MaleNPI 1639216286License DN10772License Type DBP DentistBoard Certified Not ReportedEmail joelkarpelddsatt netFax (954) 741-0102Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)Luis Deborah EDeborah E Luis Dmd Pa(954) 741-6556Prov No 0000120725297100 W Commercial Blvd St E 108Lauderhill FL 33319Gender FemaleNPI 1114277357License DN19798License Type DBP DentistBoard Certified Not ReportedEmail fdscomtactusgmailcomFax (954) 741-1715Accepts New Patients YHospital Affiliation NA

MAHARAJ Vindra RG amp G Dental Associates Pa(954) 722-1082Prov No 0000121378527030 Nw 57th StLauderhill FL 33319Gender FemaleNPI 1720176969License DN11308License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 720-7973Accepts New Patients YHospital Affiliation NA

MARTIN Sidney SGampG Dental Associates(954) 722-1082Prov No 0000125263227030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1346250941License DN8913License Type DBP DentistBoard Certified NEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)MARTINEZ-MARINO AnelisseMarino Family Dental Inc(954) 368-7500Prov No 0000127240264506 N University DrLauderhill FL 33351Language SpanishGender FemaleNPI 1487085668License DN20192License Type DBP DentistBoard Certified Not ReportedEmail managermarinofamilydentalcomFax (954) 368-7501Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000128895367165 W Oakland Park BlvdLauderhill FL 33313Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

REZAIE AzadehGampG Dental Associates(954) 722-1082Prov No 0000121620887030 Nw 57th StLauderhill FL 33319Language SpanishGender FemaleNPI 1740663848License DN21393License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000130297797165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

SARDUY RaynelDeborah E Luis Dmd Pa(954) 741-6556Prov No 0000124614617100 W Commercial Blvd St E 108Lauderhill FL 33319Language Portuguese SpanishGender MaleNPI 1790161693License DN21374License Type DBP DentistBoard Certified Not ReportedEmail fdscomtactusgmailcomFax (954) 741-1715Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000131583037165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

67GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)STEIN IlyaIlya Stein(954) 584-2214Prov No 0000000228221249 N State Road 7 Lauderhill FL 33313Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 584-2254Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000130370197165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DGampG Dental Associates(954) 722-1082Prov No 0000126459617030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE

ARGUELLO Vigarny AVigarny A Arguello Dmd(954) 532-1274Prov No 000010403122100 N State Road 7 Ste 300Margate FL 33063Gender MaleNPI 1710275235License DN19421License Type DBP DentistBoard Certified NEmail infoarguellodentistrycomFax (954) 532-1797Accepts New Patients YHospital Affiliation NA

ASINMAZ Armand AMargate Dental Associates Pa(954) 975-7900Prov No 0000124922097608 Margate BlvdMargate FL 33063Gender MaleNPI 1245680289License DN21919License Type DBP DentistBoard Certified Not ReportedEmail officewbsmilesco mFax (954) 975-4074Accepts New Patients YHospital Affiliation NA

BACCHELLI LaraTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000132443787110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)BARRETT StevenGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128191015443 W Atlantic BlvdMargate FL 33063Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

CICORTAS Florin NTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000127190607110 Southgate BlvdMargate FL 33068Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

COUTRAS ElevteriaTlc Dental-North LauderdaleLlc(954) 724-8949Prov No 0000003065377110 Southgate Blvd Margate FL 33068Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128782995443 W Atlantic BlvdMargate FL 33063Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

DICRESCENTO Donna LCrecent Dental Pa(954) 968-4466Prov No 0000006308475522 W Sample Rd Margate FL 33073Gender FemaleNPI 1063531879License DN14562License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 968-4473Accepts New Patients YHospital Affiliation NA

FLORES Juan CJuan Carlos Flores Dmd Pa(954) 971-6115Prov No 0000122458285644 W Atlantic Blvd Ste4Margate FL 33063Language SpanishGender MaleNPI 1548459803License DN17732License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-6246Accepts New Patients YHospital Affiliation NA

68 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MARGATE (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000129218715443 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental-North LauderdaleLlc(954) 724-8949Prov No 0000131178747110 Southgate Blvd Margate FL 33068Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

GARCIA-JAM YailinSmiles On Us Dental Care(954) 973-6161Prov No 0000129246732526 N State Road 7Margate FL 33063Gender FemaleNPI 1104239235License DN22294License Type DBP DentistBoard Certified Not ReportedEmail smileonusdentalcaregmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)GONZALEZ DarlenTlc Dental-Oral Surgery Pllc(954) 724-8949Prov No 0000130115927110 Southgate BlvdMargate FL 33068Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail fltlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128192905443 W Atlantic BlvdMargate FL 33063Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

HELFANT JaredTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000016571307110 Southgate BlvdMargate FL 33068Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)JACOBSOHN Henry DTlc Dental-North LauderdaleLlc(954) 724-8949Prov No 0000124259297110 Southgate Blvd Margate FL 33068Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental North Lauderdale Lc(954) 724-8949Prov No 0000125884587110 Southgate BlvdMargate FL 33068Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

MAUTNER Steven GSteven G Mautner Dds Pa(954) 978-8866Prov No 0000121426445609 Nw 29th StMargate FL 33063Gender MaleNPI 1124076195License DN12748License Type DBP DentistBoard Certified Not ReportedEmail sgmddsgmailcomFax (954) 978-0618Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)MCCOSH FernandaSouthern Cross FamilyDentistry Llc(954) 971-8800Prov No 0000121488885800 Colonial Dr Ste 406Margate FL 33063Language SpanishGender FemaleNPI 1427305150License DN19819License Type DBP DentistBoard Certified Not ReportedEmail fmccoshdmdgmailcomFax (954) 979-8498Accepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000125581377110 Southgate BlvdMargate FL 33068Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128170745443 W Atlantic BlvdMargate FL 33063Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

69GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MARGATE (Cont)RAND Matthew KTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000122516197110 Southgate BlvdMargate FL 33068Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental North Lauderdale Lc(954) 724-8949Prov No 0000122531437110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

ROCA-GODINEZ Lilian RCrescent Dental(954) 968-4466Prov No 0000022982585522 W Sample Rd Margate FL 33073Gender FemaleNPI 1639261563License DN12949License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 968-4473Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)ROSTOCK Jennifer LTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000125305797110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000131582945443 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

SHAFER Mindy GCrescent Dental(954) 968-4466Prov No 0000003810375522 W Sample Rd Margate FL 33073Gender FemaleNPI 1306069885License DN13577License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 968-4473Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)SHAYAN Maria MM Shayan Dmd Pa(954) 974-4400Prov No 0000124965915404 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1700172673License DN19381License Type DBP DentistBoard Certified NEmail mariashayangmailcomFax (954) 974-4402Accepts New Patients YHospital Affiliation NA

SHETH Bipin JBipin Sheth Dds Pa(954) 979-8631Prov No 0000007237255239 Coconut Creek PkwyMargate FL 33063Gender MaleNPI 1871703504License DN10633License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 979-8651Accepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000004234327110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000130370095443 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

YEOSHOUA OdedAll Care Dental(954) 979-1357Prov No 0000003550463207 N State Road 7 Margate FL 33063Gender MaleNPI 1396969507License DN16620License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIRAMAR

AGUDELO Monica ARandall T Califf Dds Pa(954) 987-4435Prov No 0000120189956890 Miramar Pkwy Miramar FL 33023Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

70 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MIRAMAR (Cont)ALVARADO YailenMercy Dental Corp(954) 404-6877Prov No 0000127746693172 S University DrMiramar FL 33025Language SpanishGender FemaleNPI 1700235363License DN21842License Type DBP DentistBoard Certified Not ReportedEmail mercydentalcorpgmailcomFax (954) 639-7645Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 392-7051Prov No 0000003203812905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

CALIFF Randall TRandall T Califf Dds Pa(954) 987-4435Prov No 0000000203886890 Miramar Pkwy Miramar FL 33023Gender MaleNPI 1124244470License DN9027License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)CHRISTOPH VictorDental Health Group Pa(954) 392-7051Prov No 0000007143882905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1235209594License DN6745License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

DAGAN ShacharDental Health Group Pa(954) 392-7051Prov No 0000121752822905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1447632542License DN21396License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraDental Health Group Pa(954) 392-7051Prov No 0000007143832905 Sw 160th AveMiramar FL 33027Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)DE LA RUA LissetteDental Health Group Pa(954) 392-7051Prov No 0000011249432905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

DIAZ JanyMercy Dental Corp(954) 404-6877Prov No 0000127746673172 S University DrMiramar FL 33025Gender FemaleNPI 1659729598License DN21847License Type DBP DentistBoard Certified Not ReportedEmail mercydentalcorpgmailcomFax (954) 639-7645Accepts New Patients YHospital Affiliation NA

DIEZ FedericoDentalmed Associates Llc(954) 505-7631Prov No 00001212763612600 Pembroke Rd Ste 314Miramar FL 33027Gender MaleNPI 1043392111License DN14284License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 505-7633Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)ESCOBAR Carlos FRandall T Califf Dds Pa(954) 987-1935Prov No 0000121303536890 Miramar Pkwy Ste EMiramar FL 33023Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 987-4435Accepts New Patients YHospital Affiliation NA

GUERRA Daniel ADental Health Group Pa(954) 392-7051Prov No 0000120580192905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

HALLER DustinDental Health Group Pa(954) 392-7051Prov No 0000120429302905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1346502705License DN19767License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

71GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MIRAMAR (Cont)JEAN PhilippeHorizon Dental Care(954) 987-4435Prov No 0000130195886890 Miramar Pkwy Miramar FL 33023Language SpanishGender MaleNPI 1538402128License DN22521License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

KASHLAN RaniaDental Health Group Pa(954) 392-7051Prov No 0000121788452905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1932260403License DN18607License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

LAMB NicoleLamb Dental Services Llc(954) 283-7085Prov No 0000078030602700 S University Dr Ste 208Miramar FL 33025Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail officesiennadentalflcomFax (954) 301-0703Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)MARTINEZ Amy MGreat Expressions DentalCenters(954) 392-7051Prov No 0000121044862905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1124382866License DN20973License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

MONTERO AlexanderAlexander Montero Dds(954) 671-1388Prov No 0000011734163600 Red Rd Ste 404Miramar FL 33025Gender MaleNPI 1427105998License DN15053License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 450-4454Accepts New Patients YHospital Affiliation NA

MONTERO RicardoRicardo Montero Dmd(954) 671-1388Prov No 0000004280333600 Red Rd Ste N404Miramar FL 33025Language SpanishGender MaleNPI 1164579066License DN14128License Type DBP DentistBoard Certified NEmailFax (954) 450-4454Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)NGUYEN Binh TPremier Dental(954) 987-6977Prov No 0000000373927160 Pembroke Rd Miramar FL 33023Gender MaleNPI 1427153410License DN15460License Type DBP DentistBoard Certified Not ReportedEmail dentalcaregmailc omFaxAccepts New Patients YHospital Affiliation NA

PERELLO Rosanna BR amp F Dental Clinic(954) 986-9351Prov No 0000000223716917 Miramar Pkwy Miramar FL 33023Gender FemaleNPI 1134280258License DN12945License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RANGEL RaulGreat Expressions DentalCenters(954) 392-7051Prov No 0000132216152905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1629154216License DN13743License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)RODRIGUEZ Mayra LDental Health Group Pa(954) 392-7051Prov No 0000004432612905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1972703254License DN18010License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SAENZ Manuel ODental Health Group Pa(954) 392-7051Prov No 0000003490572905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SAHI Gurman KDental Health Group Pa(954) 392-7051Prov No 0000011071132905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1689711020License DN17509License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SIEGEL Tara LDental Health Group Pa(954) 392-7051Prov No 0000120067472905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

72 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MIRAMAR (Cont)SIERRA-DUQUE Pablo JDental Health Group Pa(954) 392-7051Prov No 0000003207132905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1841356847License DN17835License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SUATE PEDROZA Isabel MIsabel Suate Pedroza Dds Pa(754) 500-1050Prov No 00001263177414601 Sw 29th St Ste 201Miramar FL 33027Language Italian SpanishGender FemaleNPI 1972858751License DN19876License Type DBP DentistBoard Certified NEmail infomyfloridadentistnetFax (754) 212-0434Accepts New Patients YHospital Affiliation NA

SWANSON Wendy ERandall T Califf Pa(954) 987-4435Prov No 0000128297076890 Miramar Pkwy Miramar FL 33023Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail sunsetdentalservicesgmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)YANES MarnieGreat Expressions DentalCenters(954) 392-7051Prov No 0000132216162905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1407236052License DN21238License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

NORTH LAUDERDALE

PATEL Rohitkumar SRohitkumar Patel(954) 979-2511Prov No 0000123362701401 S State Road 7North Lauderdale FL 33068Gender MaleNPI 1295911246License DN9776License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 979-2511Accepts New Patients YHospital Affiliation NA

OAKLAND PARK

BAGHDASSARIAN RosemaryHab Dental Inc(954) 489-2517Prov No 0000128606271608 E Commercial BlvdOakland Park FL 33334Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail drsaucedoaolcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000128663991739 E Commercial BlvdOakland Park FL 33334Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000128629761739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

GARCES CarolinaOakland Park ModernDentistry(954) 261-5665Prov No 0000126856221005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)GOLDEN Joshua NOakland Park ModernDentistry(954) 261-5665Prov No 0000125596331005 E Commercial BlvdOakland Park FL 33334Language SpanishGender MaleNPI 1669898573License DN21450License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GOYAL LakshayOakland Park ModernDentistry(954) 261-5665Prov No 0000133716521005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1609364876License DN23757License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

LOZADA Katherine GOakland Park ModernDentistry(954) 261-5665Prov No 0000123966931005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1568801306License DN20137License Type DBP DentistBoard Certified NEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

73GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)MANTEL David BOakland Park ModernDentistry(954) 261-5665Prov No 0000127601481005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1972910073License DN21500License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MASSRI AbirConfident Smile Pa(954) 530-5674Prov No 000006963219916 Ne 62nd St Oakland Park FL 33334Gender FemaleNPI 1750579686License DN17850License Type DBP DentistBoard Certified NEmail contactusconfidentsmileflcomFax (954) 530-5912Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000128895381739 E Commercial BlvdOakland Park FL 33334Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)OLIVEIRA Paulo AOakland Park ModernDentistry Pa(954) 261-5665Prov No 0000127959161005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1285157826License DN22922License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

PEREZ Nelly ROakland Park ModernDentistry(954) 261-5665Prov No 0000125277891005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

PHAM Minh BOakland Park ModernDentistry(954) 261-5665Prov No 0000122820301005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000130370121739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

RIVAS-PLATA JessicaThe Dental Group(954) 485-1170Prov No 0000003561092609 W Oakland Park BlvdOakland Park FL 33311Gender FemaleNPI 1285751503License DN17759License Type DBP DentistBoard Certified Not ReportedEmail infothedentalgroupfllcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ-MARTIN Henry AThe Dental Group(954) 485-1170Prov No 0000003029882609 W Oakland Park BlvdOakland Park FL 33311Gender MaleNPI 1467549444License DN15860License Type DBP DentistBoard Certified Not ReportedEmail infothedentalgroupfllcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)SALBO FrederickaOakland Park ModernDentistry(954) 261-5665Prov No 0000130693961005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1639560543License DN21036License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SALDARRIAGA LisaHenry Rodriguez-Martin Dmd(954) 485-1170Prov No 0000130137682609 W Oakland Park BlvdOakland Park FL 33311Gender FemaleNPI 1588979710License DN18616License Type DBP DentistBoard Certified NEmail dentalgroup2609yahoocomFax (954) 485-5820Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000131583301739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

74 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)SIGILLO AlessandraOakland Park ModernDentistry(714) 845-8890Prov No 0000131332981005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1497199103License DN21555License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000130370161739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

THOMAS Antony POakland Park ModernDentistry(954) 261-5665Prov No 0000130613691005 E Commercial BlvdOakland Park FL 33334Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)ZAWADZKY Javier MHenry A Rodriguez-MartinDmd Pa(954) 485-1170Prov No 0000023003842609 W Oakland Park BlvdOakland Park FL 33311Gender MaleNPI 1245541507License DN19098License Type DBP DentistBoard Certified NEmailFax (954) 485-5820Accepts New Patients YHospital Affiliation NA

PARKLAND

AHMADI Ahmad KAhmad K Ahmadi Dmd Pa(954) 752-8283Prov No 0000011223466656 Parkside Dr Parkland FL 33067Gender MaleNPI 1538275292License DN16261License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 753-9462Accepts New Patients YHospital Affiliation NA

PEMBROKE PINES

ABDEL-JABBAR Sana HSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001245791617027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ABDELMONEM RafahPembroke Square Dental(954) 437-6400Prov No 0000122074799001 Pembroke Rd Ste APembroke Pines FL 33025Gender MaleNPI 1194736959License DN16642License Type DBP DentistBoard Certified Not ReportedEmail msantanadentalcentermiamicomFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

AGUDELO Monica ARandall T Califf Dds Pa(954) 437-0900Prov No 0000127957139033 Taft StPembroke Pines FL 33024Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

AHMADI Ahmad KAhmad Ahmadi Dmd Pa(954) 430-5700Prov No 00000034253612311 Taft St Ste 2Pembroke Pines FL 33026Gender MaleNPI 1538275292License DN16261License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ALEMAN Alex EAlex E Aleman Dmd(954) 499-1599Prov No 00000027038810796 Pines Blvd Ste 203 Pembroke Pines FL 33026Gender MaleNPI 1639252208License DN14247License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 499-5799Accepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(954) 982-7645Prov No 000012977712680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

AZADI Anthony APembroke Square Dental(954) 437-6400Prov No 0000125238279001 Pembroke Rd Ste APembroke Pines FL 33025Gender MaleNPI 1326491853License DN22177License Type DBP DentistBoard Certified Not ReportedEmail msantanadentalcentermiamicomFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

75GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)AZARI Scott JSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000391883717027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BADDALOO Reshma MGentle Teeth of Pembroke PinesInc(954) 437-7077Prov No 00001301114712251 Taft St Ste 301Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1043704026License DN23446License Type DBP DentistBoard Certified Not ReportedEmail genteethgmailcomFax (786) 496-3122Accepts New Patients YHospital Affiliation NA

BETANCOR AnetteDental Smile Llc(954) 442-1884Prov No 00001090463417525 Pines BlvdPembroke Pines FL 33029Language SpanishGender FemaleNPI 1508139064License DN19584License Type DBP DentistBoard Certified NEmail infodentalsmilellccomFax (954) 432-3368Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)BOCKIAN Joshua ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000017333817027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(954) 982-7645Prov No 000012970318680 N University DrPembroke Pines FL 33024Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOUCHARD Cynthia RAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000122359521601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender FemaleNPI 1235442997License DN19051License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)BRATMAN JerrySage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579301517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 431-0004Prov No 000000018511140 S University DrPembroke Pines FL 33025Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

CALDERON Erik OLakes Mall Dental Center Pa(954) 432-5515Prov No 00000327464711401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender MaleNPI 1942596416License DN19377License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CALIFF Randall THorizon Dental Care(954) 437-0900Prov No 0000122040049033 Taft StPembroke Pines FL 33024Gender MaleNPI 1124244470License DN9027License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(954) 982-7645Prov No 000000020951680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(954) 982-7645Prov No 000013148570680 N University DrPembroke Pines FL 33024Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

76 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CARBALLO RodolfoPembroke Pines Dental HealthCenter Inc(954) 437-2040Prov No 0000003496161806 N Flamingo Rd Ste 170Pembroke Pines FL 33028Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail pembrokedhccomFax (954) 437-4573Accepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(954) 541-9796Prov No 0000124489786720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(954) 982-7645Prov No 000013157995680 N University DrPembroke Pines FL 33024Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CASTILLO Juan ISage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001215162817027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ICastillo Dental Studio Llc(954) 391-8309Prov No 00001279197017913 Nw 7th St Ste 103Pembroke Pines FL 33029Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001215297717027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CHRISTOPH VictorDental Health Group Pa(954) 431-0004Prov No 000000018512140 S University DrPembroke Pines FL 33025Gender MaleNPI 1235209594License DN6745License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneCelia Figueroa(954) 432-8000Prov No 0000126181371724 N University DrPembroke Pines FL 33024Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219948617027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)COWAN Marc ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001251827517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CROWGEY ThomasDental Health Group PembrokePines(954) 431-0004Prov No 000013073363140 S University DrPembroke Pines FL 33025Gender MaleNPI 1598147563License DN21343License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000390905117027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

77GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CRUZ YarelieDental Excellence Partners Llc(954) 982-7645Prov No 000012969891680 N University DrPembroke Pines FL 33024Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000517941317027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE SOUSA Marvina ECounty Dental Corp(954) 447-0400Prov No 00000144858910271 Pines BlvdPembroke Pines FL 33026Language SpanishGender FemaleNPI 1841572963License DN19465License Type DBP DentistBoard Certified NEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DE SOUSA Marvina ESmile Solutions Dental Group(954) 432-3655Prov No 000012127335294 Nw 172nd Ave Pembroke Pines FL 33029Language SpanishGender FemaleNPI 1841572963License DN19465License Type DBP DentistBoard Certified NEmail contactsmilesolutionsdgcomFax (954) 438-0334Accepts New Patients YHospital Affiliation NA

DICKINSON Scott CAspen Dental(954) 364-0410Prov No 00001295614711061 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1942432729License DN16315License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOLPHIN Tyler CAri Socher Dds(954) 430-2300Prov No 00001308973012634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1699298547License DN22525License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DOMINGUEZ JoseJose D Dominguez Dds(954) 450-6447Prov No 0000000425443 Sw 129th Ave Ste 210Pembroke Pines FL 33027Gender MaleNPI 1992838304License DN13058License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 450-6270Accepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(954) 982-7645Prov No 000012969892680 N University DrPembroke Pines FL 33024Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001243641617027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DRISCOLL Allison RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219942817027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001211054517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE Ivonne JDental American Group(954) 447-0400Prov No 00001299879010271 Pines Blvd Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1952888752License DN23696License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFax (954) 447-0450Accepts New Patients YHospital Affiliation NA

78 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DURKAN Marcia ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579307417027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ELHOSARY Princess CAmonem Inc(954) 437-6400Prov No 0000129905239001A Pembroke RdPembroke Pines FL 33025Gender FemaleNPI 1144677501License DN22761License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 613-5372Accepts New Patients YHospital Affiliation NA

ELPERIN AlexeiPremiere Dental Care Cntr(954) 940-9888Prov No A0000001836417901 Nw 5th St Ste 206Pembroke Pines FL 33029Gender MaleNPI 1295930063License DN15966License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ERRO Juan CPembroke Pines Dental HealthCenter Inc(954) 437-2040Prov No 0000004130781806 N Flamingo Rd Ste 170Pembroke Pines FL 33028Gender MaleNPI 1205161742License DN9599License Type DBP DentistBoard Certified Not ReportedEmail pembrokedhccomFax (954) 437-4573Accepts New Patients YHospital Affiliation NA

ESCOBAR Carlos FTowncare Dental of PembrokePines(954) 430-2580Prov No 000011009266600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001258591417027 Pines BlvdPembroke Pines FL 33027Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ESPINOSA Celia IDental Health Group Pa(954) 431-0004Prov No 000001619240140 S University DrPembroke Pines FL 33025Language SpanishGender FemaleNPI 1942402185License DN19636License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

FAGET DavidDental Studio of PembrokePines Llc(954) 526-1228Prov No 00001351786712251 Taft St Ste 400Pembroke Pines FL 33026Gender MaleNPI 1811224397License DN16328License Type DBP DentistBoard Certified Not ReportedEmail hellosmileandmotioncomFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001155158717027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)FIGUEROA Celia CAll About Teeth Lcc(954) 894-2121Prov No 0000010894142301 N University Dr Ste209Pembroke Pines FL 33024Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmail allabouteeth209gmailcomFax (954) 894-2120Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CCelia Figueroa(954) 432-8000Prov No 0000124485971724 N University DrPembroke Pines FL 33024Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219942917027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

79GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GABALDON MarianaJoy Family Dentistry Pa(954) 437-0033Prov No 000012209893240 S Flamingo RdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1316112436License DN19159License Type DBP DentistBoard Certified NEmail dentalboostpinesgmailcomFaxAccepts New Patients YHospital Affiliation NA

GALLO Don AAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000124304701601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

GARCES CarolinaDental Health Group Pa(954) 431-0004Prov No 000000406286140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GARCIA FERNANDEZ AliuskaGateway Dental Inc(954) 541-9796Prov No 0000123136016720 Pines Blvd Pembroke Pines FL 33024Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579307317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219944817027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GHATTAS Maureen ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001209137617027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GLICKSMAN Joel EDental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00000006114612634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1669537981License DN8869License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

GODOY Yami ATowncare Dental of PembrokePines(954) 430-2580Prov No 000012926460600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1831248004License DN19836License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GONZALES AngelicaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219524017027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosCounty Dental Corp(954) 447-0400Prov No 00001253009010271 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(954) 982-7645Prov No 000012971526680 N University DrPembroke Pines FL 33024Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

80 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GONZALEZ LilianCounty Dental Corp(954) 447-0400Prov No 00000026359810271 Pines BlvdPembroke Pines FL 33026Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001220465517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRA Daniel ADental Health Group Pa(954) 431-0004Prov No 000012072443140 S University DrPembroke Pines FL 33025Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GUERRERO Luis ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579306517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUZMAN Nestor ETowncare Dental of PembrokePines(954) 430-2580Prov No 000011994836600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender MaleNPI 1558477919License DN16737License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

HACKBARTH Mallory JAspen Dental(954) 364-0410Prov No 00001296776111061 Pines BlvdPembroke Pines FL 33026Gender FemaleNPI 1265880470License DN23245License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)HEREDIA AbelardoGateway Dental Inc(954) 541-9796Prov No 0000125181776720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(954) 982-7645Prov No 000011550963680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(954) 541-9796Prov No 0000121394186720 Pines Blvd Pembroke Pines FL 33024Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)HORWITZ StevenSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001209911517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HUI Tin Wai WPremiere Dental Care Cntr(954) 940-9888Prov No 00000001813117901 Nw 5th St Ste 206Pembroke Pines FL 33029Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001251015217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

81GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)JACAS Sergio JIgor Pasisnitchenko Dds Pa(954) 431-0450Prov No 00001244801510450 Taft StPembroke Pines FL 33026Gender MaleNPI 1184004228License DN21198License Type DBP DentistBoard Certified Not ReportedEmail ipasisnitchenkoyahoocomFax (954) 435-0700Accepts New Patients YHospital Affiliation NA

JEAN PhilippeRandall T Califf Dds Pa(954) 437-0900Prov No 0000130195869033 Taft StPembroke Pines FL 33024Language SpanishGender MaleNPI 1538402128License DN22521License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

JOY Benjamin HJoy Family Dentistry Pa(954) 437-0033Prov No 000012587834240 S Flamingo RdPembroke Pines FL 33027Language SpanishGender MaleNPI 1255885885License DN22239License Type DBP DentistBoard Certified Not ReportedEmail infojoydentalpinescomFax (954) 437-7796Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)JOY Jayleen MJoy Family Dentistry Pa(954) 437-0033Prov No 000012587832240 S Flamingo RdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1194279737License DN22240License Type DBP DentistBoard Certified Not ReportedEmail infojoydentalpinescomFax (954) 437-7796Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001133176317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KEANE ChrisDentists of Pines(714) 845-8890Prov No 00001294312710430 Pines Blvd Ste C103Pembroke Pines FL 33026Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)KRAVITZ EugeneKravitz Dental(954) 430-4334Prov No 00000001922917767 Sw 2nd StPembroke Pines FL 33029Gender MaleNPI 1043496490License DN10328License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001210070117027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAZCANO Maritza TLozcano Family Dental Pa(954) 589-1261Prov No 0000125891421000 N Hiatus Rd Ste 150Pembroke Pines FL 33026Gender FemaleNPI 1942470422License DN18205License Type DBP DentistBoard Certified Not ReportedEmail infoyanowitzdentistrycomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)LEMINH Chau JSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001244496017027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEONARD Thomas PDental Health Group Pa(954) 431-0004Prov No 000012549036140 S University DrPembroke Pines FL 33025Gender MaleNPI 1831468735License DN19469License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217665317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

82 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)LONDONO Jennifer DSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579300717027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOPEZ Maria ELakes Mall Dental Center Pa(954) 432-5515Prov No 00001245122811401 Pines Blvd Ste 220Pembroke Pines FL 33026Gender FemaleNPI 1205852993License 21166License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001155113117027 Pines BlvdPembroke Pines FL 33027Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MANIGLIA Marielba DSmile Solutions Dental Group(954) 432-3655Prov No 000011116460294 Nw 172nd Ave Pembroke Pines FL 33029Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail contactsmilesolutionsdgcomFax (954) 438-0334Accepts New Patients YHospital Affiliation NA

MARS Rick ADental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00000001941012634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1316002637License DN11641License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

MAUSKAR Sagar SDental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00001242035312634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1477800985License DN19913License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MCCANN LEE Katie LWest Pines Modern Dentistry(786) 204-0713Prov No 00001263373318312 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMcLean amp Associates of SouthFl Pa(954) 437-6400Prov No 0000003426409001 Pembroke Rd Ste A Pembroke Pines FL 33025Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail msantanadentalcentermiamicomFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CNatoya C Mclean amp Associates(954) 437-6400Prov No 0000130518889001A Pembroke RdPembroke Pines FL 33025Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmailFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MIRANDA Nicol MWest Pines Modern Dentistry(786) 204-0713Prov No 00001304455118312 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1780112607License DN22538License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIRANDA Nicol MDentists of Pines(954) 251-0238Prov No 00001305826410430 Pines Blvd Ste C103Pembroke Pines FL 33026Gender FemaleNPI 1780112607License DN22538License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(954) 541-9796Prov No 0000121394196720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

83GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MOHR Eric ESage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001155204017027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOLINA Gustavo RDental Care Inc(954) 538-0047Prov No 00001212755617868 Nw 2nd St Pembroke Pines FL 33029Language SpanishGender MaleNPI 1679859847License DN19559License Type DBP DentistBoard Certified NEmail pinesdentalcaregmailcomFax (954) 538-0924Accepts New Patients YHospital Affiliation NA

MOLINA Gustavo RAtria Dental Health Center(954) 499-0033Prov No 00001242296018503 Pines Blvd Ste 208 Pembroke Pines FL 33029Language SpanishGender MaleNPI 1679859847License DN19559License Type DBP DentistBoard Certified NEmail atriadentalattne tFax (954) 499-0355Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MONCRIEFFE Tiffany ISage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001281632917027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MUJTABA MoneezeLaguna Isles Dental Dba FamilySmile Dental(954) 272-9250Prov No 000001399368701 Promenade Dr Ste 102Pembroke Pines FL 33026Gender FemaleNPI 1609926310License DN17384License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 680-1808Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579309417027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)NARVAEZ DE V VeronicaAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000126969451601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender FemaleNPI 1366979270License DN22539License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

NAVARRO Jessica MPembroke Pines Dental HealthCenter Inc(954) 437-2040Prov No 0000121323741806 N Flamingo Rd Ste 170Pembroke Pines FL 33028Language SpanishGender FemaleNPI 1932250685License DN17047License Type DBP DentistBoard Certified Not ReportedEmail pembrokedhccomFax (954) 437-4573Accepts New Patients YHospital Affiliation NA

NAVARRO SANCHEZ MarianelysCounty Dental Corp(954) 447-0400Prov No 00001245693610271 Pines BlvdPembroke Pines FL 33026Language SpanishGender FemaleNPI 1811348337License DN21940License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)NGUYEN Binh TBinh T Nguyen Dds(954) 544-5132Prov No 0000120086742472 N University DrPembroke Pines FL 33024Gender MaleNPI 1427153410License DN15460License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 987-1638Accepts New Patients YHospital Affiliation NA

OKLIN RichardRichard Oklin(954) 989-6950Prov No 0000000491166805 Pembroke Rd Pembroke Pines FL 33023Gender MaleNPI 1679699615License DN16012License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 989-6962Accepts New Patients YHospital Affiliation NA

OLIVEIRA MODESTO DanielaDental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00000027775412634 Pines BlvdPembroke Pines FL 33027Language Portuguese SpanishGender FemaleNPI 1659426369License DN17097License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

84 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ORTA Ines ADental Smile Llc(954) 442-1884Prov No 00001213004817525 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1881836963License DN20345License Type DBP DentistBoard Certified Not ReportedEmail spdentalsmilellc comFax (954) 432-3368Accepts New Patients YHospital Affiliation NA

ORTA Ines ATowncare Dental of PembrokePines(954) 430-2580Prov No 000012151934600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1881836963License DN20345License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

PAPIR Jessica BDental Health Group Pa(954) 431-0004Prov No 000012137492140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PASISNITCHENKO IgorIgor Pasisnitchenko Dds(954) 431-0450Prov No 00000003855110450 Taft St Pembroke Pines FL 33026Gender MaleNPI 1659486488License DN15470License Type DBP DentistBoard Certified Not ReportedEmail ipasisnitchenkoyahoocomFax (954) 435-0700Accepts New Patients YHospital Affiliation NA

PAUL Alexander DAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000124938931601 N Palm Ave Ste 104 Pembroke Pines FL 33026Language SpanishGender MaleNPI 1255611596License DN21752License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

PELTON Ivan SDental Specialist of PembrokePines Group(954) 369-6998Prov No 00001288953912558 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail mevelynymailcomFax (305) 220-8911Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PEREZ Nelly RWest Pines Modern Dentistry(786) 204-0713Prov No 00001268658418312 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PEREZ-BORROTO RODRIGUEZ DaylisGentle Teeth of Pembroke Pines(954) 437-7077Prov No 00001346912212251 Taft St Ste 301Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1790215309License DN22685License Type DBP DentistBoard Certified Not ReportedEmail genteethgmailcomFax (954) 437-7466Accepts New Patients YHospital Affiliation NA

PERROTTI Steven DGateway Dental Inc(954) 541-9796Prov No 0000121394216720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PHAM Minh BWest Pines Modern Dentistry(786) 204-0713Prov No 00001261416418312 Pines BlvdPembroke Pines FL 33029Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PHAM Minh BDentists of Pines(954) 251-0238Prov No 00001289217910430 Pines Blvd Ste C103Pembroke Pines FL 33026Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(954) 541-9796Prov No 0000123145626720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

85GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PLANES Alex ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001212853717027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PRIETO EvelynLakes Mall Dental Center Pa(954) 432-5515Prov No 00001245123011401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

QUESADA PedroCounty Dental Corp(954) 447-0400Prov No 00001218912710271 Pines BlvdPembroke Pines FL 33026Language SpanishGender MaleNPI 1164898177License DN21528License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)QUICK James RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219943017027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAJSCHMIR Silvina JLakes Mall Dental Center Pa(954) 432-5515Prov No 00001255463611401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1679977896License DN22255License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217281617027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)REY Tatiana SRandall T Califf Dds Pa(954) 437-0900Prov No 0000126985599033 Taft StPembroke Pines FL 33024Gender FemaleNPI 1710378641License DN21164License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(954) 982-7645Prov No 000012896805680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(954) 982-7645Prov No 000012965662680 N University DrPembroke Pines FL 33024Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)RIEGER Eric RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001206673217027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219945117027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JTowncare Dental of PembrokePines(954) 430-2580Prov No 000004940285600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

86 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)RODRIGUEZ Margarita MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000391952317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001252605517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROSENBAUM Ronald EJerome A Soloman Dds(954) 981-5600Prov No 0000003956752231 N University Dr SteAPembroke Pines FL 33024Gender MaleNPI 1336313063License DN 16060License Type DBP DentistBoard Certified Not ReportedEmail frontdeskrosenbaumdentalgroupcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)RUIZ MiltonPines Dental Assocs(954) 432-6133Prov No 0000120460851541 N Palm Ave Pembroke Pines FL 33026Gender MaleNPI 1033288063License DN13346License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SALAZAR Cecilia IDental Smile Llc(954) 442-1884Prov No 00001206687617525 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1003193285License DN19356License Type DBP DentistBoard Certified Not ReportedEmail spdentalsmilellc comFax (954) 432-3368Accepts New Patients YHospital Affiliation NA

SANTANA DaniaGateway Dental Inc(954) 541-9796Prov No 0000122615446720 Pines Blvd Pembroke Pines FL 33024Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SANTIAGO-HERZOG Tatiana ETowncare Dental of PembrokePines(954) 430-2580Prov No 000002374537600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraGateway Dental Inc(954) 541-9796Prov No 0000129799906720 Pines Blvd Pembroke Pines FL 33024Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

SCARFONE MelanieSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217531317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)Sepulveda Isabel CPremiere Dental Care Cntr(954) 940-9888Prov No 00001210349717901 Nw 5th St Ste 206Pembroke Pines FL 33029Language SpanishGender FemaleNPI 1790111763License DN20070License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SHARMA RohitGentle Teeth of Pembroke Pines(954) 437-7077Prov No 00000117259112251 Taft St Ste 301Pembroke Pines FL 33026Gender MaleNPI 1679875207License DN18494License Type DBP DentistBoard Certified Not ReportedEmail genteethgmailcomFax (954) 437-7466Accepts New Patients YHospital Affiliation NA

SHATHER Meriam ITin Wai Hui Dmd Pa(954) 430-2188Prov No 00000023148217901 Nw 5th St Ste 206Pembroke Pines FL 33029Gender FemaleNPI 1790973873License DN15867License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 430-5489Accepts New Patients YHospital Affiliation NA

87GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SIEGEL Tara LDental Health Group Pa(954) 431-0004Prov No 000001550370140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

SIERRA-DUQUE Pablo JDental Health Group Pa(954) 431-0004Prov No 000000349075140 S University DrPembroke Pines FL 33025Gender MaleNPI 1841356847License DN17835License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

SIMON GelsysAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000120707721601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender FemaleNPI 1629154299License DN17332License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SIRAGE Katherine LWest Pines Modern Dentistry(714) 845-8500Prov No 00001298391818312 Pines BlvdPembroke Pines FL 33029Language SpanishGender FemaleNPI 1316329527License DN21322License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219945217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SOLANO Jorge IJorge I Soland Dmd Pa(954) 432-5700Prov No 0000003785322076 N University Dr Pembroke Pines FL 33024Gender MaleNPI 1780708354License DN16855License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)STEINER Samantha LSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217281517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STREETT RosarioLakes Mall Dental Center Pa(954) 432-5515Prov No 00001259426211401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1801230768License DN21495License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001245431217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SWANSON Wendy ERandall Califf Dds Pa(954) 437-0900Prov No 0000129974629033 Taft StPembroke Pines FL 33024Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

TAYLOR Nathan MAspen Dental(954) 364-0410Prov No 00001344435711061 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1295183945License DN21825License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

TCHOU LuisaSegelnick Specialists Llc(754) 217-4633Prov No 000012570560700 N Hiatus Rd Ste 101Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1124315270License DN19419License Type DBP DentistBoard Certified Not ReportedEmail manapermini-mouthcomFax (954) 575-1859Accepts New Patients YHospital Affiliation NA

88 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)TENDERO AlyneSmile Garden Inc(954) 987-4141Prov No 0000000426286880 Taft St Pembroke Pines FL 33024Gender FemaleNPI 1578670907License DN15750License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

THOMAS Antony PDentists of Pines(954) 251-0238Prov No 00001311074510430 Pines Blvd Ste C103Pembroke Pines FL 33026Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

TRAN BrianAspen Dental(954) 364-0410Prov No 00001311204611061 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)URCUYO Jacqueline CSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001246266117027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001214613117027 Pines BlvdPembroke Pines FL 33027Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(954) 541-9796Prov No 0000124866906720 Pines Blvd Pembroke Pines FL 33024Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)VENTO YosvanyGateway Dental Inc(954) 541-9796Prov No 0000125198136720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

VERA Anny BSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001209426717027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ADental Health Group Pa(954) 431-0004Prov No 000001538862140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)VIGNOLA Jennifer ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579308217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RDental Health Group Pa(954) 431-0004Prov No 000001657982140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RAngelic Smiles Dental Spa(954) 237-3902Prov No 0000125595989990 Nw 6th CtPembroke Pines FL 33024Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail lpierre67gmailco mFax (954) 639-7835Accepts New Patients YHospital Affiliation NA

89GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)YOUNG Lisa BTowncare Dental of PembrokePines(954) 430-2580Prov No 000001105611600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001201936917027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001248540517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ZAMORA Lyan TGateway Dental Inc(954) 541-9796Prov No 0000125181266720 Pines Blvd Pembroke Pines FL 33024Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

ZYLBERING Jason MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219943217027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANTATION

ABDEL-JABBAR Sana HSage Dental of Plantation Pa(954) 472-8707Prov No 0000124579178440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)ALVAREZ Jose FSunrise Dental Group Pa(954) 916-9955Prov No 0000121294711776 N Pine Island Rd Ste300Plantation FL 33322Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

ANTEZANA MauricioBroward Mall Dental Pa(954) 476-0802Prov No 0000129004298000 W Broward Blvd Ste 1 123Plantation FL 33388Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaBroward Mall Dental Pa(954) 476-0802Prov No 0000125645448000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)ATKINSON William ABroward Mall Dental Pa(954) 476-0802Prov No 0000122288218000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Plantation Pa(954) 472-8707Prov No 0000019561768440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteBroward Mall Dental Pa(954) 476-0802Prov No 0000122369888000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

90 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)BAGHDADI-GEGATI Marcel BDr Marcel B Gati Pa(954) 792-4100Prov No 000003916556300 Nw 70th Ave Ste 108 Plantation FL 33317Language French HebrewSpanishGender MaleNPI 1790955417License DN16519License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 792-8253Accepts New Patients YHospital Affiliation NA

BAKER Ronia MBeautiful Smiles Plantation Pa(954) 739-6464Prov No 0000127450581368 N University DrPlantation FL 33322Gender FemaleNPI 1194813220License DN16129License Type DBP DentistBoard Certified Not ReportedEmail beautifulsmileslauderhillgmailcomFax (954) 739-5210Accepts New Patients YHospital Affiliation NA

BAUTISTA EnricoSunrise Dental Group Pa(954) 916-9955Prov No 0000002074781776 N Pine Island Rd Ste300Plantation FL 33322Gender MaleNPI 1558467670License DN15933License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)BERRY Wayne LBroward Mall Dental Pa(954) 476-0802Prov No 0000128843418000 W Broward Blvd Ste 1 123Plantation FL 33388Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BLANCO FaridTotal Dental Care of Florida Llc(305) 747-7711Prov No 0000125546907420 Nw 5th StPlantation FL 33317Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Plantation Pa(954) 472-8707Prov No 0000044740738440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)BOUTSIKOS MariaAmerican Dental of Florida-Plantation(954) 641-0414Prov No 0000012491316905 W Broward Blvd Ste 101Plantation FL 33317Gender FemaleNPI 1588977623License DN19144License Type DBP DentistBoard Certified Not ReportedEmail kernsdental101gmailcomFaxAccepts New Patients YHospital Affiliation NA

BRADY TiffanyMichael Maruri Dmd Pa(615) 620-5990Prov No 000012516662815 S University Dr Ste 1 00Plantation FL 33324Gender FemaleNPI 1407292824License DN21459License Type DBP DentistBoard Certified Not ReportedEmail infosupersmilesfl comFax (954) 473-6922Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Plantation Pa(954) 472-8707Prov No 0000121413798440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)CABRERA Rene EBroward Mall Dental Pa(954) 476-0802Prov No 0000127703048000 W Broward Blvd Ste 1 123Plantation FL 33388Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Plantation Pa(954) 472-8707Prov No 0000121516298440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Plantation Pa(954) 472-8707Prov No 0000121529788440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

91GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)CORONADO EfrainSage Dental of Plantation Pa(954) 472-8707Prov No 0000015401718440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Plantation Pa(954) 472-8707Prov No 0000039163718440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

CRISCUOLO StephenSmile Everyday Plantation(954) 228-7264Prov No 0000125537577500 Nw 5th St Ste 107Plantation FL 33317Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)CRUZ Antonio RSage Dental of Plantation Pa(954) 472-8707Prov No 0000017716148440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

CULLEN William CBroward Mall Dental Pa(954) 476-0802Prov No 0000121272308000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraSmile Everyday Plantation(954) 228-7264Prov No 0000128559377500 Nw 5th St Ste 107Plantation FL 33317Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)DAROJAT Zuhdiyah MSage Dental of Plantation Pa(954) 472-8707Prov No 0000045900098440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

DHAM Uttma SWestside Dental Center(954) 476-4535Prov No 000000468749180 Sw 84th Ave Ste D Plantation FL 33324Gender FemaleNPI 1578719423License DN16314License Type DBP DentistBoard Certified Not ReportedEmail westsidedmdgmailcomFaxAccepts New Patients YHospital Affiliation NA

DI RE AnthonyBroward Mall Dental Pa(954) 476-0802Prov No 0000129086538000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)DOOLEY Jill CSage Dental of Plantation Pa(954) 472-8707Prov No 0000124364208440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

DOUGLAS Richard CSuperior Dental Plantation Pl(954) 583-4447Prov No 000000094585660 N State Road 7 Ste 12 Plantation FL 33317Gender MaleNPI 1528220126License DN9789License Type DBP DentistBoard Certified NEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Plantation Pa(954) 472-8707Prov No 0000019584588440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

92 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)DUARTE BeatrizPlantation Dental Services(954) 474-8475Prov No 000001297045314 S University Dr Plantation FL 33324Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Plantation Pa(954) 472-8707Prov No 0000121105478440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Plantation Pa(954) 472-8707Prov No 0000017722308440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)DURVE AparnaBroward Mall Dental Pa(954) 476-0802Prov No 0000125081628000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Plantation Pa(954) 472-8707Prov No 0000125859158440 W Broward BlvdPlantation FL 33324Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Plantation Pa(954) 472-8707Prov No 0000115515668440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)FERRERO Patricia FBroward Mall Dental Pa(954) 476-0802Prov No 0000126136858000 W Broward Blvd Ste 1 123Plantation FL 33388Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

FORNOS Jorge ABroward Mall Dental Pa(954) 476-0802Prov No 0000122477848000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Plantation Pa(954) 472-8707Prov No 0000004252728440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)FRIEND Michael JMichael J Friend Dmd Pa(954) 915-8080Prov No 0000006302408962 Cleary Blvd Plantation FL 33324Gender MaleNPI 1518975390License DN15822License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

GALLO Don ASuperior Dental Plantation Pl(954) 583-4447Prov No 000012430468660 N State Road 7 Ste 12 Plantation FL 33317Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

GALLO Don APlantation Dental Services(954) 474-8475Prov No 000012679319314 S University Dr Plantation FL 33324Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

93GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)GARCIA-PORRAS MarcelaSage Dental of Plantation Pa(954) 472-8707Prov No 0000011464388440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Plantation Pa(954) 472-8707Prov No 0000004133568440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Plantation Pa(954) 472-8707Prov No 0000120913508440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)GILSON Steven MGentle Family Dentistry(954) 424-4600Prov No 00000001813910167 W Sunrise Blvd Ste101Plantation FL 33322Gender MaleNPI 1063554764License DN9853License Type DBP DentistBoard Certified Not ReportedEmail smggfdgmailcomFaxAccepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Plantation Pa(954) 472-8707Prov No 0000121952418440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyBroward Mall Dental Pa(954) 476-0802Prov No 0000121303298000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)GONZALEZ KeniaBroward Mall Dental Pa(954) 476-0802Prov No 0000120982278000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Plantation Pa(954) 472-8707Prov No 0000122046568440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GREEN George DBroward Mall Dental Pa(954) 476-0802Prov No 0000124907038000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)GUERRA VannetteBroward Mall Dental Pa(954) 476-0802Prov No 0000128236868000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Plantation Pa(954) 472-8707Prov No 0000012160988440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

HERNANDEZ RIVERA Ricardo NNicolas Hermandez Rivera DdsPa(754) 332-2319Prov No 0000128691738251 W Broward Blvd Ste 102Plantation FL 33324Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

94 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)HORWITZ StevenSage Dental of Plantation Pa(954) 472-8707Prov No 0000120989788440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Plantation Pa(954) 472-8707Prov No 0000125101538440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

JAMES Larry GL G James Dmd(954) 791-6700Prov No 0000000254014100 S Hospital Dr Ste 20 8Plantation FL 33317Gender MaleNPI 1154436129License DN9512License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 797-7622Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)JAMES Larry GLg James Dmd Pa(954) 791-6700Prov No 0000121522864101 S Hospital DrPlantation FL 33317Gender MaleNPI 1154436129License DN9512License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 797-7622Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Plantation Pa(954) 472-8707Prov No 0000113317688440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

KASHLAN RaniaJacaranda Dental Associates(954) 577-3223Prov No 000012560211600 S Pine Island Rd Ste 201Plantation FL 33324Gender FemaleNPI 1932260403License DN18607License Type DBP DentistBoard Certified Not ReportedEmail jacarandadental600gmailcomFax (954) 343-3648Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)KLEIN Peter BDr Smile Pa(954) 791-0330Prov No 0000022987437420 Nw 5th St Ste 101 Plantation FL 33317Gender MaleNPI 1023235603License DN11630License Type DBP DentistBoard Certified Not ReportedEmail drsmilepagmailco mFaxAccepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MBroward Mall Dental Pa(954) 476-0802Prov No 0000125966488000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VBroward Mall Dental Pa(954) 476-0802Prov No 0000120624748000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)KRASNOV RostislavBroward Mall Dental Pa(954) 476-0802Prov No 0000018203658000 W Broward Blvd Ste 1 123Plantation FL 33388Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RBroward Mall Dental Pa(954) 476-0802Prov No 0000121497398000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Plantation Pa(954) 472-8707Prov No 0000121007028440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

95GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)LASKA Mario LSage Dental of Plantation Pa(954) 472-8707Prov No 0000128236598440 W Broward BlvdPlantation FL 33324Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Plantation Pa(954) 472-8707Prov No 0000124449618440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Plantation Pa(954) 472-8707Prov No 0000121766458440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)LOFTUS Shamus LBroward Mall Dental Pa(954) 476-0802Prov No 0000130482548000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Plantation Pa(954) 472-8707Prov No 0000003970418440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Plantation Pa(954) 472-8707Prov No 0000115511328440 W Broward BlvdPlantation FL 33324Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)MAHARAJ Vindra RPlantation Dental Services(954) 474-8475Prov No 000004029121314 S University Dr Plantation FL 33324Gender FemaleNPI 1720176969License DN11308License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DBroward Mall Dental Pa(954) 476-0802Prov No 0000128980068000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

MARTIN Sidney SSuperior Dental Plantation Pl(954) 583-4447Prov No 000011551337660 N State Road 7 Ste 12 Plantation FL 33317Gender MaleNPI 1346250941License DN8913License Type DBP DentistBoard Certified NEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)MENENDEZ LLERA Vivian MSmile Everyday Plantation(954) 228-7264Prov No 0000127611277500 Nw 5th St Ste 107Plantation FL 33317Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Plantation Pa(954) 472-8707Prov No 0000117711398440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Plantation Pa(954) 472-8707Prov No 0000128163408440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

96 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)MORELL OmarBroward Mall Dental Pa(954) 476-0802Prov No 0000126075648000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Plantation Pa(954) 472-8707Prov No 0000012795978440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

NEWMAN Marcela PDr Smile Pa(954) 791-0330Prov No 0000011247897420 Nw 5th St Ste 101 Plantation FL 33317Gender FemaleNPI 1457453607License DN18470License Type DBP DentistBoard Certified NEmail drsmilepagmailco mFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)OJEDA JR Juan MSmile Everyday Plantation(954) 228-7264Prov No 0000126404267500 Nw 5th St Ste 107Plantation FL 33317Gender MaleNPI 1861786949License DN19477License Type DBP DentistBoard Certified Not ReportedEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

OSPINA CarolinaBroward Mall Dental Pa(954) 476-0802Prov No 0000134916708000 W Broward Blvd Ste 1 123Plantation FL 33388Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraBroward Mall Dental Pa(954) 476-0802Prov No 0000125607988000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)PHAM QuynhnhuBroward Mall Dental Pa(954) 476-0802Prov No 0000128665588000 W Broward Blvd Ste 1 123Plantation FL 33388Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Plantation Pa(954) 472-8707Prov No 0000121285388440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Plantation Pa(954) 472-8707Prov No 0000020237578440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)RAPPAPORT David BSage Dental of Plantation Pa(954) 472-8707Prov No 0000121728198440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

REED SamanthaBroward Mall Dental Pa(954) 476-0802Prov No 0000125638458000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

REICH Alice FMichael J Friend Dmd Pa(305) 956-9996Prov No 0000126322068962 Cleary Blvd Plantation FL 33324Gender FemaleNPI 1497104269License DN21903License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

97GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)REICH Alice FMichael J Friend Dmd Pa(954) 915-8080Prov No 0000126322068962 Cleary Blvd Plantation FL 33324Gender FemaleNPI 1497104269License DN21903License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

REID Sharone VBroward Dental Office(954) 583-1139Prov No 0000000503384230 W Broward Blvd Plantation FL 33317Gender FemaleNPI 1265567044License DN16054License Type DBP DentistBoard Certified Not ReportedEmail broward_dentalyahoocomFax (954) 583-1235Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineBroward Mall Dental Pa(954) 476-0802Prov No 0000127857928000 W Broward Blvd Ste 1 123Plantation FL 33388Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)RIEGER Eric RSage Dental of Plantation Pa(954) 472-8707Prov No 0000120667338440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

RIETTIE Lana CDentacare Dental(954) 475-9455Prov No 000000635110100 Nw 82nd Ave Ste 203Plantation FL 33324Gender FemaleNPI 1699804872License DN16056License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-9931Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Plantation Pa(954) 472-8707Prov No 0000015491428440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)ROBINSON Sharon OThe Dental Place Inc(954) 895-0258Prov No 0000002847896738 W Sunrise Blvd Ste 1 05Plantation FL 33313Gender FemaleNPI 1730255100License DN16911License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JPlantation Dental Services(954) 474-8475Prov No 000012048904314 S University Dr Plantation FL 33324Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissBroward Mall Dental Pa(954) 476-0802Prov No 0000130475338000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)RODRIGUEZ Margarita MSage Dental of Plantation Pa(954) 472-8707Prov No 0000004538638440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Plantation Pa(954) 472-8707Prov No 0000125239388440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

SABAN JackJack Saban Pa(954) 473-4455Prov No 000000018243150 N University Dr Ste 1 00Plantation FL 33324Gender MaleNPI 1477604312License DN8257License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 473-0835Accepts New Patients YHospital Affiliation NA

98 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)SALOMON DaniellaDaniella Salomon(954) 791-0330Prov No 0000034836907420 Nw 5th StPlantation FL 33317Gender FemaleNPI 1265602031License DN16604License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 791-0377Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Plantation Pa(954) 472-8707Prov No 0000121753148440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HBroward Mall Dental Pa(954) 476-0802Prov No 0000131424418000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)SHROFF Hitesh RHitesh Shroff(954) 423-3969Prov No 0000000192601854 N Nob Hill Rd Plantation FL 33322Gender MaleNPI 1154514917License DN12967License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 423-4037Accepts New Patients YHospital Affiliation NA

SHVETS AnkitaPalmsdental(954) 350-0400Prov No 0000125631971837 N Pine Island RdPlantation FL 33322Language Hindi RussianGender FemaleNPI 1316322092License DN21743License Type DBP DentistBoard Certified Not ReportedEmail plantationpalmsdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

SHVETS GabrielPalmsdental(954) 350-0400Prov No 0000125641261837 N Pine Island RdPlantation FL 33322Language Hindi RussianGender MaleNPI 1003292285License DN21909License Type DBP DentistBoard Certified Not ReportedEmail plantationpalmsdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)SIMON GelsysSuperior Dental Plantation Pl(954) 583-4447Prov No 000012071043660 N State Road 7 Ste 12 Plantation FL 33317Gender FemaleNPI 1629154299License DN17332License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

SMITH Larysa KSunrise Dental Group Pa(954) 916-9955Prov No 0000011363351776 N Pine Island Rd Ste300Plantation FL 33322Gender FemaleNPI 1710036819License DN17497License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Plantation Pa(954) 472-8707Prov No 0000007046748440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)STEINER Samantha LSage Dental of Plantation Pa(954) 472-8707Prov No 0000121728188440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Plantation Pa(954) 472-8707Prov No 0000124543138440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

SUAREZ ElisaPlantation Dental Services(954) 474-8475Prov No 000000044582314 S University Dr Plantation FL 33324Gender FemaleNPI 1730269440License DN13847License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

99GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)URCUYO Jacqueline CSage Dental of Plantation Pa(954) 472-8707Prov No 0000124626628440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

UZUNOVA-DIMOVA KalinaBroward Mall Dental Pa(954) 476-0802Prov No 0000121725218000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Plantation Pa(954) 472-8707Prov No 0000121461328440 W Broward BlvdPlantation FL 33324Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)VAZANA Todd AVazana Family Dental Pa(954) 472-8844Prov No 0000122430077807 Sw 6th CtPlantation FL 33324Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail infovazanadental comFaxAccepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SBroward Mall Dental Pa(954) 476-0802Prov No 0000127770938000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Plantation Pa(954) 472-8707Prov No 0000120942688440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)VIGNOLA Jennifer ASage Dental of Plantation Pa(954) 472-8707Prov No 0000021561858440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DPlantation Dental Services(954) 474-8475Prov No 000012646027314 S University Dr Plantation FL 33324Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

YOUNG Lisa BSunrise Dental Group Pa(954) 916-9955Prov No 0000120390021776 N Pine Island Rd Ste300Plantation FL 33322Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)YU Cynthia WSage Dental of Plantation Pa(954) 472-8707Prov No 0000120193708440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Plantation Pa(954) 472-8707Prov No 0000124854198440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

ZEIG Dana AMichael J Friend Dmd Pa(305) 956-9996Prov No 0000121647158962 Cleary Blvd Plantation FL 33324Language HebrewGender FemaleNPI 1497131122License DN21255License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

100 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)ZEIG Dana AMichael J Friend Dmd Pa(954) 915-8080Prov No 0000121647158962 Cleary Blvd Plantation FL 33324Language HebrewGender FemaleNPI 1497131122License DN21255License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Plantation Pa(954) 472-8707Prov No 0000011941508440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

POMPANO BEACH

ABDEL-JABBAR Sana HSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124579371650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)ACOSTA-ORTIZ RodolfoSunshine Dental(954) 972-6066Prov No 0000050593671711 Hammondville Rd Pompano Beach FL 33069Language SpanishGender MaleNPI 1689782435License DN16118License Type DBP DentistBoard Certified Not ReportedEmail contactdentist4c omFax (954) 935-3138Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003970511650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BEHAR MarkFederal Dental Center(954) 941-4070Prov No 0000071943511600 E Atlantic Blvd SteAPompano Beach FL 33060Gender MaleNPI 1144336322License DN8030License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 782-0425Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)BENJAMIN ReenuReenu Benjamin(954) 943-6644Prov No 000000204739831 W Sample RdPompano Beach FL 33064Gender MaleNPI 1992832653License DN15371License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 212-2846Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000040294471650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Pompano BeachPa(954) 946-4867Prov No 0000008590661650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)BRETON Luis FLuis F Breton(954) 781-4670Prov No 0000011209202747 E Atlantic Blvd Pompano Beach FL 33062Language SpanishGender MaleNPI 1538396791License DN18677License Type DBP DentistBoard Certified Not ReportedEmail dentastic79gmail comFax (954) 237-4729Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121516671650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121529791650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

101GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)CLAXTON John PJohn P Claxton Dds Llc(954) 782-2440Prov No 0000000192331605 S Cypress RdPompano Beach FL 33060Gender MaleNPI 1144432097License DN5675License Type DBP DentistBoard Certified Not ReportedEmail johnclaxtonddsgmailcomFax (954) 781-2694Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003047551650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000039162341650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)CRUZ Antonio RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000017716161650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000045899531650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124364241650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)DRISCOLL Allison RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000019584441650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121105481650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000017722511650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)ESPINET KUSNIER ElaineSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000125859161650 N Federal Hwy Ste 105Pompano Beach FL 33062Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000115515761650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000004252731650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

102 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000008590851650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000004133581650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120913511650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)GONZALES AngelicaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121952421650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Pompano BeachPa(954) 946-4867Prov No 0000122046571650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000012161041650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)HORWITZ StevenSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120989791650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000125101541650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000113317721650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)LAMB NicoleSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121007031650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LAZCANO Maritza TMaritza Lazcano(954) 941-6882Prov No 0000007112272708 E Atlantic BlvdPompano Beach FL 33062Gender FemaleNPI 1942470422License DN18205License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 941-7112Accepts New Patients YHospital Affiliation NA

LEIBOVICI JacobUs-1 Dental Doctors(959) 580-2200Prov No 0000002120793112 N Federal HwyPompano Beach FL 33064Gender MaleNPI 1386736767License DN14459License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

103GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)LEMINH Chau JSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124449621650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121766461650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003047571650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)MA Lisa MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000127047381650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1649653957License DN21326License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000115511331650 N Federal Hwy Ste 105Pompano Beach FL 33062Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MARQUES Nelson RSambaki Corp(954) 531-0809Prov No 0000128162563112 N Federal HwyPompano Beach FL 33064Gender MaleNPI 1730480195License DN12020License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 531-6019Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)MOHR Eric ESage Dental of Pompano BeachPa(954) 946-4867Prov No 0000115520361650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Pompano BeachPa(954) 946-4867Prov No 0000128166341650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000012795981650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)PEREZ ReinaldoSimple Dental Solutions Llc(954) 979-3515Prov No 0000127682542716 W Atlantic BlvdPompano Beach FL 33069Language SpanishGender MaleNPI 1447764931License DN22768License Type DBP DentistBoard Certified Not ReportedEmail simpledentalsolutionsoutlookcomFaxAccepts New Patients YHospital Affiliation NA

PETTIS Cyrus RCyrus R Pettis(954) 782-4001Prov No 000000112438200 N Flagler AvePompano Beach FL 33060Gender MaleNPI 1508071192License DN7571License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 782-8702Accepts New Patients YHospital Affiliation NA

PETTIS Cyrus RPettis amp Shepard DentasticDental Llc(954) 781-4670Prov No A000000250872747 E Atlantic Blvd Pompano Beach FL 33062Gender MaleNPI 1508071192License DN7571License Type DBP DentistBoard Certified Not ReportedEmail dentastic79gmail comFax (954) 366-4376Accepts New Patients YHospital Affiliation NA

104 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)PINE Philip APhilip A Pine Dds Pa(954) 782-1992Prov No 0000000190541600 E Atlantic Blvd Ste APompano Beach FL 33060Gender MaleNPI 1093737363License DN10129License Type DBP DentistBoard Certified Not ReportedEmail drpine1600gmailc omFax (954) 782-0425Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121285401650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000020237361650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)RAMIREZ Patricia HPettis amp Shepard DentasticDental Llc(954) 781-4670Prov No 0000011443202747 E Atlantic Blvd Pompano Beach FL 33062Gender FemaleNPI 1467764407License DN19105License Type DBP DentistBoard Certified Not ReportedEmail dentastic79gmail comFax (954) 366-4376Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121728331650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120667341650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)RING Stephen GSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003047601650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000004538641650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000125260561650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)SCARFONE MelanieSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121753151650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000007046891650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121635231650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

105GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)STRONG Shanice De OnaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124543201650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124626261650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121461331650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)VERA Anny BSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120942691650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000021561711650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120193711650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)YU Joyce WSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124854201650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000008590501650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SUNRISE

AGUDELO Monica ARandall T Califf Dds Pa(954) 851-9829Prov No 00001201891012578 W Sunrise BlvdSunrise FL 33323Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)ANTEZANA MauricioSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001289959412801 W Sunrise Blvd Ste F222Sunrise FL 33323Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001256442712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

ATKINSON William ASawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001222881812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

106 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)BAEZ HENRY CarlianetteSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001223698712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BERRY Wayne LSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001292435512801 W Sunrise Blvd Ste F222Sunrise FL 33323Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BLUM Mark DMark D Blum Dds(954) 748-5448Prov No 0000000199317800 W Oakland Park BlvdSte 301Sunrise FL 33351Gender MaleNPI 1548274251License DN11034License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 748-0552Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)CABRERA Rene ESawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001277029812801 W Sunrise Blvd Ste F222Sunrise FL 33323Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

CASTELLO POLO Blanca MShalom Sunset Dental Care Llc(954) 572-1801Prov No 0000122538196491 Sunset Strip Ste 1Sunrise FL 33313Language SpanishGender FemaleNPI 1710380316License DN20938License Type DBP DentistBoard Certified Not ReportedEmail shalomsunsetdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

CULLEN William CSawgrass Mills Mall Dental(954) 846-7171Prov No 00001212910812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)DI RE AnthonySawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001292176512801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

DIFILIPPO StevenWeston Family Dental Ctr(954) 385-9240Prov No 0000001592541350 Sw 160th AveSunrise FL 33326Gender MaleNPI 1982771762License DN15391License Type DBP DentistBoard Certified Not ReportedEmail westonfamilydentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

DURVE AparnaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001250833112801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)ESCOBAR Carlos FRandall T Califf Dds Pa(954) 851-9829Prov No 00001200615312578 W Sunrise BlvdSunrise FL 33323Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFaxAccepts New Patients YHospital Affiliation NA

FERRERO Patricia FSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001261633512801 W Sunrise Blvd Ste F222Sunrise FL 33323Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

FONSECA JacquelineFonseca Dental Dmd Inc(954) 900-2059Prov No 00001278532810108 W Oakland Park BlvdSunrise FL 33351Gender FemaleNPI 1487005369License DN21846License Type DBP DentistBoard Certified Not ReportedEmail teethbrightsmilesofsunrisecomFax (954) 440-2995Accepts New Patients YHospital Affiliation NA

107GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)FORNOS Jorge ASawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001224788312801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

GOLDEN Joshua NWest Sunrise Dentistry(954) 648-2414Prov No 0000125597479310 W Commercial BlvdSunrise FL 33351Language SpanishGender MaleNPI 1669898573License DN21450License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GONZALEZ KellySawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001213040412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)GONZALEZ KeniaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001021621712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

GONZALEZ Monica GWest Sunrise Dentistry(954) 648-2414Prov No 0000124342429310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1699115741License DN20163License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GREEN George DSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001245764412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)GUERRA VannetteSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001282366412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

HERNANDEZ-BARCELO Odalis ETotal Care Dental Inc(954) 741-0346Prov No 0000093959864300 N University Dr SteA104Sunrise FL 33351Gender FemaleNPI 1568553816License DN17753License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HILALI ManalGentle Dentistry of Tamarac(954) 720-0701Prov No 00000043443110151 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1770775884License DN18133License Type DBP DentistBoard Certified Not ReportedEmail infogentdentcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)JEAN PhilippeRandall Califf Dds Pa(954) 851-9829Prov No 00001301958212578 W Sunrise BlvdSunrise FL 33323Language SpanishGender MaleNPI 1538402128License DN22521License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFax (954) 851-0622Accepts New Patients YHospital Affiliation NA

JUMA ZaileenWelleby Family Dental(954) 748-7100Prov No 00001220286110127 W Oakland Park BlvdSunrise FL 33351Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (954) 748-8470Accepts New Patients YHospital Affiliation NA

KARIM SaraWest Sunrise Dentistry(954) 648-2414Prov No 0000129083369310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1376038000License DN23520License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

108 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)KEANE ChrisWest Sunrise Dentistry(954) 648-2414Prov No 0000128880469310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001259915812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001206311312801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)KRASNOV RostislavSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00000182036412801 W Sunrise Blvd Ste F222Sunrise FL 33323Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001214971712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

LARGEN John FJohn F Largen Dds(954) 846-9040Prov No 00000001966812651 W Sunrise Blvd Ste300Sunrise FL 33323Gender MaleNPI 1801217310License DN9263License Type DBP DentistBoard Certified Not ReportedEmail drjohnlargengmailcomFax (954) 846-1363Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)LOFTUS Shamus LSawgrass Mills Mall Dental(954) 846-7171Prov No 00001304830212801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001289799412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LWest Sunrise Dentistry(954) 648-2414Prov No 0000122176659310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)MEHLER Eric REric R Mehler Dds(954) 741-5006Prov No 0000000179547800 W Oakland Park BlvdSte 114FSunrise FL 33351Gender MaleNPI 1912090309License DN12024License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 572-6669Accepts New Patients YHospital Affiliation NA

MENENDEZ NancyNancy Menendez(954) 900-1037Prov No 0000125325488278 Sunset StripSunrise FL 33322Gender FemaleNPI 1467707927License DN20816License Type DBP DentistBoard Certified Not ReportedEmail mrsantanagyahoocomFax (954) 900-1137Accepts New Patients YHospital Affiliation NA

MORELL OmarSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001260840612801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

109GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)OLIVEIRA Paulo AWest Sunrise Dentistry Pa(954) 648-2414Prov No 0000127959179310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1285157826License DN22922License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 741-0815Accepts New Patients YHospital Affiliation NA

ONGLEY Bettie Linda LJacavanda Sq Dentistry(954) 473-9161Prov No 0000000190841945 N Pine Island Rd Sunrise FL 33322Gender FemaleNPI 1306868351License DN7319License Type DBP DentistBoard Certified Not ReportedEmail alluredentalplantationgmailcomFaxAccepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001256119012801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)PEREZ Nelly RWest Sunrise Dentistry(954) 648-2414Prov No 0000124909139310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PHAM Minh BWest Sunrise Dentistry(954) 648-2414Prov No 0000122176679310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PHAM QuynhnhuSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001286406912801 W Sunrise Blvd Ste F222Sunrise FL 33323Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)REED SamanthaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001256371812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

REY Tatiana SRandall T Califf Dds Pa(954) 851-9829Prov No 00001249491512578 W Sunrise BlvdSunrise FL 33323Gender FemaleNPI 1710378641License DN21164License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFaxAccepts New Patients YHospital Affiliation NA

RIBOUL SandrineSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001278430212801 W Sunrise Blvd Ste F222Sunrise FL 33323Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)RODRIGUEZ IvelissSawgrass Mills Mall Dental Fl(954) 846-7171Prov No 00001304222912801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Nohora IRodmo Dental Llc(954) 581-7555Prov No 0000018198054137 N Pine Island Rd Sunrise FL 33351Language SpanishGender FemaleNPI 1497984355License DN18791License Type DBP DentistBoard Certified Not ReportedEmail infodbsmilesnetFax (954) 301-0149Accepts New Patients YHospital Affiliation NA

ROSENTHAL Allen HAllen Rosenthal(954) 742-2577Prov No 0000001449523836 N University DrSunrise FL 33351Gender MaleNPI 1811009541License DN7953License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 742-2884Accepts New Patients YHospital Affiliation NA

110 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)SANCHEZ MarlieSawgrass Mills Mall Dental(954) 846-7171Prov No 00001293081212801 W Sunrise Blvd Ste222Sunrise FL 33323Gender FemaleNPI 1891287462License DN23323License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SEVEL Dennis SWeston Family Dental Ctr(954) 385-9240Prov No 0000003498791350 Sw 160th AveSunrise FL 33326Gender MaleNPI 1568665966License DN11695License Type DBP DentistBoard Certified Not ReportedEmail westonfamilydentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

SHIMANSKY Daniel AWest Sunrise Dentistry(954) 648-2414Prov No 0000130901399310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1134634967License DN23092License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)SHIPPEE Rebecca HSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001314241412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

STEIN IlyaSunrise Family Dentistry Pa(954) 900-2059Prov No 00001212631410108 W Oakland Park BlvdSunrise FL 33351Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmail teethbrightsmilesofsunrisecomFax (954) 440-2995Accepts New Patients YHospital Affiliation NA

SWANSON Wendy ERandall Cliff Dds Pa(954) 851-9829Prov No 00001299746112578 W Sunrise BlvdSunrise FL 33323Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail sunsetdentalservicesgmailcomFax (954) 851-0622Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)UZUNOVA-DIMOVA KalinaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001215088612801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001277707912801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

WOHLSTEIN DianaSawgrass Dental Center(954) 846-7000Prov No 00000027685812651 W Sunrise Blvd Ste 200Sunrise FL 33323Gender FemaleNPI 1659573137License DN14705License Type DBP DentistBoard Certified Not ReportedEmail dianawohlsteingmailcomFax (954) 846-0811Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC

ABDEL-JABBAR Sana HSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124579425779 N University DrTamarac FL 33321Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ANENBERG Kenneth DDental Health Group Pa(954) 721-6950Prov No 0000000383197401 N University Dr Ste207Tamarac FL 33321Gender MaleNPI 1215023692License DN11552License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (754) 307-2706Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996035779 N University DrTamarac FL 33321Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

111GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)BACCHELLI LaraTlc Dental Tamarac Llc(954) 720-5511Prov No 0000132443806702 N University DrTamarac FL 33321Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996185779 N University DrTamarac FL 33321Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BOILLOT KathyTamarac Family Dental CenterLlc(954) 742-5055Prov No 0000126555277351 W Oakland Park BlvdSte 102Tamarac FL 33319Language SpanishGender FemaleNPI 1306064399License DN15597License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)BRATMAN JerrySage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996175779 N University DrTamarac FL 33321Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996155779 N University DrTamarac FL 33321Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462525779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)CICORTAS Florin NTlc Dental Tamarac Llc(954) 720-5511Prov No 0000127189796702 N University DrTamarac FL 33321Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996125779 N University DrTamarac FL 33321Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CORREDOR AngelicaDental Health Group Pa(954) 721-6950Prov No 0000126866197401 N University Dr Ste207Tamarac FL 33321Gender FemaleNPI 1962930883License DN22537License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (754) 307-2706Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)COUTRAS ElevteriaTlc Dental Tamarac Llc(954) 720-5511Prov No 0000121282636702 N University DrTamarac FL 33321Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996115779 N University DrTamarac FL 33321Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRISCUOLO StephenSmile Everyday Tamarac(954) 682-8000Prov No 0000125537608311 Nw 88th AveTamarac FL 33321Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail identalsystemsgmailcomFax (954) 314-0575Accepts New Patients YHospital Affiliation NA

112 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)CRUZ Antonio RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996105779 N University DrTamarac FL 33321Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraSmile Everyday Tamarac Pllc(954) 682-8000Prov No 0000128559358311 N Pine Island RdTamarac FL 33321Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail identalsystemsgmailcomFax (954) 320-6287Accepts New Patients NHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996085779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)DEVACK JustinJustin Devack(954) 733-3188Prov No 0000121299534600 W Commercial Blvd StE 2Tamarac FL 33319Gender MaleNPI 1346411428License DN18210License Type DBP DentistBoard Certified Not ReportedEmail jdevackdmdgmailcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124363915779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462545779 N University DrTamarac FL 33321Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)DUARTE BeatrizSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122458685779 N University DrTamarac FL 33321Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996695779 N University DrTamarac FL 33321Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000125858525779 N University DrTamarac FL 33321Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996665779 N University DrTamarac FL 33321Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FISH Robert JRobert J Fish Dds Jd Fagd(954) 720-7700Prov No 0000000184857737 N University Dr Ste 100Tamarac FL 33321Gender MaleNPI 1699778241License DN5694License Type DBP DentistBoard Certified Not ReportedEmail lyrickooaolcomFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996655779 N University DrTamarac FL 33321Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

113GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)FRANCO TAVERAS Luz NThe Dental Place of Tamarac(954) 722-0100Prov No 0000129251227300 W Mcnab Rd Ste 115Tamarac FL 33321Gender FemaleNPI 1144742792License DN22829License Type DBP DentistBoard Certified Not ReportedEmail dentalplaceoftamaracgmailcomFax (954) 722-1237Accepts New Patients NHospital Affiliation NA

FRANKLIN Tim ATlc Dental Tamarac Llc(954) 720-5511Prov No 0000131178756702 N University DrTamarac FL 33321Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996645779 N University DrTamarac FL 33321Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)GARRISON Harvey BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996635779 N University DrTamarac FL 33321Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996615779 N University DrTamarac FL 33321Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122458405779 N University DrTamarac FL 33321Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)GONZALEZ DarlenTlc Dental-Oral Surgery Pllc(954) 722-7711Prov No 0000130115906702 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail fltlcdentalbizFax (954) 642-0002Accepts New Patients YHospital Affiliation NA

GONZALEZ YanelaSmile Practice Family Dentistry(754) 222-4874Prov No 0000126501786085 W Commercial Blvd Tamarac FL 33319Language SpanishGender FemaleNPI 1811378359License DN21247License Type DBP DentistBoard Certified Not ReportedEmail infosmile-practicecomFax (754) 222-4862Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462395779 N University DrTamarac FL 33321Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)GUERRERO Luis ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995975779 N University DrTamarac FL 33321Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HAGHIGHI AzinSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000128725745779 N University DrTamarac FL 33321Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HAYATE Jessica FTamarac Family Dental CenterLlc(954) 742-5055Prov No 0000121297477351 W Oakland Park BlvdSte 102Tamarac FL 33319Language French SpanishGender FemaleNPI 1700210630License DN20310License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

114 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)HELFANT JaredTlc Dental Tamarac Llc(954) 720-5511Prov No 0000121268566702 N University DrTamarac FL 33321Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995935779 N University DrTamarac FL 33321Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000125101945779 N University DrTamarac FL 33321Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)JACOBSOHN Henry DTlc Dental Tamarac Llc(954) 720-5511Prov No 0000124259406702 N University DrTamarac FL 33321Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995915779 N University DrTamarac FL 33321Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

KEANE ChrisAllure Dental Pllc(954) 677-3202Prov No 0000128245854267 W Commercial BlvdTamarac FL 33319Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail alluredentaltamaracgmailcomFax (954) 677-3201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)KLEIN Peter BMilagros O Mendoza Dds(954) 742-5055Prov No 0000026179897351 W Oakland Park BlvdSte 102Tamarac FL 33319Gender MaleNPI 1023235603License DN11630License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5341Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VAllure Dental Pllc(954) 677-3202Prov No 0000127601034267 W Commercial BlvdTamarac FL 33319Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail alluredentaltamaracgmailcomFax (954) 677-3201Accepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental Tamarac Llc(954) 720-5511Prov No 0000125883916702 N University DrTamarac FL 33321Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)LAMB NicoleSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000123136445779 N University DrTamarac FL 33321Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEIVA LOPEZ KarinaGreat Expressions DentalCenters(954) 721-6950Prov No 0000130479207401 N University Dr Ste207Tamarac FL 33321Gender FemaleNPI 1669997565License DN22764License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (954) 251-4333Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124449475779 N University DrTamarac FL 33321Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

115GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)LEPORE KrystinaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122111885779 N University DrTamarac FL 33321Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987085779 N University DrTamarac FL 33321Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LONDONO Laura ELaura Londono Dmd Pa(954) 532-3247Prov No 0000128652747153 Nw 88th AveTamarac FL 33321Language SpanishGender FemaleNPI 1679982839License DN20878License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 933-7925Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)MA RobertSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121986965779 N University DrTamarac FL 33321Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MENENDEZ LLERA Vivian MSmile Everyday Tamarac Pllc(954) 682-8000Prov No 0000127611288311 Nw 88th AveTamarac FL 33321Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail identalsystemsgmailcomFax (954) 320-6287Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995745779 N University DrTamarac FL 33321Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)MONCRIEFFE Tiffany ISage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987045779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental Tamarac Llc(954) 720-5511Prov No 0000125581506702 N University DrTamarac FL 33321Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

MOSKOWITZ HarveyHarvey D Moskowitz Dmd Pa(954) 726-3200Prov No 0000010549826209 W Commercial Blvd StE 6Tamarac FL 33319Gender MaleNPI 1780704569License DN8731License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 726-0372Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)NAGUIB Michelle ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987185779 N University DrTamarac FL 33321Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

OSPINA CarolinaTamarac Family Dental CenterLlc(954) 742-5055Prov No 0000121331837351 W Oakland Park BlvdSte 102Tamarac FL 33319Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

PATEL Jitendra LJitendra L Patel Dds(954) 733-9832Prov No 0000000410524651 Nw 31st AveTamarac FL 33309Gender MaleNPI 1417091521License DN9086License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 733-6262Accepts New Patients YHospital Affiliation NA

116 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)PERKINS Lindsay BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000128702475779 N University DrTamarac FL 33321Gender FemaleNPI 1962630137License DN18787License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462465779 N University DrTamarac FL 33321Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995715779 N University DrTamarac FL 33321Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)RAND Matthew KTlc Dental Tamarac Llc(954) 720-5511Prov No 0000122516216702 N University DrTamarac FL 33321Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995775779 N University DrTamarac FL 33321Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995755779 N University DrTamarac FL 33321Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)RING Stephen GSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121986995779 N University DrTamarac FL 33321Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental Tamarac Llc(954) 720-5511Prov No 0000122531526702 N University DrTamarac FL 33321Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

RIVERA-SOTOMAYOR MarleneTamarac Family Dental Pa(954) 742-5055Prov No 0000126119347351 W Oakland Park BlvdSte 102Tamarac FL 33319Language SpanishGender FemaleNPI 1033477229License DN21562License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5341Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)RODRIGUEZ Margarita MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987145779 N University DrTamarac FL 33321Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000125239325779 N University DrTamarac FL 33321Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROSTOCK Jennifer LTlc Dental Tamarac Llc(954) 720-5511Prov No 0000125305896702 N University DrTamarac FL 33321Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

117GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)SAN JORGE AlejandroTamarac Family Dental andOral Surgery(954) 742-5055Prov No 0000124591267351 W Oakland Park BlvdSte 102Tamarac FL 33319Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5341Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987175779 N University DrTamarac FL 33321Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SEVEL Dennis STamarac Family Dental CenterLlc(954) 742-5055Prov No 0000121276987351 W Oakland Park BlvdSte 102Tamarac FL 33319Gender MaleNPI 1568665966License DN11695License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)SNIDER Erica MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995765779 N University DrTamarac FL 33321Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental Tamarac Llc(954) 720-5511Prov No 0000070407266702 N University DrTamarac FL 33321Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121986975779 N University DrTamarac FL 33321Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)STRONG Shanice De OnaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124543055779 N University DrTamarac FL 33321Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

THAKER Durgesh DDurgesh Thaker(954) 720-9730Prov No 00000001926310078 W Mcnab Rd Tamarac FL 33321Gender MaleNPI 1659541555License DN9492License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 485-2209Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124626325779 N University DrTamarac FL 33321Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)VALDES Martha BMartha Valdes(954) 720-2444Prov No 0000125505405863 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail truesmilesdentistgmailcomFax (954) 364-8548Accepts New Patients YHospital Affiliation NA

VALDMAN VadimAllure Dental Pllc(954) 677-3202Prov No 0000127253384267 W Commercial BlvdTamarac FL 33319Language RussianGender MaleNPI 1184860413License DN17761License Type DBP DentistBoard Certified Not ReportedEmail alluredentaltamaracgmailcomFax (954) 677-3201Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987055779 N University DrTamarac FL 33321Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

118 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)VERA Anny BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462475779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VERMA GangaVerma Ganga(954) 733-9832Prov No 0000127061854651 Nw 31st AveTamarac FL 33309Language HindiGender FemaleNPI 1679908156License DN22528License Type DBP DentistBoard Certified Not ReportedEmailFax (615) 777-3672Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987105779 N University DrTamarac FL 33321Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)VILA GabrielaSage Dental of Tamarac(954) 580-4848Prov No 0000131361045779 N University DrTamarac FL 33321Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

WOODWARD Wyman RDental Health Group Pa(954) 721-6950Prov No 0000125060047401 N University Dr Ste207Tamarac FL 33321Gender MaleNPI 1932255320License DN7977License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (754) 307-2706Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462505779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)YU Joyce WSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124854065779 N University DrTamarac FL 33321Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995725779 N University DrTamarac FL 33321Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

WESTON

ABDEL-JABBAR Sana HSage Dental of Weston Pllc(954) 358-2822Prov No 0000124579472366 Weston RdWeston FL 33326Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)AZARI Scott JSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176042366 Weston RdWeston FL 33326Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122176052366 Weston RdWeston FL 33326Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Weston Pllc(954) 358-2822Prov No 0000122176062366 Weston RdWeston FL 33326Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

119GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)BRETOS Alexander LDental Partners of Weston Inc(954) 385-5855Prov No 0000001384092721 Executive Park DrWeston FL 33331Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 385-5258Accepts New Patients YHospital Affiliation NA

BRODY Robert AGreat Expressions DentalCenters(954) 349-1289Prov No 0000003206284537 Weston RdWeston FL 33331Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Weston Pllc(954) 358-2822Prov No 0000122176092366 Weston RdWeston FL 33326Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)CHILDERS Carmen DSage Dental of Weston Pllc(954) 358-2822Prov No 0000122213532366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COLLAZO Ralph CDental Partners of Weston Inc(954) 385-5855Prov No 0000002226172721 Executive Park DrWeston FL 33331Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 385-5258Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176212366 Weston RdWeston FL 33326Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)CORREDOR AngelicaGreat Expressions DentalCenters(954) 349-1289Prov No 0000126980844537 Weston RdWeston FL 33331Gender FemaleNPI 1962930883License DN22537License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Weston Pllc(954) 358-2822Prov No 0000123114122366 Weston RdWeston FL 33326Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176232366 Weston RdWeston FL 33326Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)DAROJAT Zuhdiyah MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176252366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE LA RUA LissetteGreat Expressions DentalCenters(954) 349-1289Prov No 0000011654904537 Weston RdWeston FL 33331Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Weston Pllc(954) 358-2822Prov No 0000124364032366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

120 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)DUARTE BeatrizSage Dental of Weston(954) 358-2822Prov No 0000122176282366 Weston RdWeston FL 33326Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Weston(954) 358-2822Prov No 0000122176292366 Weston RdWeston FL 33326Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

EDWARDS Laura CGreat Expressions DentalCenters(954) 349-1289Prov No 0000128640624537 Weston RdWeston FL 33331Language SpanishGender FemaleNPI 1629400098License DN20339License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)ESPINET KUSNIER ElaineSage Dental of Weston Pllc(954) 358-2822Prov No 0000125858332366 Weston RdWeston FL 33326Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177952366 Weston RdWeston FL 33326Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177962366 Weston RdWeston FL 33326Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)GARCES CarolinaDental Health Group Pa(954) 349-1289Prov No 0000012469374537 Weston RdWeston FL 33331Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

GARCES CarolinaWeston Modern Dentistry(954) 248-2895Prov No 000012957311280 Indian Trce Ste AWeston FL 33326Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177972366 Weston RdWeston FL 33326Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)GARRISON Harvey BSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177982366 Weston RdWeston FL 33326Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178032366 Weston RdWeston FL 33326Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GOYAL LakshayWeston Modern Dentistry Pa(954) 248-2895Prov No 000013371103280 Indian Trce Ste AWeston FL 33326Gender MaleNPI 1609364876License DN23757License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

121GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)GUERRA Daniel AGreat Expressions DentalCenters(954) 349-1289Prov No 0000122285674537 Weston RdWeston FL 33331Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122177762366 Weston RdWeston FL 33326Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HOSSEINI Heather GHeather G Hosseini Dds(954) 389-9500Prov No 0000000246201040 Weston Rd Ste 225Weston FL 33326Gender FemaleNPI 1396134417License DN10527License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 384-1045Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)IRAVANI Mina FSage Dental of Weston Pllc(954) 358-2822Prov No 0000125102052366 Weston RdWeston FL 33326Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177802366 Weston RdWeston FL 33326Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Weston Pllc(954) 358-2822Prov No 0000123365102366 Weston RdWeston FL 33326Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)LEMINH Chau JSage Dental of Weston Pllc(954) 358-2822Prov No 0000124449532366 Weston RdWeston FL 33326Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177822366 Weston RdWeston FL 33326Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177832366 Weston RdWeston FL 33326Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)LOPEZ Manuel GWeston Dental Associates Pa(954) 217-0288Prov No 0000000186372751 Executive Park Dr St E 204Weston FL 33331Gender MaleNPI 1053328211License DN12998License Type DBP DentistBoard Certified Not ReportedEmail genteethwestongmailcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177842366 Weston RdWeston FL 33326Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LWeston Modern Dentistry(954) 248-2895Prov No 000012501366280 Indian Trce Ste AWeston FL 33326Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

122 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)MONCRIEFFE Tiffany ISage Dental of Weston Pllc(954) 358-2822Prov No 0000128166432366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122177352366 Weston RdWeston FL 33326Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAVARRETE Edgar EIndian Trace Dental Associate(954) 217-9200Prov No 00000046747746 Indian Trce Ste A Weston FL 33326Language SpanishGender MaleNPI 1265680888License DN17142License Type DBP DentistBoard Certified Not ReportedEmail jylindiantracedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)PARSLEY GregoryDental Health Group Pa(954) 349-1289Prov No 0000004491884537 Weston RdWeston FL 33331Gender MaleNPI 1639206055License DN10212License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

PHAM Minh BWeston Modern Dentistry Pa(954) 248-2895Prov No 000012842758280 Indian Trce Ste AWeston FL 33326Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

PINCHEVSKI ErmyWeston Modern Dentistry(954) 248-2895Prov No 000012910678280 Indian Trce Ste AWeston FL 33326Gender FemaleNPI 1982097317License DN22955License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)PLANES Alex ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122177332366 Weston RdWeston FL 33326Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177182366 Weston RdWeston FL 33326Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177202366 Weston RdWeston FL 33326Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)RIEGER Eric RSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177232366 Weston RdWeston FL 33326Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177242366 Weston RdWeston FL 33326Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Weston Pllc(954) 358-2822Prov No 0000125260592366 Weston RdWeston FL 33326Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

123GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)SCARFONE MelanieSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177512366 Weston RdWeston FL 33326Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SIEGEL Tara LDental Health Group Pa(954) 349-1289Prov No 0000020889684537 Weston RdWeston FL 33331Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

SIRAGE Katherine LWeston Modern Dentistry(954) 248-2895Prov No 000012560752280 Indian Trce Ste AWeston FL 33326Language SpanishGender FemaleNPI 1316329527License DN21322License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)SNIDER Erica MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177592366 Weston RdWeston FL 33326Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Weston(954) 358-2822Prov No 0000122178892366 Weston RdWeston FL 33326Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Weston Pllc(954) 358-2822Prov No 0000124543182366 Weston RdWeston FL 33326Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)TORRES DianaGreat Expressions DentalCenters(954) 349-1289Prov No 0000121101014537 Weston RdWeston FL 33331Language SpanishGender FemaleNPI 1083016257License DN20879License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Weston Pllc(954) 358-2822Prov No 0000124626372366 Weston RdWeston FL 33326Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VEERAMACHANENI MamathaDental Health Group Pa(954) 349-1289Prov No 0000003778054537 Weston RdWeston FL 33331Gender FemaleNPI 1598963092License DN18034License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)VERA Anny BSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178922366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122178932366 Weston RdWeston FL 33326Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VILA GabrielaSage Dental of Weston(954) 358-2822Prov No 0000130429712366 Weston RdWeston FL 33326Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

124 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)VILLA RodolfoIndian Trace Dental Associtaes(954) 217-9200Prov No 00000015811246 Indian Trce Ste A Weston FL 33326Language Arabic FrenchHebrew SpanishGender MaleNPI 1093899171License DN13605License Type DBP DentistBoard Certified Not ReportedEmail infoindiantracedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178952366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Weston Pllc(954) 358-2822Prov No 0000124856582366 Weston RdWeston FL 33326Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)ZYLBERING Jason MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178962366 Weston RdWeston FL 33326Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY

AVENTURA

BRODY Robert ADental Health Group Pa(305) 935-1400Prov No 00001244047719913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

COHEN Michael ADental Health Group Pa(305) 935-1400Prov No 00001290863619913 Biscayne BlvdAventura FL 33180Language SpanishGender MaleNPI 1528484102License DN21088License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)COHEN Robert JRobert J Cohen Dds(305) 932-1214Prov No 0000000190462925 Aventura Blvd Ste 20 2Aventura FL 33180Gender MaleNPI 1710078589License DN5994License Type DBP DentistBoard Certified Not ReportedEmail aventurabrightsmilesgmailcomFaxAccepts New Patients YHospital Affiliation NA

CUNHA Renata FDental Health Group Pa(305) 935-1400Prov No 00001245110619913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

DAGAN ShacharDental Health Group Pa(305) 935-1400Prov No 00001242594419913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1447632542License DN21396License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)DOOLEY Jill CDental Health Group Pa(305) 935-1400Prov No 00001225037919913 Biscayne BlvdAventura FL 33180Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00000143278519086 Ne 29th AveAventura FL 33180Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

ELLIOTT Michael BDental Health Group Pa(305) 935-1400Prov No 00001245383019913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1972545432License DN17544License Type DBP DentistBoard Certified YEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

125GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)GARCIA Luisa FDental Health Group Pa(305) 935-1400Prov No 00001251100419913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1740614163License DN21006License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

GARCIA Luisa FDental Health Group Pa(305) 570-3978Prov No 00001270558018835 Biscayne Blvd Ste 180Aventura FL 33180Gender FemaleNPI 1740614163License DN21006License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GODOY Yami AMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00001203094419086 Ne 29th AveAventura FL 33180Gender FemaleNPI 1831248004License DN19836License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)GONCALVES CORDERO Jhezanuel CGreat Expressions DentalCenters(305) 935-1400Prov No 00001295721819913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1477979557License DN23722License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

HARATZ AdelaAdela Haratz(786) 433-5232Prov No 0000016567012775 Ne 187th St Ste 4Aventura FL 33180Gender FemaleNPI 1316187784License DN 19551License Type DBP DentistBoard Certified NEmail adelaharatzdentalcomFax (786) 433-5231Accepts New Patients YHospital Affiliation NA

IURCOVICH Maximillian ODental Health Group Pa(305) 935-1400Prov No 00001225038319913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)LLAPUR CarlosMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00001206137719086 Ne 29th AveAventura FL 33180Language SpanishGender MaleNPI 1275947913License DN20712License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MARTINEZ JavierDental Center at Aventura(305) 682-1554Prov No 00001292648619086 Ne 29th AveAventura FL 33180Gender MaleNPI 1225484058License DN23311License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MCCOWN Michael GDental Health Group Pa(305) 935-1400Prov No 00001225038519913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)MCHUGH Allyson MThe Dental Center at Aventura(305) 682-1554Prov No 00001309449919086 Ne 29th AveAventura FL 33180Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MORALES Ronald JDental Health Group Pa(305) 935-1400Prov No 00001225038619913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(305) 935-1400Prov No 00001268370619913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

126 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)QUINTERO Juan MMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00000129909519086 Ne 29th AveAventura FL 33180Language SpanishGender MaleNPI 1710298302License DN19085License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(305) 935-1400Prov No 00001296592319913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

SANCHEZ Diego FDental Health Group Pa(305) 935-1400Prov No 00001334521719913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1902329816License DN22938License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)SCHUETZ Eric JMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00000835914219086 Ne 29th AveAventura FL 33180Gender MaleNPI 1720277320License DN14786License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

TAHA Ahmed ADental Health Group Pa(305) 935-1400Prov No 00001276111719913 Biscayne BlvdAventura FL 33180Language SpanishGender MaleNPI 1225411069License DN21380License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

ZUSSELMAN ArnoldDental Health Group Pa(305) 935-1400Prov No 00001225039719913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1134347172License DN13888License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

BAY HARBOR ISLANDS

CONTRERAS Marco ACondor Dental Services Inc(305) 868-4600Prov No 0000121958011045 Kane Concourse Ste 104Bay Harbor Islands FL 33154Language SpanishGender MaleNPI 1568788800License DN18954License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 368-6994Accepts New Patients YHospital Affiliation NA

CONTRERAS Marco ACondor Dental Services Inc(305) 868-4600Prov No 0000127469561045 Kane Concourse Ste 204Bay Harbor Islands FL 33154Language SpanishGender MaleNPI 1568788800License DN18954License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 368-6994Accepts New Patients YHospital Affiliation NA

CORAL GABLES

ABDEL-JABBAR Sana HSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300761 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)ALBERTO JuanSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301241 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1932112828License DN17637License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALVAREZ ElibethElibeth Alvarez(786) 452-1748Prov No 000012333064151 Giralda Ave Coral Gables FL 33134Language SpanishGender FemaleNPI 1831487339License DN19503License Type DBP DentistBoard Certified Not ReportedEmail incisor8gmailcomFax (786) 452-1750Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000124918941 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

127GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)BARZAGA LizetteLizette Barzaga(305) 445-6006Prov No 000012127715147 Alhambra Cir Ste 201Coral Gables FL 33134Gender FemaleNPI 1396995528License DN18367License Type DBP DentistBoard Certified Not ReportedEmail lbdental201gmail comFax (305) 460-7006Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300781 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124425424300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)BRATMAN JerrySage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301371 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRODY Robert AGreat Expressions DentalCenters(305) 858-2545Prov No 0000011566512501 Coral WayCoral Gables FL 33145Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

BUENO RosaElizabeth M De Aguirre Dds Pa(305) 446-2226Prov No 000012925423806 S Douglas Rd Ste 150Coral Gables FL 33134Gender FemaleNPI 1972649218License DN17647License Type DBP DentistBoard Certified Not ReportedEmail edeaguirreddsaolcomFax (305) 446-8458Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CARBALLO RodolfoCoral Gables Dental HealthCenter(305) 444-8591Prov No 000012876475747 Ponce De Leon Blvd St E 401Coral Gables FL 33134Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail coralgablesdhcdentalcomFax (305) 444-6988Accepts New Patients YHospital Affiliation NA

CARBONERO AicelEsthetic Dental Clinic(305) 448-3698Prov No 0000121270983735 Sw 8th St Ste 202Coral Gables FL 33134Gender FemaleNPI 1366726267License DN19554License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300621 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CASTRO Eileen JFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000128538154300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CHAVIANO IbisIbis Chaviano Dds Pa(305) 444-6203Prov No 0000130191593727 Sw 8th St Ste 101Coral Gables FL 33134Gender FemaleNPI 1114361334License DN21578License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 442-7979Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301401 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

128 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CORONADO EfrainSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301491 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000126372574300 W Flagler St Ste 201 Coral Gables FL 33134Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORUGEDO AdaFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000126312294300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)COTELO-PARDO YanepsiJubidental Services(305) 444-3074Prov No 000012106200299 Alhambra Cir Ste 202 Coral Gables FL 33134Language SpanishGender FemaleNPI 1881986891License DN20131License Type DBP DentistBoard Certified Not ReportedEmail infojubidentalco mFax (844) 270-7764Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300601 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000124918931 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CRUZ Karen GFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000019231624300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

DAEE Armin CArmin C Daee(305) 670-1011Prov No 0000120567694950 S Le Jeune Rd Ste BCoral Gables FL 33146Gender MaleNPI 1043502883License DN19200License Type DBP DentistBoard Certified NEmail dentalmedicinegmailcomFax (305) 670-0112Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300131 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)DE AGUIRRE Elizabeth MElizabeth M De Aguirre Dds Pa(305) 446-2226Prov No 000001826302806 S Douglas Rd Ste 150Coral Gables FL 33134Gender FemaleNPI 1467434746License DN15008License Type DBP DentistBoard Certified Not ReportedEmail edeaguirreddsaolcomFax (305) 446-8458Accepts New Patients YHospital Affiliation NA

DEL VALLE Jesus EJesus E Del Valle Dds(305) 442-1094Prov No 0000000877592030 S Douglas Rd Ste 213Coral Gables FL 33134Gender MaleNPI 1508038290License DN12142License Type DBP DentistBoard Certified Not ReportedEmail jedelvalleddsgmailcomFax (786) 497-1725Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301381 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

129GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)DUARTE BeatrizSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300311 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301261 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125859241 Alhambra Plz Ste 25Coral Gables FL 33134Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)FERNANDEZ Maria CMaria C Fernandez Dds Pa(305) 446-1067Prov No 0000000184104830 Sw 8th St Coral Gables FL 33134Gender FemaleNPI 1790826683License DN11069License Type DBP DentistBoard Certified Not ReportedEmail drmariacristinafernandezddsgmailcomFax (305) 446-0687Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301361 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301511 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GARCES CarolinaDental Health Group Pa(305) 858-2545Prov No 0000004428192501 Coral WayCoral Gables FL 33145Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

GARCES CarolinaDentists of Coral Gables(305) 239-8806Prov No 000013371082290 Alhambra CirCoral Gables FL 33134Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA IdalmesGomara Dmd and SalcinesDmd Pa(305) 888-0008Prov No 0000125146634300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GARCIA-PORRAS MarcelaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125299831 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300731 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARROTE RogelioFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124903794300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

130 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GOMARA Luis AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000003806484300 W Flagler St Ste 201 Coral Gables FL 33134Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300281 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ Ana IAna Gonzalez(305) 442-4810Prov No 0000122562383934 Sw 8th StCoral Gables FL 33134Gender FemaleNPI 1285845883License DN15412License Type DBP DentistBoard Certified Not ReportedEmail coraldentalassociationyahoocomFax (305) 442-4811Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GONZALEZ Ana IAna Gonzalez(305) 442-4810Prov No 0000129780153934 Sw 8th St Ste 203Coral Gables FL 33134Gender FemaleNPI 1285845883License DN15412License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300671 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRA Daniel ADental Health Group Pa(305) 858-2545Prov No 0000056698032501 Coral WayCoral Gables FL 33145Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GUERRERO Luis ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300501 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JSmile Family Dental Group Llc(305) 509-7949Prov No 0000130612611900 Coral Way Ste 200Coral Gables FL 33145Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmail smilefamilydental1900gmailcomFax (305) 509-7578Accepts New Patients YHospital Affiliation NA

HEREDIA AbelardoDental Health Group Pa(305) 858-2545Prov No 0000128849602501 Coral WayCoral Gables FL 33145Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-9400Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)HERNANDEZ-JEREZ GemaGema Hernanadez Dds(786) 360-6812Prov No 000012009528401 Coral Way Ste 305Coral Gables FL 33134Language SpanishGender FemaleNPI 1699020347License DN19881License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125101191 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KOCH DanieleGables Dental Care(305) 947-6453Prov No 0000125156243815 Sw 8th StCoral Gables FL 33134Gender FemaleNPI 1760628515License DN19122License Type DBP DentistBoard Certified Not ReportedEmail infogablesdentalcarecomFax (305) 443-2888Accepts New Patients YHospital Affiliation NA

131GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)LEMINH Chau JSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302831 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMUS Isel GLemus Dental(305) 567-0236Prov No 0000122526215171 Sw 8th St Coral Gables FL 33134Language SpanishGender FemaleNPI 1033541537License DN20326License Type DBP DentistBoard Certified Not ReportedEmail lemusdentalcsmgmailcomFax (305) 442-9333Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300341 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)LONDONO Jennifer DSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300111 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOPEZ Manuel GManuel G Lopez Dds(305) 774-7273Prov No 0000003682473190 Ponce De Leon BlvdCoral Gables FL 33134Gender MaleNPI 1053328211License DN12998License Type DBP DentistBoard Certified Not ReportedEmail mglddsbellsouthn etFax (305) 675-9205Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302941 Alhambra Plz Ste 25Coral Gables FL 33134Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MARRO Blanca RSalcines Dmd and GomaraDmd Pa(305) 387-4954Prov No 0000128506634300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000125077254300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ KarenKaren Martinez Dmd Pa(305) 446-5676Prov No 000012175351401 Coral Way Ste 410Coral Gables FL 33134Gender FemaleNPI 1336294032License DN18513License Type DBP DentistBoard Certified Not ReportedEmail esanti853msncomFax (305) 446-5265Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MARTINEZ Miguel AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124416604300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Milton FDental Health Group Pa(305) 858-2545Prov No 0000121788072501 Coral WayCoral Gables FL 33145Gender MaleNPI 1346326972License DN17433License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

MAUSKAR Sagar SDentists of Coral Gables(714) 845-8890Prov No 000012958320290 Alhambra CirCoral Gables FL 33134Gender MaleNPI 1477800985License DN19913License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

132 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MENENDEZ JorgeMenendez Dental Group Pa(305) 442-0331Prov No 0000120465685232 W Flagler StCoral Gables FL 33134Gender MaleNPI 1447551015License DN17325License Type DBP DentistBoard Certified Not ReportedEmail infommoralesddscomFax (305) 442-0664Accepts New Patients YHospital Affiliation NA

MOLINA MaylingDental Health Group Pa(305) 858-2545Prov No 0000121382812501 Coral WayCoral Gables FL 33145Gender FemaleNPI 1699820134License DN16243License Type DBP DentistBoard Certified NEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

MORALES MairaMaira Morales Dds Llc(305) 442-0331Prov No 0000124515805232 W Flagler StCoral Gables FL 33134Gender FemaleNPI 1023202496License DN21552License Type DBP DentistBoard Certified Not ReportedEmail infommoralesddscomFax (305) 442-0464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MUNOZ LATORRE Sonja MDental Health Group Pa(305) 858-2545Prov No 0000121384182501 Coral WayCoral Gables FL 33145Gender FemaleNPI 1083776538License DN17880License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

NAZARIO LUGO Beatriz TMaigrely Abreu-HernandezDmd Pa(305) 662-7702Prov No 0000121486305965 Ponce De Leon Blvd Coral Gables FL 33146Gender FemaleNPI 1255340279License DN17881License Type DBP DentistBoard Certified Not ReportedEmail infocasasmilecomFax (305) 662-2552Accepts New Patients YHospital Affiliation NA

NOY Isabel CGables Dental Clinic(305) 444-9951Prov No 0000000190495450 Sw 8th St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1033212519License DN12939License Type DBP DentistBoard Certified Not ReportedEmail gablesdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)PEREZ Laura EAdvanced Smile Dental Clinic(786) 391-0588Prov No 0000126921583934 Sw 8th St Ste 306Coral Gables FL 33134Gender FemaleNPI 1619329109License DN22033License Type DBP DentistBoard Certified Not ReportedEmail advancedsmileclinicgmailcomFax (786) 391-0728Accepts New Patients YHospital Affiliation NA

PHAM Minh BDentists of Coral Gables(305) 239-8806Prov No 000013155736290 Alhambra CirCoral Gables FL 33134Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PRIETO EvelynFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124824774300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)QUICK James RSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301531 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenSmile Family Dental Group Llc(305) 509-7949Prov No 0000130612591900 Coral Way Ste 200Coral Gables FL 33145Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail smilefamilydental1900gmailcomFax (305) 509-7578Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302161 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

133GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)REYES CANALS Osmil AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000122194854300 W Flagler St Ste 201 Coral Gables FL 33134Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301461 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302761 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)RODRIGUEZ AmauryAmaury Rodriguez Dds(305) 445-1405Prov No 0000000179533944 W Flagler St Coral Gables FL 33134Gender MaleNPI 1437251568License DN12779License Type DBP DentistBoard Certified Not ReportedEmail ramaurybellsouth netFax (305) 445-1406Accepts New Patients YHospital Affiliation NA

RODRIGUEZ JulietaDivine Smile Llc(305) 442-8481Prov No 000012554625124 Almeria Ave Coral Gables FL 33134Language SpanishGender FemaleNPI 1285019521License DN21497License Type DBP DentistBoard Certified Not ReportedEmail dsmileusyahoocomFax (305) 442-4029Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Maria De Los AngelesMaria A Rodriguez(305) 444-1842Prov No 0000000179553934 Sw 8th St Ste 205 Coral Gables FL 33134Gender FemaleNPI 1821157850License DN11352License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)ROSENBERG Sarah LBl Dental Associates Llc(305) 774-7273Prov No 0000125930673190 Ponce De Leon BlvdCoral Gables FL 33134Language SpanishGender FemaleNPI 1497919492License DN18239License Type DBP DentistBoard Certified NEmailFax (321) 400-1370Accepts New Patients YHospital Affiliation NA

SAENZ Manuel ODental Health Group Pa(305) 858-2545Prov No 0000121383092501 Coral WayCoral Gables FL 33145Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000003806504300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)SANCHEZ Pedro MDental Group of South FloridaInc(305) 444-8591Prov No 000000112336747 Ponce De Leon Blvd St E 401Coral Gables FL 33134Gender MaleNPI 1063572535License DN11187License Type DBP DentistBoard Certified Not ReportedEmail coralgablesdhcdentalcomFax (305) 444-6988Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraSalcines Dmd and GomaraDmd Pa(305) 387-4954Prov No 0000128606734300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

SARDA Mariamilagros MMariamilagros Sarda Dds Pa(305) 443-4841Prov No 000000018106299 Alhambra Cir Ste 205 Coral Gables FL 33134Gender FemaleNPI 1275735151License DN12064License Type DBP DentistBoard Certified Not ReportedEmail mmsardadrsardaco mFax (305) 443-4808Accepts New Patients YHospital Affiliation NA

134 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)SARDUY Luis OEsthetic Dental Clinic(305) 448-3698Prov No 0000039197853735 Sw 8th St Ste 202Coral Gables FL 33134Language SpanishGender MaleNPI 1861596157License DN13211License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301501 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301881 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)STEINER Samantha LSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301991 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301561 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302791 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)VALDES Martha BFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000120491524300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

VELASCO Norka SNorka Velasco(786) 703-9430Prov No 0000122352311805 Ponce De Leon Blvd STe 301Coral Gables FL 33134Language SpanishGender FemaleNPI 1881933240License DN20029License Type DBP DentistBoard Certified Not ReportedEmail msillc21gmailcomFax (786) 870-5961Accepts New Patients YHospital Affiliation NA

VERA RafaelSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000128205921 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender MaleNPI 1710039292License DN13925License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)VIGNOLA Jennifer ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301661 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VILLAR TaniaMenendez Dental Group Pa(305) 442-0331Prov No 0000120504705232 W Flagler StCoral Gables FL 33134Language SpanishGender FemaleNPI 1245320068License DN16616License Type DBP DentistBoard Certified Not ReportedEmail infommoralesddscomFax (305) 442-0664Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302101 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

135GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)YU Joyce WSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302041 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302131 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CUTLER BAY

ALVAEREZ Nolyris KSouth Dade Family Dentistry(786) 512-3187Prov No 00000044762918543 S Dixie HwyCutler Bay FL 33157Gender FemaleNPI 1356371520License DN14012License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)ANTEZANA MauricioSouthland Mall Dental Pa(305) 232-3737Prov No 00001290042520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaSouthland Mall Dental Pa(305) 232-3737Prov No 00001256453020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

ATKINSON William ASouthland Mall Dental Pa(305) 232-3737Prov No 00001222882220505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)BAEZ HENRY CarlianetteSouthland Mall Dental Pa(305) 232-3737Prov No 00001223688520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

BARBER JanetxiaDental Health Group Pa(305) 238-6777Prov No 00001290934720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender FemaleNPI 1912388133License DN21285License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

BERRY Wayne LSouthland Mall Dental Pa(305) 232-3737Prov No 00001287690620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00001212711518934 S Dixie Hwy Ste 5-6Cutler Bay FL 33157Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00001274627018934 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00000560642818934 S Dixie Hwy Ste 5-6Cutler Bay FL 33157Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00001274625218934 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

136 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)BRODY Robert ADental Health Group Pa(305) 238-6777Prov No 00000369501720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

CABANZON David JTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000016438520533 Old Cutler RdCutler Bay FL 33189Gender MaleNPI 1609913953License DN16137License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CABRERA Rene ESouthland Mall Dental Pa(305) 232-3737Prov No 00001277030520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)CARAVIA AmandaTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000166036720533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

CORPAS Alfredo DSouth Dade Family Dentistry(786) 512-3187Prov No 00000026809618543 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

CULLEN William CSouthland Mall Dental(305) 232-3737Prov No 00001205364520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 232-3735Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)DI RE AnthonySouthland Mall Dental Pa(305) 232-3737Prov No 00001290862620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

DURVE AparnaSouthland Mall Dental Pa(305) 232-3737Prov No 00001250816320505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

FATMI NavedTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000127958720533 Old Cutler RdCutler Bay FL 33189Gender MaleNPI 1558690974License DN18878License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)FELIPE Veronica MTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000071250320533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1407050149License DN15552License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthDade(305) 253-5100Prov No 00001306241010300 Sw 216th StCutler Bay FL 33190Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

FERRERO Patricia FSouthland Mall Dental Pa(305) 232-3737Prov No 00001261368620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

137GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)FORNOS Jorge ASouthland Mall Dental Pa(305) 232-3737Prov No 00001224778520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

GONZALEZ KellySouthland Mall Dental Pa(305) 232-3737Prov No 00001213040720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

GONZALEZ KeniaSouthland Mall Dental Pa(305) 232-3737Prov No 00001205808020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)GREEN George DSouthland Mall Dental Pa(305) 232-3737Prov No 00001245964820505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

GUERRA VannetteSouthland Mall Dental Pa(305) 232-3737Prov No 00001282368720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001206208110300 Sw 216th StCutler Bay FL 33190Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)KODA NAKAMOTO INABA Caroline MSouthland Mall Dental Pa(305) 232-3737Prov No 00001259664920505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VSouthland Mall Dental Pa(305) 232-3737Prov No 00001209968620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

KRASNOV RostislavSouthland Mall Dental Pa(305) 232-3737Prov No 00000436189820505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)KUNSTMANN Vivian RSouthland Mall Dental Pa(305) 232-3737Prov No 00001214972020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

LANG TomasCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001205971510300 Sw 216th StCutler Bay FL 33190Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001255037910300 Sw 216th StCutler Bay FL 33190Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

138 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)LOFTUS Shamus LSouthland Mall Dental(305) 232-3737Prov No 00001304825820505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 232-3735Accepts New Patients YHospital Affiliation NA

LUIS Michelle EDental Health Group Pa(305) 238-6777Prov No 00001219195920335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender FemaleNPI 1417323247License DN21173License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

MACAGNO Jessica JDental Health Group Pa(305) 238-6777Prov No 00001287124720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Language SpanishGender FemaleNPI 1356680342License DN19974License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)MANIGLIA Marielba DSouthland Mall Dental Pa(305) 232-3737Prov No 00001289800720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MAYA AlvaroTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001204512820533 Old Cutler RdCutler Bay FL 33189Language SpanishGender MaleNPI 1003877812License DN 17357License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

MORELL OmarSouthland Mall Dental Pa(305) 232-3737Prov No 00001260763020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)OSPINA CarolinaSouthland Mall Dental Pa(305) 232-3737Prov No 00001349234020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraSouthland Mall Dental Pa(305) 232-3737Prov No 00001256079920505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

PAUL Alexander DTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001247184020533 Old Cutler RdCutler Bay FL 33189Language SpanishGender MaleNPI 1255611596License DN21752License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)PHAM QuynhnhuSouthland Mall Dental Pa(305) 232-3737Prov No 00001286649520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

RAMIREZ MauricioTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001347011220533 Old Cutler RdCutler Bay FL 33189Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001307153710300 Sw 216th StCutler Bay FL 33190Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

139GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)REED SamanthaSouthland Mall Dental Pa(305) 232-3737Prov No 00001256385020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineSouthland Mall Dental Pa(305) 232-3737Prov No 00001278579320505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissSouthland Mall Dental(305) 232-3737Prov No 00001304754720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 232-3735Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)ROSS JR Charles LDental Health Group Pa(305) 238-6777Prov No 00000002173720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender MaleNPI 1528119260License DN5305License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001247389510300 Sw 216th StCutler Bay FL 33190Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HSouthland Mall Dental Pa(305) 232-3737Prov No 00001314244220505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)SOSA-ABELLA Nancy MTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001262285920533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1821186982License DN13746License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

TORRES DianaDental Health Group Pa(305) 238-6777Prov No 00001207246120335 Old Cutler Rd Ste 200Cutler Bay FL 33189Language SpanishGender FemaleNPI 1083016257License DN20879License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

TRUJILLO MadeleneSouth Dade Family Dentistry(786) 512-3187Prov No 00001225077918543 S Dixie HwyCutler Bay FL 33157Gender FemaleNPI 1881835767License DN18770License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)TYDIR MichelleTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000124684020533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1326296278License DN17741License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

UZUNOVA-DIMOVA KalinaSouthland Mall Dental Pa(305) 232-3737Prov No 00001217024020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SSouthland Mall Dental Pa(305) 232-3737Prov No 00001277709420505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

140 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)VIEGO RebecaDental Health Group Pa(305) 238-6777Prov No 00001290871620335 Old Cutler Rd Ste 200Cutler Bay FL 33189Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

ZUNIGA Juan CSouth Dade Family Dentistry(786) 512-3187Prov No 00000134722918543 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1033384235License DN14804License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

DORAL

ABDEL-JABBAR Sana HSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124579205335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)ANTEZANA MauricioMiami International MallDental Pa(305) 597-8787Prov No 0000129004231455 Nw 107th Ave Ste 584Doral FL 33172Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaMiami International MallDental Pa(305) 597-8787Prov No 0000125645711455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

ATKINSON William AMiami International MallDental Pa(305) 597-8787Prov No 0000122288761455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)AZARI Scott JSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415925335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteMiami International MallDental Pa(305) 597-8787Prov No 0000122369891455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

BERRY Wayne LMiami International MallDental Pa(305) 597-8787Prov No 0000128843481455 Nw 107th Ave Ste 584 Doral FL 33172Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)BOCKIAN Joshua ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415955335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415845335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRETOS Alexander LDoral Dental Partners(786) 331-7055Prov No 00000020964910620 Nw 19th St Doral FL 33172Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

141GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)CABRERA Rene EMiami International MallDental Pa(305) 597-8787Prov No 0000127703121455 Nw 107th Ave Ste 584Doral FL 33172Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415885335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTRO Oscar LPrime Dental Group Inc(305) 749-0873Prov No 0000129843968333 Nw 12th StDoral FL 33126Language SpanishGender MaleNPI 1184919581License DN19237License Type DBP DentistBoard Certified Not ReportedEmail primedentalgroupdoralgmailcomFax (305) 918-2458Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)CHILDERS Carmen DSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122425905335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COLLAZO Ralph CDoral Dental Partners(786) 331-7055Prov No 00000020965010620 Nw 19th St Doral FL 33172Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122425915335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)COWAN Marc ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122425925335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122421955335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CULLEN William CMiami International MallDental(305) 597-8787Prov No 0000120536761455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)DAROJAT Zuhdiyah MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122421985335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DI RE AnthonyMiami International MallDental Pa(305) 597-8787Prov No 0000129086221455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124364305335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

142 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)DUARTE BeatrizSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423015335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423025335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURVE AparnaMiami International MallDental Pa(305) 597-8787Prov No 0000125081561455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)ESPINET KUSNIER ElaineSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000125859285335 Nw 87th Ave Ste C103Doral FL 33178Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423055335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERRERO Patricia FMiami International MallDental Pa(305) 597-8787Prov No 0000126136921455 Nw 107th Ave Ste 584Doral FL 33172Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)FIGUEREDO Maria HM H Figueredo Dmd Pa(305) 558-2133Prov No 0000128515169016 Nw 25th StDoral FL 33172Language SpanishGender FemaleNPI 1144313602License DN16963License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 888-1306Accepts New Patients YHospital Affiliation NA

FORNOS Jorge AMiami International MallDental Pa(305) 597-8787Prov No 0000122477871455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423065335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)GARCIA-PORRAS MarcelaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423075335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423085335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422525335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

143GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)GONZALEZ KellyMiami International MallDental Pa(305) 597-8787Prov No 0000121304051455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GONZALEZ KeniaMiami International MallDental Pa(305) 597-8787Prov No 0000104001741455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422545335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)GREEN George DMiami International MallDental Pa(305) 597-8787Prov No 0000124906961455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GUERRA VannetteMiami International MallDental Pa(305) 597-8787Prov No 0000128236941455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422555335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)IRAVANI Mina FSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000125101235335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MMiami International MallDental Pa(305) 597-8787Prov No 0000125966461455 Nw 107th Ave Ste 584Doral FL 33172Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VMiami International MallDental Pa(305) 597-8787Prov No 0000120625431455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)KRASNOV RostislavMiami International MallDental Pa(305) 597-8787Prov No 0000018203681455 Nw 107th Ave Ste 584Doral FL 33172Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RMiami International MallDental Pa(305) 597-8787Prov No 0000121497411455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124447475335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

144 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)LEPORE KrystinaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422085335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOFTUS Shamus LMiami International MallDental(305) 597-8787Prov No 0000130482571455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422095335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)MA RobertSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422105335 Nw 87th Ave Ste C103Doral FL 33178Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DMiami International MallDental Pa(305) 597-8787Prov No 0000128980141455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MORELL OmarMiami International MallDental Pa(305) 597-8787Prov No 0000126075651455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)ORTA Ines ASage Dental of DowntownDoral(786) 456-1710Prov No 0000129336925335 Nw 87th Ave Ste C103 Doral FL 33178Gender FemaleNPI 1881836963License DN20345License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

OSPINA CarolinaMiami International MallDental Pa(305) 597-8787Prov No 0000128163251455 Nw 107th Ave Ste 584 Doral FL 33172Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraMiami International MallDental Pa(305) 597-8787Prov No 0000125607891455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)PHAM QuynhnhuMiami International MallDental Pa(305) 597-8787Prov No 0000128665091455 Nw 107th Ave Ste 584 Doral FL 33172Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422485335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422505335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

145GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)REED SamanthaMiami International MallDental Pa(305) 597-8787Prov No 0000125638541455 Nw 107th Ave Ste 584Doral FL 33172Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineMiami International MallDental Pa(305) 597-8787Prov No 0000127858001455 Nw 107th Ave Ste 584Doral FL 33172Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422685335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)RING Stephen GSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422695335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissMiami International MallDental(305) 597-8787Prov No 0000130474631455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000125239245335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)SCARFONE MelanieSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422725335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HMiami International MallDental Pa(305) 597-8787Prov No 0000131436861455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422815335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)STEINER Samantha LSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422875335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124542965335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124626475335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

146 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)UZUNOVA-DIMOVA KalinaMiami International MallDental Pa(305) 597-8787Prov No 0000121663971455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124515245335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SMiami International MallDental Pa(305) 597-8787Prov No 0000127770961455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)VERA Anny BSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124489905335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422915335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422945335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)YU Joyce WSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124854145335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422955335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FLORIDA CITY

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001210433019300 Sw 376th StFlorida City FL 33034Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001207739719300 Sw 376th StFlorida City FL 33034Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

DE LA CRUZ Alejandro IThe Family Dental Care Cn(305) 242-1200Prov No 000000413478646 W Palm Dr Ste 200Florida City FL 33034Gender MaleNPI 1013152016License DN14560License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

ESTRADA JavierThe Family Dental Care Cn(305) 242-1200Prov No 000000042621646 W Palm Dr Ste 200Florida City FL 33034Gender MaleNPI 1003956822License DN14847License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

147GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001306245019300 Sw 376th StFlorida City FL 33034Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

GONZALEZ-RUBIO EduardoThe Family Dental Care Cn(305) 242-1200Prov No 000000042620646 W Palm Dr Ste 200Florida City FL 33034Gender MaleNPI 1922120542License DN14741License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthDade(305) 246-4607Prov No 00000034159319300 Sw 376th StFlorida City FL 33034Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)LANG TomasCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00000036507719300 Sw 376th StFlorida City FL 33034Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001249724519300 Sw 376th StFlorida City FL 33034Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedEverglades Health Center(305) 246-4607Prov No 00000085848719300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)MIRANDA AlejandraEverglades Health Center(305) 246-4607Prov No 00001205981019300 Sw 376th StFlorida City FL 33034Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001212635919300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

RAMIREZ CarmenThe Family Dental Care Cn(305) 242-1200Prov No 000006365370646 W Palm Dr Ste 200Florida City FL 33034Gender FemaleNPI 1811162019License DN16423License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001307154819300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

RUIZ Sarabel MCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00000099751419300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001248458119300 Sw 376th StFlorida City FL 33034Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

148 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)WATSON-HAMILTON Sheri SEverglades Health Center(305) 246-4607Prov No 00000073551419300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001206020219300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

HIALEAH

ABRAHAMS Howard NGam Dental Inc(786) 485-4150Prov No 000012623675508 E 49th StHialeah FL 33013Gender MaleNPI 1528219755License DN17635License Type DBP DentistBoard Certified Not ReportedEmail infogamdentalcomFax (305) 468-6101Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ALAWA Abdul AAziz A Alawa Dds(305) 558-0388Prov No 00000001932616770 Nw 67th AveHialeah FL 33015Gender MaleNPI 1366544793License DN11418License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 512-0443Accepts New Patients YHospital Affiliation NA

ALVARADO YailenMj Dental Office(305) 825-7447Prov No 0000124287222360 W 68th St Ste 124Hialeah FL 33016Language SpanishGender FemaleNPI 1700235363License DN21842License Type DBP DentistBoard Certified Not ReportedEmail infomjdentalofficecomFaxAccepts New Patients YHospital Affiliation NA

ALVAREZ Rosa AExcellence In Dental Care(305) 557-6661Prov No 0000002922723762 W 12th AveHialeah FL 33012Gender FemaleNPI 1306944533License DN17118License Type DBP DentistBoard Certified Not ReportedEmail dralvarezexcellencedentalcarecomFax (305) 557-9704Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ANGULO Liliana MLiliana M Angulo FamilyPractice Pa(786) 999-3446Prov No 000000361896614 E 49th StHialeah FL 33013Gender FemaleNPI 1841494648License DN17639License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ANTEZANA MauricioWestland Mall Dental(305) 828-7779Prov No 0000129004271665 W 49th St Ste 1484 Hialeah FL 33012Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 501-2166Prov No 0000129777183825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(305) 826-5224Prov No 0000129777294410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(305) 823-9982Prov No 000012977732266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

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 veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

149GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ARRIOLA Antonio JProffessional Dental Svcs(305) 556-9919Prov No 0000000200991231 W 44th Pl Hialeah FL 33012Gender MaleNPI 1841350212License DN14121License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 364-3779Accepts New Patients YHospital Affiliation NA

ATKINSON William AWestland Mall Dental(305) 828-7779Prov No 0000122288781665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

AVILES Ana VDental American Group Corp(305) 556-6100Prov No 0000130365991573 W 49th StHialeah FL 33012Gender FemaleNPI 1942537311License DN13275License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)AYALA Rita CFlorida Dental Alliance(786) 800-9507Prov No 0000129918884355 W 16th Ave Ste 205AHialeah FL 33012Language SpanishGender FemaleNPI 1619090289License DN14821License Type DBP DentistBoard Certified Not ReportedEmail infoacuariodentalgroupcomFax (305) 928-1147Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental(786) 456-1760Prov No 00001247086816879 Nw 67th AveHialeah FL 33015Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteWestland Mall Dental(305) 828-7779Prov No 0000122369901665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BARCIA Antonio RJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549812901 E 10th Ave Ste 39Hialeah FL 33010Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

BENAVIDES-RODRIGUEZ Alina CPalmetto Dental Studio Inc(786) 747-4763Prov No 0000129254417306 W 20th AveHialeah FL 33016Language SpanishGender FemaleNPI 1629507470License DN22568License Type DBP DentistBoard Certified Not ReportedEmail palmettodentalstudioincgmailcomFax (305) 290-3203Accepts New Patients YHospital Affiliation NA

BERRY Wayne LWestland Mall Dental(305) 828-7779Prov No 0000128843461665 W 49th St Ste 1484 Hialeah FL 33012Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BETANCOURT Mayra GMint Dental Studio Inc(305) 826-2758Prov No 00000028908517701 Nw 78th AveHialeah FL 33015Gender FemaleNPI 1487773198License DN12655License Type DBP DentistBoard Certified Not ReportedEmail jtenderoddsgmailcomFaxAccepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012127097258 E 49th StHialeah FL 33013Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124480531700 W 68th StHialeah FL 33014Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

150 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BLANCO FaridTotal Dental Care of Florida Llc(305) 747-7711Prov No 0000124480584410 W 16th Ave Ste 330Hialeah FL 33012Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 697-9785Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000130504734410 W 16th Ave Ste 31Hialeah FL 33012Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group(305) 824-3408Prov No 000005606433258 E 49th StHialeah FL 33013Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 824-3431Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124510984410 W 16th Ave Ste 330Hialeah FL 33012Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124511001700 W 68th StHialeah FL 33014Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BOBADILLA Patricia MAlpha Dental Group Inc(786) 238-7406Prov No 0000121754804999 W 8th Ave Ste 1Hialeah FL 33012Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 501-2166Prov No 0000129703273825 W 16th AveHialeah FL 33012Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 826-5224Prov No 0000129735204410 W 16th Ave Ste 58Hialeah FL 33012Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 823-9982Prov No 000012973526266 E 49th StHialeah FL 33013Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124425622900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BUENO RosaExpert Smiles Center Inc(305) 826-3255Prov No 0000129033962750 W 68th St Ste 108 Hialeah FL 33016Gender FemaleNPI 1972649218License DN17647License Type DBP DentistBoard Certified Not ReportedEmail expertsmilescentergmailcomFax (305) 826-3898Accepts New Patients YHospital Affiliation NA

CABRERA Rene EWestland Mall Dental(305) 828-7779Prov No 0000127703101665 W 49th St Ste 1484 Hialeah FL 33012Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

CALDERON Erik OHialeah Dental Center Pa(305) 823-2661Prov No 0000121276251518 W 49th St Hialeah FL 33012Language SpanishGender MaleNPI 1942596416License DN19377License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

151GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CALVO Jose RJose R Calvo Dds Pa(305) 823-9982Prov No 000000025937266 E 49th StHialeah FL 33013Gender MaleNPI 1831100452License DN11226License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 501-2166Prov No 0000129699433825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(305) 826-5224Prov No 0000129703344410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CANO Lourdes MDental Excellence Partners Llc(305) 823-9982Prov No 000012973524266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

CARAVIA AmandaCentury Medical Group Corp(305) 392-0257Prov No 00000132379211300 Nw 87th Ct Ste 141 Hialeah FL 33018Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(786) 501-2166Prov No 0000132580843825 W 16th AveHialeah FL 33012Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CARBALLO MauroDental Excellence Partners Llc(305) 826-5224Prov No 0000132580884410 W 16th Ave Ste 58Hialeah FL 33012Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(305) 823-9982Prov No 000013258089266 E 49th StHialeah FL 33013Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

CARDENAS Elio ASmile Perfect Dental HealthCenter Inc(305) 557-6711Prov No 000000686024580 E 49th St Hialeah FL 33013Gender MaleNPI 1134287659License DN13355License Type DBP DentistBoard Certified Not ReportedEmail smileperfectdentalaolcomFax (305) 681-3371Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CARDENAS Elio ASmile Perfect Dental II(305) 557-6712Prov No 0000125669251075 E 4th Ave Hialeah FL 33010Gender MaleNPI 1134287659License DN13355License Type DBP DentistBoard Certified Not ReportedEmail smileperfectdentalaolcomFax (786) 693-8315Accepts New Patients YHospital Affiliation NA

CASTELLANOS MadeleineMadeleine Castellanos Dds(305) 820-4080Prov No 0000000206042140 W 68th St Ste 202Hialeah FL 33016Gender FemaleNPI 1487798930License DN14504License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 822-5236Accepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 501-2166Prov No 0000131573373825 W 16th AveHialeah FL 33012Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

152 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(305) 826-5224Prov No 0000131580024410 W 16th Ave Ste 58Hialeah FL 33012Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(305) 823-9982Prov No 000013158003266 E 49th StHialeah FL 33013Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

CASTRO Eileen JSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000128538162900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CORREA AnelysAlicia Montesinos Dds(305) 820-0068Prov No 0000010752386847 W 4th Ave Hialeah FL 33014Gender FemaleNPI 1902117591License DN19129License Type DBP DentistBoard Certified Not ReportedEmail jrdentalofficeincyahoocomFax (305) 826-2663Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000126372562900 W 12th Ave Ste 27Hialeah FL 33012Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORUGEDO AdaFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000126319232900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)COSTA Manuel EManuel E Costa Dds(305) 769-0252Prov No 000000018480791 E 48th St Hialeah FL 33013Gender MaleNPI 1659495307License DN8736License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 953-0707Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental(786) 456-1760Prov No 00001247086716879 Nw 67th AveHialeah FL 33015Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Karen GFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000019231592900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CRUZ YarelieJose R Calvo Dds Pa(305) 823-9982Prov No 000012518105266 E 49th StHialeah FL 33013Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(786) 501-2166Prov No 0000129699443825 W 16th AveHialeah FL 33012Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(305) 826-5224Prov No 0000129735214410 W 16th Ave Ste 58Hialeah FL 33012Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

153GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CUENCA AnnieAlicia Montesinos Dds(305) 820-0068Prov No 0000011064746847 W 4th Ave Hialeah FL 33014Language SpanishGender FemaleNPI 1871806273License DN19137License Type DBP DentistBoard Certified NEmail jrdentalofficeincyahoocomFax (305) 826-2663Accepts New Patients YHospital Affiliation NA

CUENCA AnnieRene Rodriguez(305) 883-4880Prov No 000012060709765 E 9th StHialeah FL 33010Language SpanishGender FemaleNPI 1871806273License DN19137License Type DBP DentistBoard Certified NEmail anniecuencayahoocomFax (786) 536-6761Accepts New Patients YHospital Affiliation NA

CULLEN William CWestland Mall Dental(305) 828-7779Prov No 0000120536461665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DE AGUIRRE Elizabeth MExpert Smiles Center Inc(305) 826-3255Prov No 0000003882742750 W 68th St Ste 108 Hialeah FL 33016Gender FemaleNPI 1467434746License DN15008License Type DBP DentistBoard Certified Not ReportedEmail expertsmilescentergmailcomFax (305) 826-3898Accepts New Patients YHospital Affiliation NA

DE SOUSA Marvina EDesousa amp Maniglia Dmd Pa(305) 640-5501Prov No 0000127852188200 W 33rd AveHialeah FL 33018Language SpanishGender FemaleNPI 1841572963License DN19465License Type DBP DentistBoard Certified NEmail officesmilesolutionsdgcomFaxAccepts New Patients YHospital Affiliation NA

DEL VALLE Jose MJose M Del Valle Dds(305) 556-1770Prov No 0000000184713918 W 12th AveHialeah FL 33012Gender MaleNPI 1912052382License DN10269License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-1755Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DELGADO REY IvetteSeven Dental of Hialeah Inc(305) 821-3344Prov No 0000128922201935 W 60th StHialeah FL 33012Gender FemaleNPI 1679097869License DN22964License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFax (305) 821-3311Accepts New Patients YHospital Affiliation NA

DEWITT David EDr David Dewitt and Assoc(305) 558-2261Prov No 0000001557304841 W 4th Ave Hialeah FL 33012Gender MaleNPI 1548372139License DN3920License Type DBP DentistBoard Certified Not ReportedEmail dds5318bellsouth netFaxAccepts New Patients YHospital Affiliation NA

DI RE AnthonyWestland Mall Dental(305) 828-7779Prov No 0000129086291665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DIAZ VivianPalm Center For DentalSpecialties(305) 556-5600Prov No 0000007061857150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1245560028License DN18896License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

DIAZ VALLE OrlandoCare Dental Group Llc(305) 456-6474Prov No 0000133728334201 Palm Ave Ste 2DHialeah FL 33012Gender MaleNPI 1457717290License DN23705License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseJose R Calvo Dds Pa(305) 823-9982Prov No 000012777633266 E 49th StHialeah FL 33013Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

154 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 501-2166Prov No 0000129699453825 W 16th AveHialeah FL 33012Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(305) 826-5224Prov No 0000129735224410 W 16th Ave Ste 58Hialeah FL 33012Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

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 veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ECHEMENDIA ArturoPalm Center For DentalSpecialties(305) 556-5600Prov No 0000126302627150 W 20th Ave Ste 102Hialeah FL 33016Gender MaleNPI 1679932560License DN22937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

ENG Martha CMiami Smile Studio Cororation(786) 391-4566Prov No 000012129973427 Hialeah Dr Hialeah FL 33010Gender FemaleNPI 1730345091License DN17980License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 391-4590Accepts New Patients YHospital Affiliation NA

ESCOBAR Carlos FDental American Group Corp(305) 556-6100Prov No 0000008597231573 W 49th StHialeah FL 33012Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ESPINET KUSNIER ElaineSage Dental(786) 456-1760Prov No 00001258593316879 Nw 67th AveHialeah FL 33015Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012946784901 E 10th Ave Ste 39Hialeah FL 33010Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

FERRERO Patricia FWestland Mall Dental(305) 828-7779Prov No 0000126136951665 W 49th St Ste 1484 Hialeah FL 33012Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)FIGUEREDO Maria HM H Figueredo Dmd Pa(305) 558-2133Prov No 0000003031875924 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1144313602License DN16963License Type DBP DentistBoard Certified Not ReportedEmail infoa-z-dentalco mFax (305) 828-1306Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CCelia Figueroa Dds(305) 827-0434Prov No 000012142613400 W 65th StHialeah FL 33012Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmail agarciaprodentalcenterscomFax (305) 827-1501Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CComprehensive FamilyDentstry(305) 821-6388Prov No 0000121708396848 Nw 169th StHialeah FL 33015Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-6429Accepts New Patients YHospital Affiliation NA

155GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)FIGUEROA Celia CPalm Center For DentalSpecialties(305) 556-5600Prov No 0000125001027150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

FORNOS Jorge AWestland Mall Dental(305) 828-7779Prov No 0000122477901665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

FRIEDMAN Rene JUniversal Dental Group(305) 821-3344Prov No 0000015361901935 W 60th StHialeah FL 33012Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFax (305) 821-3311Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)FUERTES RUFIN LiscaryCare Dental Group Llc(305) 456-6474Prov No 0000130138944201 Palm Ave Ste 2DHialeah FL 33012Gender FemaleNPI 1497137798License DN22865License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

FUNDORA Yolaivys VDental American Group(305) 556-6100Prov No 0000083596701573 W 49th St Hialeah FL 33012Gender FemaleNPI 1285074112License DN20186License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

GABALDON MarianaDental Boost Llc(305) 822-4607Prov No 000005060274344 W 65th StHialeah FL 33012Language SpanishGender FemaleNPI 1316112436License DN19159License Type DBP DentistBoard Certified NEmail dentalboostgmail comFax (305) 822-5205Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GARCIA IdalmesGomara Dmd and SalcinesDmd Pa(305) 885-0008Prov No 0000125146672900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

GARCIA Juan MJuan M Garcia Dds(305) 821-2261Prov No 0000003334906450 W 21st Ct Ste 300Hialeah FL 33016Language SpanishGender MaleNPI 1598858805License DN11815License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 819-8570Accepts New Patients YHospital Affiliation NA

GARCIA LOPEZ DorgisDorgis Dental Pa(305) 474-0400Prov No 00001285492418652 Nw 67th AveHialeah FL 33015Language SpanishGender FemaleNPI 1992147326License DN20258License Type DBP DentistBoard Certified Not ReportedEmail infonsdcliniccomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)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 amazingtouchdentalgmailcomFax (305) 825-7676Accepts New Patients YHospital Affiliation NA

GARROTE RogelioFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124905582900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549809901 E 10th Ave Ste 39Hialeah FL 33010Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

156 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GIL ARAUJO Eduardo FMj Dental Office(305) 825-7447Prov No 0000121657052360 W 68th St Ste 124Hialeah FL 33016Language SpanishGender MaleNPI 1841553112License DN19789License Type DBP DentistBoard Certified NEmail infomjdentalofficecomFaxAccepts New Patients YHospital Affiliation NA

GODOY Yami AHialeah Square Dentistry(239) 775-3383Prov No 0000133006674186 W 12th AveHialeah FL 33012Gender FemaleNPI 1831248004License DN19836License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

GOMARA Luis AFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000003977772900 W 12th Ave Ste 27Hialeah FL 33012Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GOMEZ PEREZ NilsHialeah Dental Care(305) 823-1882Prov No 0000121788044240 W 16th Ave Hialeah FL 33012Language SpanishGender MaleNPI 1346649118License DN20903License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosDental American Group(305) 556-6100Prov No 0000125301101573 W 49th St Hialeah FL 33012Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

GONZALEZ EdekProgressive Dental(305) 829-0100Prov No 00001257980318600 Nw 87th Ave Unit 125Hialeah FL 33015Gender MaleNPI 1457617029License DN20214License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GONZALEZ GiovanniDental Excellence Partners Llc(786) 501-2166Prov No 0000129715303825 W 16th AveHialeah FL 33012Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(305) 826-5224Prov No 0000129715354410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(305) 823-9982Prov No 000012973525266 E 49th StHialeah FL 33013Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GONZALEZ HanselAlpha Dental Group Inc(786) 238-7406Prov No 0000120097134999 W 8th Ave Ste 1Hialeah FL 33012Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyWestland Mall Dental(305) 828-7779Prov No 0000121304061665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

GONZALEZ KeniaWestland Mall Dental(305) 828-7779Prov No 0000120974621665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

157GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GONZALEZ LilianDental American Group(305) 556-6100Prov No 0000008597221573 W 49th St Hialeah FL 33012Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

GREEN George DWestland Mall Dental(305) 828-7779Prov No 0000124906991665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

GUERRA VannetteWestland Mall Dental(305) 828-7779Prov No 0000128236921665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GUERRA CRESPO Beatriz DCare Dental Group Llc(305) 456-6474Prov No 0000129603934201 Palm Ave Ste 2DHialeah FL 33012Language SpanishGender FemaleNPI 1376960658License DN21830License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

HENDERSON Gilsa HHenderson Family Dental CareInc(305) 558-1171Prov No 0000016792974963 W 6th Ave Hialeah FL 33012Gender FemaleNPI 1336332782License DN17934License Type DBP DentistBoard Certified Not ReportedEmail hendersondentalyahoocomFax (305) 558-1173Accepts New Patients YHospital Affiliation NA

HERNANDEZ IdaliaWorld Dental Care Corp(305) 888-1458Prov No 0000121276471370 E 4th Ave Hialeah FL 33010Language SpanishGender FemaleNPI 1992069371License DN19766License Type DBP DentistBoard Certified NEmail worlddentalcarecomcastnetFax (786) 235-0257Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 501-2166Prov No 0000129777173825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(305) 826-5224Prov No 0000129777284410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(305) 823-9982Prov No 000012977731266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)HERNANDEZ-JEREZ GemaCentury Medical Group Corp(305) 392-0257Prov No 00001205295411300 Nw 87th Ct Ste 141 Hialeah FL 33018Language SpanishGender FemaleNPI 1699020347License DN19881License Type DBP DentistBoard Certified Not ReportedEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

HERRERA CASAS SunildaAmazing Touch Dental CareCorp(786) 257-1646Prov No 0000124340831955 W 68th StHialeah FL 33014Language SpanishGender FemaleNPI 1447673629License DN21542License Type DBP DentistBoard Certified Not ReportedEmail amazingtouchdentalgmailcomFax (305) 825-7676Accepts New Patients YHospital Affiliation NA

HOSSAIN Marta CMiami Smile Studio Cororation(786) 391-4566Prov No 000007193569427 Hialeah Dr Hialeah FL 33010Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 391-4590Accepts New Patients YHospital Affiliation NA

158 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)IDUATE BANOBRE YolandaHialeah Dental Care(305) 823-1882Prov No 0000125437154240 W 16th Ave Hialeah FL 33012Gender FemaleNPI 1598140618License DN21433License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental(786) 456-1760Prov No 00001251018916879 Nw 67th AveHialeah FL 33015Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MWestland Mall Dental(305) 828-7779Prov No 0000125965471665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)KOPYNETS Viktor VWestland Mall Dental(305) 828-7779Prov No 0000120755781665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

KRASNOV RostislavWestland Mall Dental(305) 828-7779Prov No 0000018203671665 W 49th St Ste 1484 Hialeah FL 33012Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

KRAVITZ Lauren MKravitz Dental(305) 822-9696Prov No 00000001923218482 Nw 67th AveHialeah FL 33015Gender FemaleNPI 1720255896License DN10554License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)KUNSTMANN Vivian RWestland Mall Dental(305) 828-7779Prov No 0000121497431665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549807901 E 10th Ave Ste 39Hialeah FL 33010Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

LIZASO SusanaSusana Lizaso Dds(305) 556-6055Prov No 0000000184874999 W 8th Ave Ste 28Hialeah FL 33012Language SpanishGender FemaleNPI 1174602429License DN14242License Type DBP DentistBoard Certified Not ReportedEmail lizasodental4yahoocomFax (305) 556-6440Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)LLEO Pedro DSuperior Dental Team(786) 360-6262Prov No 000012086086148 Hialeah DrHialeah FL 33010Gender MaleNPI 1942306394License DN17310License Type DBP DentistBoard Certified Not ReportedEmail superiordentalddsgmailcomFax (786) 762-2948Accepts New Patients YHospital Affiliation NA

LLEO Pedro DSimple Simles Llc(305) 381-5412Prov No 00001250009818400 Nw 75th Pl Ste 121Hialeah FL 33015Gender MaleNPI 1942306394License DN17310License Type DBP DentistBoard Certified Not ReportedEmail dentalsimpledmdgmailcomFax (786) 360-2404Accepts New Patients YHospital Affiliation NA

LOFTUS Shamus LWestland Mall Dental(305) 828-7779Prov No 0000130482561665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

159GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)LOPEZ Grace PProgressive Dental(305) 829-0100Prov No 00001224187418600 Nw 87th Ave Unit 125Hialeah FL 33015Gender FemaleNPI 1407101462License DN19810License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

LUPU MatthewUniversal Dental Group(305) 821-3344Prov No 0000013101801935 W 60th StHialeah FL 33012Gender MaleNPI 1699065169License DN19242License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFax (305) 821-3311Accepts New Patients YHospital Affiliation NA

MACAGNO Jessica JGam Dental Inc(786) 485-4150Prov No 000012623705508 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1356680342License DN19974License Type DBP DentistBoard Certified Not ReportedEmail infogamdentalcomFax (305) 468-6101Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MANIGLIA Marielba DDr Sousa and Maniglia Dmd Pa(305) 640-5501Prov No 0000127852308200 W 33rd AveHialeah FL 33018Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail officesmilesolutionsdgcomFaxAccepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DWestland Mall Dental(305) 828-7779Prov No 0000128980121665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

MARINI Nohelia RNohelia Marini(786) 360-6262Prov No 000012913460148 Hialeah DrHialeah FL 33010Gender FemaleNPI 1568640852License DN12018License Type DBP DentistBoard Certified NEmail superiordentalddsgmailcomFax (786) 536-6308Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MARQUEZ-IGLESIAS FelicitaFelicita Marquez Iglesias DdsPllc(305) 826-0906Prov No 0000120818124890 W 3rd AveHialeah FL 33012Language SpanishGender FemaleNPI 1740619402License DN20430License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 826-7455Accepts New Patients YHospital Affiliation NA

MARRO Blanca RSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000128501482900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000125077712900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MARTINEZ Jose MJuan Perez Solar Dds Pa(305) 556-5966Prov No 0000126127805323 W 20th Ave Hialeah FL 33012Language SpanishGender MaleNPI 1467511006License DN13951License Type DBP DentistBoard Certified Not ReportedEmail psolarddsbellsouthnetFax (305) 556-5976Accepts New Patients YHospital Affiliation NA

MARTINEZ Miguel AFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124415422900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Tamara TPalm Center For DentalSpecialties(305) 556-5600Prov No 0000003376207150 W 20th Ave Ste 102Hialeah FL 33016Language SpanishGender FemaleNPI 1881727717License DN17684License Type DBP DentistBoard Certified NEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

160 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MCHUGH Allyson MHialeah Square Dentistry(239) 775-3383Prov No 0000131813954186 W 12th AveHialeah FL 33012Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

MENDEZ AntonioHialeah Dental Assoc(305) 827-6661Prov No 0000000181652106 W 68th St Hialeah FL 33016Gender MaleNPI 1659570430License DN13520License Type DBP DentistBoard Certified Not ReportedEmail frontdeskmisbellosdientescomFax (305) 827-9977Accepts New Patients YHospital Affiliation NA

MOLINA Gustavo RProgressive Dental(305) 829-0100Prov No 00001224489318600 Nw 87th Ave Unit 125Hialeah FL 33015Language SpanishGender MaleNPI 1679859847License DN19559License Type DBP DentistBoard Certified NEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MOLINA Rosario GRosario Molina(305) 685-5133Prov No 0000000187434835 E 4th Ave Ste AHialeah FL 33013Gender FemaleNPI 1912231549License DN9515License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 685-6076Accepts New Patients YHospital Affiliation NA

MONTERO AlexanderProgressive Dental Office Corp(305) 829-0100Prov No 00000114132418600 Nw 87th Ave Unit 125Hialeah FL 33015Gender MaleNPI 1427105998License DN15053License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MONTERO AlexanderRicardo Montero(305) 863-8995Prov No 000012186573568 Hialeah DrHialeah FL 33010Gender MaleNPI 1427105998License DN15053License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 863-8945Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MONTESINOS Alicia EAlicia Montesinos Dds(305) 820-0068Prov No 0000001581626847 W 4th Ave Hialeah FL 33014Gender FemaleNPI 1437439965License DN12756License Type DBP DentistBoard Certified YEmail jrdentalofficeincyahoocomFax (305) 826-2663Accepts New Patients YHospital Affiliation NA

MORALES Enrique EEnrique Morales Dds(305) 691-1616Prov No 0000000180673009 E 4th Ave Hialeah FL 33013Gender MaleNPI 1649310319License DN14003License Type DBP DentistBoard Certified Not ReportedEmail enriquemoralesddsgmailcomFax (305) 691-1063Accepts New Patients YHospital Affiliation NA

MORELL NayadeMorell Dental Care(305) 231-0545Prov No 0000125619533750 W 16th Ave Ste 236Hialeah FL 33012Language SpanishGender FemaleNPI 1942396502License DN17626License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 265-5813Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MORELL OmarWestland Mall Dental(305) 828-7779Prov No 0000126076481665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

NARVAEZ DE V VeronicaPalm Center For DentalSpecialties(305) 556-5600Prov No 0000129245167150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1366979270License DN22539License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

OCHOA German EProgressive Dental Officecorp(305) 829-0100Prov No 00001327788618600 Nw 87th Ave Unit 125Hialeah FL 33015Language SpanishGender MaleNPI 1164641536License DN20287License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

161GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)OLIVA PEREZ IliegCare Dental Group Llc(305) 456-6474Prov No 0000130138834201 Palm Ave Ste 2DHialeah FL 33012Gender FemaleNPI 1265809107License DN21522License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

ORAMAS DaniaOramas Dental Center(305) 456-6322Prov No 000001088757440 W 65th StHialeah FL 33012Gender FemaleNPI 1952613713License DN15467License Type DBP DentistBoard Certified Not ReportedEmail oramasdaniayahoocomFax (305) 456-6375Accepts New Patients YHospital Affiliation NA

ORTEGA Laura OJose R Calvo Dds Pa(305) 823-9982Prov No 000012518336266 E 49th StHialeah FL 33013Gender FemaleNPI 1558742528License DN21243License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)OSSA GOMEZ PaolaDental American Group(305) 556-6100Prov No 0000125750211573 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

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 veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

PATINO JoelyzProgressive Dental Office Corp(305) 829-0100Prov No 00001251808318600 Nw 87th Ave Unit 125Hialeah FL 33015Gender FemaleNPI 1962630103License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549811901 E 10th Ave Ste 39Hialeah FL 33010Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

PEREZ DIAZ ElizabethJuan C Portuondo Dds(305) 556-3313Prov No 0000012634387150 W 20th Ave Ste 102Hialeah FL 33016Language SpanishGender FemaleNPI 1336242296License DN15530License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

PHAM Minh BProgressive Dental Office Corp(305) 829-0100Prov No 00001231414818600 Nw 87th Ave Unit 125Hialeah FL 33015Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PHAM QuynhnhuWestland Mall Dental(305) 828-7779Prov No 0000128665031665 W 49th St Ste 1484 Hialeah FL 33012Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PRIETO EvelynHialeah Dental Center Pa(305) 823-2661Prov No 0000124516631518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

PRIETO EvelynFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124824762900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

162 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PRIETO JulioJulio Prieto Dds(305) 823-5375Prov No 0000000192701570 W 43rd Pl Ste 38Hialeah FL 33012Gender MaleNPI 1083756563License DN11186License Type DBP DentistBoard Certified Not ReportedEmail jppdentistaolcomFaxAccepts New Patients YHospital Affiliation NA

PUENTE KatiaKatia Puente(786) 238-7406Prov No 0000120175434999 W 8th Ave Ste 1Hialeah FL 33012Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

PUENTE KatiaCentury Medical Group Corp(305) 392-0257Prov No 00001219918111300 Nw 87th Ct Ste 141 Hialeah FL 33018Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PUENTE KatiaFlorida Dental Alliance(786) 800-9507Prov No 0000133712644355 W 16th Ave Ste 205AHialeah FL 33012Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail infoacuariodentalgroupcomFax (305) 928-1147Accepts New Patients YHospital Affiliation NA

PUPO YusimyFausto Nicieza Dmd Pa(305) 888-8260Prov No 0000003571071491 E 4th Ave Hialeah FL 33010Gender FemaleNPI 1962604835License DN17069License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 888-5531Accepts New Patients YHospital Affiliation NA

QUESADA PedroDental American Group(305) 556-6100Prov No 0000121891261573 W 49th St Hialeah FL 33012Language SpanishGender MaleNPI 1164898177License DN21528License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)QUESADA PedroPedro Quesada Dds Pa(786) 223-9730Prov No 000012771204742 W 49th St Hialeah FL 33012Language SpanishGender MaleNPI 1164898177License DN21528License Type DBP DentistBoard Certified Not ReportedEmail palmspringdentalattnetFax (786) 534-9221Accepts New Patients YHospital Affiliation NA

QUINTANA Rafael JDavid E Ewitt Dds Pa(305) 558-2261Prov No 0000000188644841 W 4th Ave Hialeah FL 33012Gender MaleNPI 1215096235License DN13154License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAJSCHMIR Silvina JHialeah Dental Center Pa(305) 823-2661Prov No 0000125546531518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1679977896License DN22255License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RAMIREZ CarmenCarmen Ramirez Dds(305) 836-3635Prov No 000012126423820 E 41st St Ste 202Hialeah FL 33013Gender FemaleNPI 1811162019License DN16423License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 836-4021Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenMj Dental Office(305) 825-7447Prov No 0000127190232360 W 68th St Ste 124Hialeah FL 33016Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail infomjdentalofficecomFaxAccepts New Patients YHospital Affiliation NA

RAMOS Luis ARamos Dental Assoc Inc(305) 558-2446Prov No 0000003506374564 W 12th Ave Hialeah FL 33012Language SpanishGender MaleNPI 1114000304License DN17350License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 558-1811Accepts New Patients YHospital Affiliation NA

163GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)REED SamanthaWestland Mall Dental(305) 828-7779Prov No 0000125638481665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

REYES Christina MJose R Calvo Dds Pa(305) 823-9982Prov No 000012882527266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(305) 826-5224Prov No 0000128956054410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)REYES Christina MDental Excellence Partners Llc(786) 501-2166Prov No 0000128967543825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(305) 826-5224Prov No 0000000184894410 W 16th Ave Ste 58Hialeah FL 33012Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(786) 501-2166Prov No 0000129656653825 W 16th AveHialeah FL 33012Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)REYES Miguel ADental Excellence Partners Llc(305) 823-9982Prov No 000012965666266 E 49th StHialeah FL 33013Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

REYES CANALS Osmil AFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000122194812900 W 12th Ave Ste 27Hialeah FL 33012Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineWestland Mall Dental(305) 828-7779Prov No 0000127857981665 W 49th St Ste 1484 Hialeah FL 33012Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RIVAS Miguel APan American Dental Clinic(305) 827-0434Prov No 000000275910400 W 65th StHialeah FL 33012Gender MaleNPI 1194895011License DN12051License Type DBP DentistBoard Certified Not ReportedEmail agarciaprodentalcenterscomFax (305) 827-0534Accepts New Patients YHospital Affiliation NA

RODRIGUEZ ElviraSage Dental of Miami LakesPllc(786) 456-1760Prov No 00001299436416879 Nw 67th AveHialeah FL 33015Gender FemaleNPI 1689197345License DN22847License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissWestland Mall Dental(305) 828-7779Prov No 0000130557651665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

164 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RODRIGUEZ LazaroCentury Medical Group Corp(305) 392-0257Prov No 00000114936211300 Nw 87th Ct Ste 141 Hialeah FL 33018Gender MaleNPI 1184823031License DN17750License Type DBP DentistBoard Certified Not ReportedEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

RODRIGUEZ ReneAampR Dental Centers(305) 883-4880Prov No 000012060716765 E 9th StHialeah FL 33010Language SpanishGender MaleNPI 1942513122License DN19107License Type DBP DentistBoard Certified NEmail ardental305gmail comFax (786) 536-6761Accepts New Patients YHospital Affiliation NA

RODRIGUEZ RoxanaHialeah Dental Care(305) 823-1882Prov No 0000002641974240 W 16th Ave Hialeah FL 33012Language SpanishGender FemaleNPI 1336263912License DN17094License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RODRIGUEZ VickyDr David Dewitt and Assoc(305) 558-2261Prov No 0000000188654841 W 4th Ave Hialeah FL 33012Gender FemaleNPI 1912041195License DN11514License Type DBP DentistBoard Certified Not ReportedEmail dds5318bellsouth netFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ BERNAL Jesus DJdr Dental Clinic Llc(305) 362-0888Prov No 0000023745923695 W 4th AveHialeah FL 33012Gender MaleNPI 1245417534License DN19922License Type DBP DentistBoard Certified NEmail marthuguitagmailcomFax (305) 362-0058Accepts New Patients YHospital Affiliation NA

ROMERO-MELIS MildredHialeah Square Dentistry Pa(305) 556-6291Prov No 0000121706244186 W 12th AveHialeah FL 33012Language SpanishGender FemaleNPI 1467843383License DN21172License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ROQUE-RUANO MaikelSage Dental of Miami LakesPllc(786) 456-1760Prov No 00001252605416879 Nw 67th AveHialeah FL 33015Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RUIZ EliseoSmile Dental Group(305) 556-8800Prov No 0000120568957618 Nw 186th StHialeah FL 33015Gender MaleNPI 1457589525License DN18793License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 877-9600Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000004165702900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SANTIESTEBAN AymaraSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000128616422900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

SANTOS NatalyNew Era Dental Pa(786) 558-8637Prov No 0000012411582011 W 62nd St Hialeah FL 33016Gender FemaleNPI 1568626240License DN18334License Type DBP DentistBoard Certified Not ReportedEmail neweradentalyahoocomFax (786) 558-8638Accepts New Patients YHospital Affiliation NA

SARDUY RaynelRicardo Montero(305) 863-8995Prov No 000012448052568 Hialeah DrHialeah FL 33010Language Portuguese SpanishGender MaleNPI 1790161693License DN21374License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 863-8945Accepts New Patients YHospital Affiliation NA

165GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SEIJAS Migdalia IMigdalia Seijas(305) 819-0820Prov No 0000088215921169 W 35th StHialeah FL 33012Gender FemaleNPI 1194895664License DN13282License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 827-3207Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HWestland Mall Dental Pa(305) 828-7779Prov No 0000131436841665 W 49th St Ste 1484Hialeah FL 33012Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

SIMBACO WalterMarco J Morales(305) 823-1882Prov No 0000129445244240 W 16th AveHialeah FL 33012Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SOLER Rosa MHialeah Dental Care(305) 823-1882Prov No 0000001340374240 W 16th Ave Hialeah FL 33012Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

SOLER Rosa MWorld Dental Care Corp(305) 888-1458Prov No 0000020229441370 E 4th Ave Hialeah FL 33010Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail worlddentalcarecomcastnetFax (786) 235-0257Accepts New Patients YHospital Affiliation NA

SOLER Rosa MAlpha Dental Group Inc(786) 238-7406Prov No 0000120096194999 W 8th Ave Ste 1Hialeah FL 33012Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SOLER Rosa MAmazing Touch Dental CareCorp(786) 257-1646Prov No 0000122241161955 W 68th StHialeah FL 33014Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail amazingtouchdentalgmailcomFax (305) 825-7676Accepts New Patients YHospital Affiliation NA

SOSA-ABELLA Nancy MPalm Center For DentalSpecialties(305) 556-5600Prov No 0000000179837150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1821186982License DN13746License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

STREETT RosarioHialeah Dental Center Pa(305) 823-2661Prov No 0000125941991518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1801230768License DN21495License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SWANSON Wendy EWendy Elizabeth Swanson Dds(786) 542-9700Prov No 000012915912922 E 25th St Hialeah FL 33013Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail dentalcaresouthfloridagmailcomFax (786) 542-9690Accepts New Patients YHospital Affiliation NA

TRAVIESAS EladioTraviesas Dental Care(305) 826-8980Prov No 0000127960154301 Palm Ave Ste FHialeah FL 33012Gender MaleNPI 1992187876License DN22857License Type DBP DentistBoard Certified Not ReportedEmail traviesasdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

UCROS Maria JHialeah Dental Center Pa(305) 823-2661Prov No 0000124478201518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1366833212License DN21212License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

166 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

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 DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

VALDES Martha BFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000120491782900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

VAZANA RaphaelDavid E Dewitt Dds Pa(305) 558-2261Prov No 0000001487364841 W 4th Ave Hialeah FL 33012Gender MaleNPI 1528170107License DN8463License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)VAZQUEZ Omar SWestland Mall Dental(305) 828-7779Prov No 0000127770981665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DHialeah Square Dentistry Pa(305) 556-6291Prov No 0000127601244186 W 12th AveHialeah FL 33012Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012945512901 E 10th Ave Ste 39Hialeah FL 33010Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ZARDON Ramon ARazar Dental Group 2 Inc(305) 827-1700Prov No 0000000183075864 Nw 183rd St Hialeah FL 33015Gender MaleNPI 1679793715License DN13245License Type DBP DentistBoard Certified Not ReportedEmail razardentalgmail comFax (305) 827-3922Accepts New Patients YHospital Affiliation NA

ZAWADZKY Javier MCentury Medical Group Corp(305) 392-0257Prov No 00000126462411300 Nw 87th Ct Ste 141 Hialeah FL 33018Gender MaleNPI 1245541507License DN19098License Type DBP DentistBoard Certified NEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

HIALEAH GARDENS

BERRY Wayne LSylvia Santana Pa(305) 364-9322Prov No 00001214662911300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH GARDENS (Cont)HOSSAIN Marta CBiltmore Dental Associates Pa(305) 364-9322Prov No 00001213883911300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MENENDEZ NancySylvia Santana Pa(305) 364-9322Prov No 00001244897711300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender FemaleNPI 1467707927License DN20816License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MENTRASTI-SANTANA SylviaSylvia Santana Pa(305) 364-9322Prov No 00001223546111300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Language SpanishGender FemaleNPI 1679820344License DN19864License Type DBP DentistBoard Certified NEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

167GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH GARDENS (Cont)MONTERO RicardoBiltmore Dental Associates Pa(305) 364-9322Prov No 00001199827711300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Language SpanishGender MaleNPI 1164579066License DN14128License Type DBP DentistBoard Certified NEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

PAYA AnabelPaya Dental(786) 502-4467Prov No 0000125017532851 W 68th St Ste 12Hialeah Gardens FL 33018Language SpanishGender FemaleNPI 1609256700License DN21221License Type DBP DentistBoard Certified Not ReportedEmail apayadentalgmailcomFax (786) 536-4795Accepts New Patients YHospital Affiliation NA

PEREZ IdalmesSylvia Santana Pa(305) 364-9322Prov No 00001204968411300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender FemaleNPI 1881896306License DN17928License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH GARDENS (Cont)REYES CANALS Osmil ASylvia Santana Pa(305) 364-9322Prov No 00001217270711300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

HOMESTEAD

ABDELMONEM RafahAmerican Dental Center(305) 247-8823Prov No 0000016590461938 N Krome Ave Homestead FL 33030Gender MaleNPI 1194736959License DN16642License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

ALVAREZ Nimia RNimia Alvarez(305) 245-0304Prov No 000001234525127 Ne 8th St Homestead FL 33030Gender FemaleNPI 1629378559License DN12188License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-0306Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)BERRY Wayne LAmerican Dental Center(305) 247-8823Prov No 0000123306161938 N Krome Ave Homestead FL 33030Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012449326698 N Homestead Blvd Ste106Homestead FL 33030Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012448046698 N Homestead Blvd Ste106Homestead FL 33030Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)BOTERO AlexandraSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012442564125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraByg Dental Corp(305) 247-5161Prov No 000012617562930 N Krome AveHomestead FL 33030Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

BUITRAGO Juan CByq Dental Corp(305) 247-5161Prov No 000000354764930 N Krome Ave Homestead FL 33030Gender MaleNPI 1700057494License DN15378License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

168 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012102122810 W Mowry DrHomestead FL 33030Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001210298513600 Sw 312th StHomestead FL 33033Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

CARAVIA AmandaDental Associates of HomesteadInc(305) 247-0099Prov No 000005300663925 Ne 30th Ter Ste 114Homestead FL 33033Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CASTRO Eileen JSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012853789125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001040015613600 Sw 312th StHomestead FL 33033Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000010400364810 W Mowry DrHomestead FL 33030Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CHIU Gordon BDental Associates of HomesteadInc(305) 247-0099Prov No 000000018056925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1962514919License DN14174License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012637251125 Ne 8th St Ste 1Homestead FL 33030Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORUGEDO AdaSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012631922125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CRUZ Karen GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000001923156125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

ELHOSARY Princess CMonem Dental Llc(305) 247-8823Prov No 0000129859111938 N Krome Ave Homestead FL 33030Gender FemaleNPI 1144677501License DN22761License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001306244513600 Sw 312th StHomestead FL 33033Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

169GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000013062453810 W Mowry DrHomestead FL 33030Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

FERNANDEZ-ABRIL Jorge CAltima Dental GroupHomestead(305) 246-5444Prov No 0000007070152870 Ne 8th St Homestead FL 33033Gender MaleNPI 1720307572License DN16962License Type DBP DentistBoard Certified NEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

GARCIA IdalmesSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000013371281125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)GARMIZO JoshuaMonem Dental Llc(305) 247-8823Prov No 0000128950661938 N Krome Ave Homestead FL 33030Gender MaleNPI 1912427287License DN22885License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

GARROTE RogelioSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012554800125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GIL Lester OSmile Plus(305) 247-5161Prov No 000000399186930 N Krome Ave Homestead FL 33030Gender MaleNPI 1427216803License DN18301License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)GIL Lester OByg Dental Corporation(305) 247-5161Prov No 000012023645963 N Krome AveHomestead FL 33030Gender MaleNPI 1427216803License DN18301License Type DBP DentistBoard Certified Not ReportedEmail smileplushomesteadgmailcomFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

GOMARA Luis ASalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000000305671125 Ne 8th St Ste 1Homestead FL 33030Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GRIGOROPOULOS MariosDental Center of Homestead(305) 246-5444Prov No 0000125275022870 Ne 8th St Homestead FL 33033Gender MaleNPI 1720285646License DN14743License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)HAYES NorysBerenstein and Lekkas Pa(305) 246-5444Prov No 0000122303672870 Ne 8th St Homestead FL 33033Language SpanishGender FemaleNPI 1578638540License DN17144License Type DBP DentistBoard Certified NEmailFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000000341594810 W Mowry DrHomestead FL 33030Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000072342613600 Sw 312th StHomestead FL 33033Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

170 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)LANG TomasCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000073609613600 Sw 312th StHomestead FL 33033Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

LANG TomasMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000001044425810 W Mowry DrHomestead FL 33030Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

LAU VicenteSouth Dade Health Center(305) 242-6069Prov No 00001249724613600 Sw 312th StHomestead FL 33033Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)LAU VicenteCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012512163810 W Mowry DrHomestead FL 33030Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

LEA PLAZA RodolfoNaranja Family Dentistry Pa(786) 601-2644Prov No 00001279701027325 S Dixie HwyHomestead FL 33032Language SpanishGender MaleNPI 1932407103License DN19240License Type DBP DentistBoard Certified Not ReportedEmail leaplazadentalgmailcomFax (786) 601-2437Accepts New Patients YHospital Affiliation NA

LEE Nancy VAltima Dental GroupHomestead(305) 246-5444Prov No 0000088221052870 Ne 8th St Homestead FL 33033Language SpanishVietnameseGender FemaleNPI 1174883482License DN19879License Type DBP DentistBoard Certified NEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)LOBAINA Yoan EYoan Lobaina Corp(305) 245-9691Prov No 00000181991330 Nw 15th StHomestead FL 33030Gender MaleNPI 1245468131License DN18774License Type DBP DentistBoard Certified NEmailFax (786) 339-8449Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000000858485810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedSouth Dade Health Center(305) 242-6069Prov No 00000085990713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MARRO Blanca RSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012849827125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012554802125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Jose MAll Family Care Inc(305) 246-0460Prov No 00001337282338 Nw 8th St Homestead FL 33030Gender MaleNPI 1780798926License DN12529License Type DBP DentistBoard Certified Not ReportedEmail sanguily_16msnco mFax (305) 246-0516Accepts New Patients YHospital Affiliation NA

171GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MARTINEZ Miguel AFamily amp Cosmetic Dentistry(305) 888-0008Prov No 000012441844125 Ne 8th St Ste 1 Homestead FL 33030Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmailFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Tamara TFlorida City Dental Inc(786) 465-2254Prov No 000001957318786 S Homestead BlvdHomestead FL 33030Language SpanishGender FemaleNPI 1881727717License DN17684License Type DBP DentistBoard Certified NEmail smilefloridacitydentalcomFaxAccepts New Patients YHospital Affiliation NA

MIRANDA AlejandraMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000012059721810 W Mowry DrHomestead FL 33030Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MIRANDA AlejandraSouth Dade Health Center(305) 242-6069Prov No 00001205980913600 Sw 312th StHomestead FL 33033Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

MOLINA Rolando Jesus JRolando J Molina Dds Pa(305) 242-5223Prov No 00000003371945 Nw 8th St Ste 101 Homestead FL 33030Language SpanishGender MaleNPI 1689700221License DN14344License Type DBP DentistBoard Certified Not ReportedEmail rolandomolina1aolcomFax (305) 248-8818Accepts New Patients YHospital Affiliation NA

MORALES Ronald JAltima Dental GroupHomestead(305) 246-5444Prov No 0000129735042870 Ne 8th St Homestead FL 33033Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012071097810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001207110413600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

PEREZ Alina JByg Dental Corp(305) 247-5161Prov No 000011997640930 N Krome AveHomestead FL 33030Gender FemaleNPI 1649408469License DN18627License Type DBP DentistBoard Certified NEmailFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)PINO Raquel CAltima Dental GroupHomestead(305) 246-5444Prov No 0000121257012870 Ne 8th St Homestead FL 33033Language SpanishGender FemaleNPI 1912310665License DN20670License Type DBP DentistBoard Certified Not ReportedEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

PRIETO EvelynSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012482478125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

PUENTE KatiaSsa Services Incorporated(305) 245-7974Prov No 0000000191018 Palm Plz Homestead FL 33030Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-9433Accepts New Patients YHospital Affiliation NA

172 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)QUINTERO Juan MAmerican Dental Center(305) 247-8823Prov No 0000021582411938 N Krome Ave Homestead FL 33030Language SpanishGender MaleNPI 1710298302License DN19085License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012683106810 W Mowry DrHomestead FL 33030Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001268328413600 Sw 312th StHomestead FL 33033Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)RAMIREZ MauricioDental Associates of HomesteadInc(305) 247-0099Prov No 000012772249925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000013073325810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001307332713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)RAPPACCIOLI CotyFlorida City Dental Inc(786) 465-2254Prov No 000002022002786 S Homestead BlvdHomestead FL 33030Language SpanishGender FemaleNPI 1649473588License DN15733License Type DBP DentistBoard Certified Not ReportedEmail smilefloridacitydentalcomFaxAccepts New Patients YHospital Affiliation NA

REYES CANALS Osmil ASalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012219483125 Ne 8th St Ste 1Homestead FL 33030Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JDental Associates of HomesteadInc(305) 247-0099Prov No 000000298812925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)ROMERO VAZQUEZ IvetDental Center of Homestead(305) 246-5444Prov No 0000126298352870 Ne 8th St Homestead FL 33033Language SpanishGender FemaleNPI 1316476682License DN22624License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

RUIZ EliseoDental Associates of HomesteadInc(305) 247-0099Prov No 000000468153925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1457589525License DN18793License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

RUIZ SailiDental Associates of HomesteadPa(305) 247-0099Prov No 000012103252925 Ne 30th Ter Ste 118Homestead FL 33033Language SpanishGender FemaleNPI 1932514296License DN20706License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-0084Accepts New Patients YHospital Affiliation NA

173GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000000997512810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000099790113600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000000349915125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)SAN JUAN Carlos MNimia Alvarez(305) 245-0304Prov No 000012519815127 Ne 8th St Homestead FL 33030Gender MaleNPI 1619233244License DN12640License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-0306Accepts New Patients YHospital Affiliation NA

SANCHEZ Zoraida TZoraida T Sanchez Dds(305) 247-9292Prov No 0000002278241619 Ne 8th StHomestead FL 33033Language SpanishGender FemaleNPI 1093824096License DN16063License Type DBP DentistBoard Certified Not ReportedEmail zpabellsouthnetFax (305) 247-0344Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012861893125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)SARMIENTO Jeffrey ECommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001247389613600 Sw 312th StHomestead FL 33033Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012490912810 W Mowry DrHomestead FL 33030Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

SILVESTRY Elvin JDental Associates FoHomestead Pa(305) 247-0099Prov No 000012746685925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1447332374License DN13522License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-0084Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)SIMBACO WalterNimia Alvarez(305) 245-0304Prov No 000001132634127 Ne 8th St Homestead FL 33030Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-0306Accepts New Patients YHospital Affiliation NA

VALDES Martha BFamily amp Cosmetic Dentistry(305) 888-0008Prov No 000012049176125 Ne 8th St Ste 1 Homestead FL 33030Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmailFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

VAN JimDental Associates of Homestead(305) 247-0099Prov No 000013120442925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1649796293License DN23005License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

174 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)WATSON-HAMILTON Sheri SMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000000365083810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

WATSON-HAMILTON Sheri SSouth Dade Health Center(305) 242-6069Prov No 00000073552713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000005178779810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000517931713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

KENDALL

CRUZ Antonio RSage Dental of Dadeland Pllc(786) 870-4665Prov No 0000127383357714 N Kendall DrKendall FL 33156Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PINO Raquel CSage Dental of Dadeland Pllc(786) 870-4665Prov No 0000127764777714 N Kendall DrKendall FL 33156Language SpanishGender FemaleNPI 1912310665License DN20670License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI

ABDEL-JABBAR Sana HSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124579466820 Bird RdMiami FL 33155Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ABDELMONEM RafahAmerican Dental Center(305) 625-5400Prov No 0000011953661505 Nw 167th St Ste 100 Miami FL 33169Gender MaleNPI 1194736959License DN16642License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

ABOLSKY Norman INorman Abolsky(305) 595-2335Prov No 00000001842912534 Sw 88th StMiami FL 33186Gender MaleNPI 1184776478License DN5751License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 279-7879Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ABRAHAO Thalia MAmerican Dental ClinicCorporation(305) 485-8427Prov No 0000125183243631 Sw 87th AveMiami FL 33165Gender FemaleNPI 1245648229License DN20764License Type DBP DentistBoard Certified Not ReportedEmail infoamericadentalcliniccomFax (305) 485-8429Accepts New Patients YHospital Affiliation NA

ADLER Robert MBorinquen Health Care CenterInc Dental(305) 576-6611Prov No 0000004455433601 Federal Hwy Fl 5Miami FL 33137Gender MaleNPI 1508996851License DN1171License Type DBP DentistBoard Certified Not ReportedEmail otamarezborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

AGREDA AngelAngel Agreda Dds Pa(305) 554-8224Prov No 0000002636852611 Sw 147th Ave Miami FL 33185Gender MaleNPI 1699883199License DN11416License Type DBP DentistBoard Certified Not ReportedEmail contactmiamidadedentistrycomFax (305) 554-8897Accepts New Patients YHospital Affiliation NA

175GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)AGUILAR Lina ATamiami Dental Center Pa(305) 553-9655Prov No 00000073872613232 Sw 8th St Miami FL 33184Language SpanishGender FemaleNPI 1730408881License DN19023License Type DBP DentistBoard Certified Not ReportedEmail onestopsmileshophotmailcomFax (305) 553-7688Accepts New Patients YHospital Affiliation NA

AGUILAR Lina ADental Specialty Center atBaptist(305) 275-8875Prov No 0000020190798940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender FemaleNPI 1730408881License DN19023License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

ALDAMA-ESPINOSA EvelynNorthwest Dental Group Pa(305) 677-3450Prov No 0000002807431250 Nw 119th StMiami FL 33167Gender FemaleNPI 1275976771License DN17045License Type DBP DentistBoard Certified Not ReportedEmail aldamadentalgroupgmailcomFax (305) 677-3449Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ALFONSO JossueJossue Alfonso Dmd Pa(305) 642-4142Prov No 000012127017351 Nw 42nd Ave Ste 402Miami FL 33126Language SpanishGender MaleNPI 1235423997License DN19316License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 642-4143Accepts New Patients YHospital Affiliation NA

ALFONZO Fara AUniversal Dental Clinic(305) 326-7159Prov No 000000731775432 Nw 12th Ave Miami FL 33128Language SpanishGender FemaleNPI 1851447684License DN11020License Type DBP DentistBoard Certified Not ReportedEmail universaldental2011hotmailcomFax (305) 324-5875Accepts New Patients YHospital Affiliation NA

ALFONZO Fara ADental Family Services(305) 643-4900Prov No 0000124493272772 Nw 7th StMiami FL 33125Language SpanishGender FemaleNPI 1851447684License DN11020License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 643-4900Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ALVAREZ AriamMy Smile Center(305) 728-2000Prov No 00001302528012800 Sw 8th StMiami FL 33184Language SpanishGender MaleNPI 1962841783License DN21526License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

ALVAREZ ElibethDental Specialty Center atBaptist(305) 275-8875Prov No 0000013213828940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender FemaleNPI 1831487339License DN19503License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

ALVAREZ Maria JDental Group of South FloridaII(305) 251-4262Prov No 00000124209911336 Sw 184th St Miami FL 33157Language SpanishGender FemaleNPI 1124165303License DN17638License Type DBP DentistBoard Certified Not ReportedEmail mirtirb123gmailc omFax (786) 242-6351Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ALVAREZ Maria JDental Group of South FloridaIV Inc(786) 250-5088Prov No 00001258932011373 Sw 211th St Ste 10- 11Miami FL 33189Language SpanishGender FemaleNPI 1124165303License DN17638License Type DBP DentistBoard Certified Not ReportedEmail dentalgroup211gmailcomFax (786) 713-0959Accepts New Patients YHospital Affiliation NA

ALVAREZ Pablo RSmile Dentistry Associates Llc(305) 270-5505Prov No 0000017687519055 Sw 87th Ave Ste 303 Miami FL 33176Gender MaleNPI 1265765655License DN11024License Type DBP DentistBoard Certified NEmail smiledentistyoutlookcomFax (305) 270-0455Accepts New Patients YHospital Affiliation NA

AMSELEM ShalomShalom Amselem(305) 931-1888Prov No 0000003679442630 Ne 203rd St Ste 101Miami FL 33180Gender MaleNPI 1346376258License DN12583License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 931-0098Accepts New Patients YHospital Affiliation NA

176 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 501-2163Prov No 00001294126313768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 534-2796Prov No 0000129777168300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 501-2168Prov No 0000129777196801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(305) 443-9206Prov No 0000129777254500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ARGUELLES LourdesRichard C Lage Dds(305) 642-3552Prov No 000012130173351 Nw 42nd Ave Ste 504Miami FL 33126Gender FemaleNPI 1932410396License DN12649License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 642-3554Accepts New Patients YHospital Affiliation NA

AROCHA JosefinaJadent Inc(305) 220-0066Prov No 0000002696643945 Sw 92nd Ave Miami FL 33165Gender FemaleNPI 1952448367License DN14047License Type DBP DentistBoard Certified Not ReportedEmail jadentccaolcomFax (305) 220-1210Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ARON Robert SRobert Aron(305) 654-1234Prov No 00000044816121457 Nw 2nd AveMiami FL 33169Gender MaleNPI 1811160641License DN11026License Type DBP DentistBoard Certified Not ReportedEmail countyliondentgmailcomFax (305) 652-6041Accepts New Patients YHospital Affiliation NA

ARZOLA VanessaVanessa Arzola Dmd Pa(305) 559-2663Prov No 00001210880113419 Sw 56th St Miami FL 33175Gender FemaleNPI 1295816924License DN15923License Type DBP DentistBoard Certified Not ReportedEmail drarzolamillerdentalnetFax (305) 559-3040Accepts New Patients YHospital Affiliation NA

AYALA Rita CBest Dental Creations(305) 270-8029Prov No 0000017719888740 N Kendall Dr Ste 220 Miami FL 33176Language SpanishGender FemaleNPI 1619090289License DN14821License Type DBP DentistBoard Certified Not ReportedEmail bestdentalcreationsgmailcomFax (305) 273-8437Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)AZARI Scott JSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631456820 Bird RdMiami FL 33155Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of West KendallPllc(786) 621-5800Prov No 00001247314312554 Sw 88th StMiami FL 33186Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BALMIR-THEVENIN JoelleBalmir Thevenin amp Phanord(305) 271-0510Prov No 00000001864210621 N Kendall Dr Ste 10 2Miami FL 33176Language French SpanishGender FemaleNPI 1972618361License DN13260License Type DBP DentistBoard Certified Not ReportedEmail joelletheveningmailcomFax (305) 271-3532Accepts New Patients YHospital Affiliation NA

177GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BARCIA Antonio RJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000124820975361 Nw 22nd AveMiami FL 33142Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

BARCIA Antonio RJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000124856315607 Nw 27th Ave Ste 2 Miami FL 33142Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

BARCIA Antonio RJessie Trice Community Health(305) 637-6400Prov No 00001248563218360 Nw 7th Ave Miami FL 33169Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BARCIA Antonio RJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873731217 Nw 15th StMiami FL 33136Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

BARO RosemarieBaro Family Dental Grp(305) 649-3500Prov No 0000000181361449 W Flagler St Miami FL 33135Gender FemaleNPI 1396758165License DN14823License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BARO RosemarieProfessional Denatl Group(305) 226-3386Prov No 00000019809710122 W Flagler StMiami FL 33174Gender FemaleNPI 1396758165License DN14823License Type DBP DentistBoard Certified Not ReportedEmail professionaldentbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BARRERA Martha EDesign A Smile Kendall Pa(305) 408-3388Prov No 00000019189213091 Sw 88th St Miami FL 33186Language SpanishGender FemaleNPI 1790023562License DN14420License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 408-3029Accepts New Patients YHospital Affiliation NA

BATISTA Virginia DUnlimited Dental Care Corp(786) 356-7246Prov No 00000107621011498 Quail Roost DrMiami FL 33157Language SpanishGender FemaleNPI 1760702575License DN18983License Type DBP DentistBoard Certified Not ReportedEmail unlimitedental11498yahoocomFax (305) 232-4487Accepts New Patients YHospital Affiliation NA

BECERRA MariaBecerras Family Dentistry(305) 269-1440Prov No 000000142005936 Sw 82nd Ave Miami FL 33144Gender FemaleNPI 1598841405License DN15934License Type DBP DentistBoard Certified Not ReportedEmail becerradmdyahoocomFax (305) 269-1441Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BEDDALL Harold LTowncare Dental of Pinecrest(305) 253-7227Prov No 0000120943488353 Sw 124th St Ste 202Miami FL 33156Language SpanishGender MaleNPI 1922149475License DN10248License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

BERQUIST Michael RTowncare Dental of WestKendall(305) 388-7900Prov No 00001012062915724 Sw 72nd StMiami FL 33193Gender MaleNPI 1447488911License DN16133License Type DBP DentistBoard Certified NEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

BERRY Wayne LAmerican Dental Center(305) 625-5400Prov No 0000122340051505 Nw 167th St Ste 100 Miami FL 33169Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

178 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BETANCOR AnetteAnette Betancor Dds Pa(305) 553-3683Prov No 0000120067548372 Bird Rd Miami FL 33155Language SpanishGender FemaleNPI 1508139064License DN19584License Type DBP DentistBoard Certified NEmail dentedentemiamicomFax (305) 553-3694Accepts New Patients YHospital Affiliation NA

BETANCOURT Arely MAb Dentistry Inc(305) 223-0420Prov No 0000011323329840 Sw 40th St Miami FL 33165Gender FemaleNPI 1265528897License DN16665License Type DBP DentistBoard Certified Not ReportedEmail abdentistryaolco mFax (305) 223-0438Accepts New Patients YHospital Affiliation NA

BEYDOUN Miriam MFermin R Lopez Dds Pa(305) 649-6112Prov No 0000013187801125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1902012669License DN14996License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BEYDOUN Miriam MFlagler Dental Care(305) 324-5072Prov No 0000121276531199 W Flagler St Ste 7 Miami FL 33130Gender FemaleNPI 1902012669License DN14996License Type DBP DentistBoard Certified Not ReportedEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

BIENES Lissette MariaL Maria Bienes Dmd Pa(305) 221-0301Prov No 0000000179333411 Sw 107th Ave Miami FL 33165Gender FemaleNPI 1275673071License DN11566License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 221-0381Accepts New Patients YHospital Affiliation NA

BLANCO Diana RDiana R Blanco Dmd Pllc(305) 456-4592Prov No 000012910182279 Nw 82nd AveMiami FL 33126Gender FemaleNPI 1659536043License DN18471License Type DBP DentistBoard Certified Not ReportedEmail erma2315gmailcomFax (786) 360-6953Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLANCO FaridBlanco Jamis Dental Group(305) 262-4604Prov No 000012127113199 Sw 12th Ave Ste 5Miami FL 33130Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000121271224155 Sw 130th Ave Ste 104Miami FL 33175Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000121271239724 Sw 40th StMiami FL 33165Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group(305) 262-4604Prov No 0000121271267801 Coral Way Ste 100Miami FL 33155Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 262-4618Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124480291695 Sw 107th AveMiami FL 33165Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012746275199 Sw 12th Ave Ste 56Miami FL 33130Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental(305) 262-4604Prov No 0000003188597801 Coral Way Ste 100Miami FL 33155Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 262-4618Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000005606436199 Sw 12th Ave Ste 5Miami FL 33130Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

179GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000056064389724 Sw 40th StMiami FL 33165Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000056064664155 Sw 130th Ave Ste 104Miami FL 33175Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124493321695 Sw 107th AveMiami FL 33165Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012746277199 Sw 12th Ave Ste 56Miami FL 33130Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLAY Marina MFalls Dental Care Group(305) 255-5550Prov No 0000124852068729 Sw 136th St Miami FL 33176Language Chinese SlovakSpanishGender FemaleNPI 1932425972License 12269License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

BOBADILLA Patricia MEmpire Corporation Anc Inc(305) 631-2963Prov No 0000124852592030 Nw 22nd AveMiami FL 33142Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631046820 Bird RdMiami FL 33155Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BOERAS GARCIA SuibelEast Coast Family Dental Pa(786) 300-3483Prov No 0000128360106800 Sw 8th StMiami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 534-2796Prov No 0000128369588300 W Flagler St Ste 200Miami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 534-2796Prov No 0000129258258300 W Flagler St Ste 210Miami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 501-2163Prov No 00001297032613768 Sw 8th StMiami FL 33184Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 501-2168Prov No 0000129703286801 Sw 8th StMiami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 443-9206Prov No 0000129715334500 Nw 7th StMiami FL 33126Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

180 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BORGES Jorge FJorge F Borges Dmd(305) 266-5222Prov No 0000004699278000 W Flagler St Ste 204Miami FL 33144Gender MaleNPI 1144361916License DN15375License Type DBP DentistBoard Certified Not ReportedEmail sandydentalsmilesgmailcomFax (305) 262-3289Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraDental Design Specialists Corp(305) 270-0744Prov No 00001221211413550 Sw 88th St Ste 112 Miami FL 33186Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001244256313706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BRATMAN JerrySage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631066820 Bird RdMiami FL 33155Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(305) 652-3412Prov No 0000011566451001 Ives Dairy Rd Ste 103Miami FL 33179Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 652-3259Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(305) 227-0600Prov No 00000115665011865 Sw 26th St Ste C39Miami FL 33175Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BRODY Robert ADental Health Group Pa(305) 385-4215Prov No 00000115665313876 Sw 88th StMiami FL 33186Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(305) 595-6411Prov No 0000036950189595 N Kendall Dr Ste 201Miami FL 33176Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 595-8724Accepts New Patients YHospital Affiliation NA

BRODY Robert AGreat Expressions DentalCenters(305) 670-4476Prov No 0000036950227300 N Kendall Dr Ste 110Miami FL 33156Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BUITRAGO Juan CDental Design Specialists Corp(305) 270-0744Prov No 00001201072513550 Sw 88th St Ste 112 Miami FL 33186Gender MaleNPI 1700057494License DN15378License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

BUITRAGO Juan CDottell Design Specialists Corp(305) 270-0744Prov No 00001201072513550 Sw 88th St Ste 112 Miami FL 33186Gender MaleNPI 1700057494License DN15378License Type DBP DentistBoard Certified Not ReportedEmail rcorreaddsmiamic omFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

BUSTILLO CynthiaFontainebleau Dentistry(714) 845-8500Prov No 0000126387709971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1457871733License DN22795License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

181GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CABEZA Iliana MNorth West Dental Center Inc(305) 576-4387Prov No 000002825202157 Nw 36th StMiami FL 33127Gender FemaleNPI 1487743290License DN9561License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 576-1166Accepts New Patients YHospital Affiliation NA

CABRERA MoisesMoises Cabrera(305) 388-3725Prov No 00000002222714609 Sw 104th StMiami FL 33186Gender MaleNPI 1326196163License DN15114License Type DBP DentistBoard Certified Not ReportedEmail penatedentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

CABRERA Rene ERc Dental(305) 596-0322Prov No 00001299872312305 Sw 112th StMiami FL 33186Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail rcdentalclinicsgmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CABRERA ROCA HectorPrayers DdsHonest DentalService(305) 456-8046Prov No 000002018288400 Sw 27th AveMiami FL 33135Language SpanishGender MaleNPI 1407163272License DN19769License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

CALDERON Erik OHammocks Dental Group Pa(305) 387-5700Prov No 0000012491179280 Hammocks Blvd Ste 10 2Miami FL 33196Language SpanishGender MaleNPI 1942596416License DN19377License Type DBP DentistBoard Certified Not ReportedEmail hammocksdentelisacomFax (305) 387-6566Accepts New Patients YHospital Affiliation NA

CALVO Jose REast Coast Family Dental Pa(305) 264-0747Prov No 0000121271846741 Coral Way Ste 14Miami FL 33155Gender MaleNPI 1831100452License DN11226License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CAMPBELL LisaCommunity Health of SouthFlorida Inc For Lisa Cam(786) 231-0800Prov No 00001247469013540 Sw 135th AveMiami FL 33186Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

CAMPBELL LisaCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000124752093831 Grand AveMiami FL 33133Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 534-2796Prov No 0000129681628300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CANO Lourdes MDental Excellence Partners Llc(786) 501-2163Prov No 00001296989413768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 501-2168Prov No 0000130105736801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(305) 443-9206Prov No 0000130105754500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

182 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CAPASSO MarcoMarco A Capasso Dmd Pa(305) 552-0521Prov No 00001278934111760 Sw 40th St Ste 317Miami FL 33175Gender MaleNPI 1578762894License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARAVIA AmandaTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000068118658353 Sw 124th St Ste 202Miami FL 33156Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

CARAVIA AmandaDental Specialty Center atBaptist(305) 275-8875Prov No 0000120290698940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARBALLO MauroDental Excellence Partners Llc(786) 501-2163Prov No 00001325808213768 Sw 8th StMiami FL 33184Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(786) 534-2796Prov No 0000132580838300 W Flagler St Ste 200Miami FL 33144Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(786) 501-2168Prov No 0000132580856801 Sw 8th StMiami FL 33144Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARBALLO MauroDental Excellence Partners Llc(305) 443-9206Prov No 0000132580874500 Nw 7th StMiami FL 33126Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(305) 264-0747Prov No 0000132604696741 Coral Way Ste 14Miami FL 33155Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(305) 856-2300Prov No 0000122227302375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARBALLO RodolfoGateway Dental Inc(305) 552-1553Prov No 00001222963311880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(305) 944-4373Prov No 0000125181541400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(305) 325-0050Prov No 0000129093301050 Nw 14th St Ste 9BMiami FL 33136Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

183GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARRILLO CatalinaDental Health Group Pa(305) 385-4215Prov No 00000001855613876 Sw 88th StMiami FL 33186Gender FemaleNPI 1457421711License DN14539License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

CARRILLO CatalinaDental Health Group Pa(305) 670-4476Prov No 0000000185787300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1457421711License DN14539License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 514-0138Accepts New Patients YHospital Affiliation NA

CARRILLO GIRALDO RicardoDental Options Pa(305) 892-2960Prov No 00001287071011645 Biscayne Blvd Ste 2 04Miami FL 33181Gender MaleNPI 1174979991License DN23339License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARRILLO GIRALDO RicardoDental Options Pa(305) 466-1804Prov No 0000128963642999 Ne 191st St Ste 804Miami FL 33180Gender MaleNPI 1174979991License DN23339License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

CASCANTE Oscar GOscar G Cascante Dmd Pa(305) 279-9005Prov No 0000003625518501 Sw 124th Ave Ste 107 Miami FL 33183Gender MaleNPI 1699880187License DN12287License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-1599Accepts New Patients YHospital Affiliation NA

CASTANEDA RicardoRicardo Castaneda Dmd Pa(305) 965-6128Prov No 0000006926128200 Sw 117th Ave Ste 106 Miami FL 33183Language SpanishGender MaleNPI 1306019492License DN15944License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(786) 501-2163Prov No 00001315799613768 Sw 8th StMiami FL 33184Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 534-2796Prov No 0000131579978300 W Flagler St Ste 200Miami FL 33144Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 501-2168Prov No 0000131579986801 Sw 8th StMiami FL 33144Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(305) 443-9206Prov No 0000131580004500 Nw 7th StMiami FL 33126Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631086820 Bird RdMiami FL 33155Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Sandra MCarmen Alicia Feoli Dds Pa(305) 949-5252Prov No 0000120815571490 Ne Miami Gardens Dr Miami FL 33179Language SpanishGender FemaleNPI 1245636133License DN20757License Type DBP DentistBoard Certified Not ReportedEmail drfeolihotmailco mFax (305) 949-5011Accepts New Patients YHospital Affiliation NA

184 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CASTRO Eileen JSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001285378813706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CAYON Alicia BAlicia B Cayon Dmd Pa(305) 227-3083Prov No 0000121714698370 W Flagler St Ste 150Miami FL 33144Gender FemaleNPI 1467865022License DN20679License Type DBP DentistBoard Certified Not ReportedEmail cayondentalgmailcomFax (305) 227-6092Accepts New Patients YHospital Affiliation NA

CEDENO Rene FRene F Cedeno Dds(305) 598-4885Prov No 0000056699328200 Sw 117th Ave Ste 408Miami FL 33183Gender FemaleNPI 1669574752License DN14543License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 596-4187Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CEPERO Enrique PEnrique P Cepero Dds(305) 262-1077Prov No 0000000194177921 Bird Rd Ste 45 Miami FL 33155Language SpanishGender MaleNPI 1598989485License DN9572License Type DBP DentistBoard Certified Not ReportedEmail batistasmiledesigngmailcomFaxAccepts New Patients YHospital Affiliation NA

CERRUD Clinio CJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873866217 Nw 15th StMiami FL 33136Gender MaleNPI 1629184676License DN14544License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family Dental Pa(786) 300-3483Prov No 0000128901946800 Sw 8th StMiami FL 33144Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CHECA XimenaEast Coast Family Dental Pa(305) 264-0747Prov No 0000128902576741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family Dental Pa(786) 534-2796Prov No 0000128903448300 W Flagler St Ste 210Miami FL 33144Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1129Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121782886820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001225012513540 Sw 135th AveMiami FL 33186Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125547023831 Grand AveMiami FL 33133Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

CHIRINO CarlosLilian Gonzalez(305) 596-7155Prov No 00001292705410728 Sw 72nd StMiami FL 33173Gender MaleNPI 1184118077License DN23490License Type DBP DentistBoard Certified Not ReportedEmail credentialingdemtalamericangroupcomFax (305) 596-7143Accepts New Patients YHospital Affiliation NA

185GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CHIU Gordon BDental Center at Baptist Pa(305) 275-8875Prov No 0000007059248940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1962514919License DN14174License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

COBA RichardCoba Dental(305) 595-1239Prov No 0000120943709541 Sw 72nd St Miami FL 33173Language SpanishGender MaleNPI 1730402595License DN18886License Type DBP DentistBoard Certified Not ReportedEmail cobadentalgmailc omFax (305) 595-1241Accepts New Patients YHospital Affiliation NA

CONTRERAS Marco ACondor Dental Services Inc(305) 595-1131Prov No 00000110488210621 N Kendall Dr Ste 114Miami FL 33176Language SpanishGender MaleNPI 1568788800License DN18954License Type DBP DentistBoard Certified Not ReportedEmail drmarcocontrerasaolcomFax (305) 595-1143Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORCHO MARTELL DayneEast Coast Family Dental Pa(305) 264-0747Prov No 0000128665696741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family Dental Pa(786) 534-2796Prov No 0000128665838300 W Flagler St Ste 210Miami FL 33144Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1129Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family Dental Pa(786) 300-3483Prov No 0000128665856800 Sw 8th StMiami FL 33144Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORDOVA-PENA Noris CDental Plus Inc(305) 969-2651Prov No 00001298660711352 Quail Roost DrMiami FL 33157Gender MaleNPI 1669754578License DN19504License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631106820 Bird RdMiami FL 33155Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CORPAS Alfredo DDr Alfredo D Corpas Dds(305) 388-4886Prov No 00000000666616830 Sw 88th StMiami FL 33196Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORPAS Alfredo DParadise Lakes Family DentistInc(305) 388-4886Prov No 00001242233816830 Sw 88th StMiami FL 33196Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-9880Accepts New Patients YHospital Affiliation NA

CORREA AnelysCare Solutions Dental GroupLlc(305) 455-3500Prov No 0000012349634155 Sw 130th Ave Ste 104Miami FL 33175Gender FemaleNPI 1902117591License DN19129License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 553-1039Accepts New Patients YHospital Affiliation NA

CORREA JacquelineElitedent Corporation(305) 646-6700Prov No 00000036889612538 Sw 120th St Miami FL 33186Gender FemaleNPI 1053516732License DN17602License Type DBP DentistBoard Certified Not ReportedEmail elitedent305gmailcomFax (786) 441-4422Accepts New Patients YHospital Affiliation NA

186 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORTES MORALES GuillermoSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001263192113706 Sw 56th St Ste 201 Miami FL 33175Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoSunset Dental Corp(305) 596-7155Prov No 00001268725110728 Sw 72nd StMiami FL 33173Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

CORUGEDO AdaSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001263192513706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)COWAN Marc ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631116820 Bird RdMiami FL 33155Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRISCUOLO StephenPedo Ortho Dental SpecialistsLlc(305) 448-6445Prov No 0000127253378950 Sw 74th Ct Ste 1124Miami FL 33156Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail podsdentalgmailc omFax (805) 441-6442Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121782896820 Bird RdMiami FL 33155Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ Antonio RSage Dental of West KendallPllc(786) 621-5800Prov No 00001253059812554 Sw 88th StMiami FL 33186Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Karen GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000019231634750 Nw 7th St Ste 1Miami FL 33126Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmailFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

CRUZ Karen GSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00000506033213706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ Karen GEgil Dental(305) 595-4397Prov No 0000122522959950 Sw 107th Ave Ste 201 Miami FL 33176Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail infoegildentalco mFax (305) 595-4398Accepts New Patients NHospital Affiliation NA

CRUZ Karen GSage Dental of West Miami Pllc(786) 476-8711Prov No 0000128843126820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ Karen GSage Dental of West KendallPllc(786) 621-5800Prov No 00001327128412554 Sw 88th StMiami FL 33186Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

187GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ YarelieDental Excellence Partners Llc(305) 443-9206Prov No 0000125181084500 Nw 7th StMiami FL 33126Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(786) 534-2796Prov No 0000125365348300 W Flagler St Ste 200Miami FL 33144Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(786) 501-2163Prov No 00001296816013768 Sw 8th StMiami FL 33184Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ YarelieDental Excellence Partners Llc(786) 501-2168Prov No 0000129699476801 Sw 8th StMiami FL 33144Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ ELIZUNDIA DeliaDental Options Pa(305) 892-2960Prov No 00001205672411645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1952742793License DN20476License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

CRUZ ELIZUNDIA DeliaDental Options Pa(305) 466-1804Prov No 0000120615602999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1952742793License DN20476License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CUTINO Javier ASunset Dental Corp(305) 596-7155Prov No 00001254276610728 Sw 72nd StMiami FL 33173Gender MaleNPI 1588111207License DN22154License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

CUTINO Juan ASouth Miami Dental Group Pa(305) 667-2633Prov No 0000121758676080 Bird Rd Ste 5Miami FL 33155Gender MaleNPI 1265585681License DN11793License Type DBP DentistBoard Certified Not ReportedEmail drjuancutinogmailcomFaxAccepts New Patients NHospital Affiliation NA

CUTINO Juan AJuan A Cutino Dds(305) 667-2633Prov No 0000129908686080 Bird Rd Ste 8Miami FL 33155Gender MaleNPI 1265585681License DN11793License Type DBP DentistBoard Certified Not ReportedEmail miichaelhernandezgmailcomFax (305) 665-9370Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DAROJAT Zuhdiyah MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631136820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DAVIDSON Malaika RFontainebleau Dentistry(714) 845-8500Prov No 0000131557879971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1245669209License DN20438License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

DAVIDSON Philip TFalls Dental Care Group(305) 255-5550Prov No 0000089782778729 Sw 136th St Miami FL 33176Language IndonesianPortuguese SpanishGender MaleNPI 1104259175License DN20344License Type DBP DentistBoard Certified NEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

188 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DE LA CRUZ Alejandro IAlejandro De La Cruz(305) 441-2773Prov No 0000000201087380B Sw 40th StMiami FL 33155Gender MaleNPI 1013152016License DN14560License Type DBP DentistBoard Certified Not ReportedEmail dralejandrodelacruzgmailcomFaxAccepts New Patients NHospital Affiliation NA

DE LA RUA LissetteDental Health Group Pa(305) 227-0600Prov No 00000073906211865 Sw 26th St Ste C39Miami FL 33175Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

DE LA RUA LissetteGreat Expressions DentalCenters(305) 670-4476Prov No 0000011658047300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DE LA RUA LissetteDental Health Group Pa(305) 385-4215Prov No 00000121547213876 Sw 88th StMiami FL 33186Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

DE LIMA Anacaona CDental Specialty Center atBaptist(305) 275-8875Prov No 0000007056848940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1841413267License DN16152License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

DEVACK JustinCountyline Dental(305) 654-1234Prov No 00000115258121457 Nw 2nd AveMiami FL 33169Gender MaleNPI 1346411428License DN18210License Type DBP DentistBoard Certified Not ReportedEmail countyliondentgmailcomFax (305) 652-6041Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DIAZ Farah ADeluxe Dental(786) 409-5295Prov No 0000124234834005 Sw 152nd Ave Ste 2Miami FL 33185Language SpanishGender FemaleNPI 1861784779License DN20362License Type DBP DentistBoard Certified NEmail deluxedentgmailc omFax (786) 703-7908Accepts New Patients YHospital Affiliation NA

DIAZ GertrudisProfessional Dental SolutionsInc(305) 693-7988Prov No 0000002205877900 Nw 27th Ave Ste 275Miami FL 33147Language SpanishGender FemaleNPI 1932248044License DN16699License Type DBP DentistBoard Certified Not ReportedEmail dentalsolution79aolcomFax (305) 696-6704Accepts New Patients YHospital Affiliation NA

DIAZ MariaSunset Dental Corp(305) 596-7155Prov No 00001258970610728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1295093755License DN22329License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DIAZ SandraMint Dental(786) 703-4978Prov No 0000122321138500 W Flagler St Ste 202 BMiami FL 33144Language SpanishGender FemaleNPI 1942509609License DN19278License Type DBP DentistBoard Certified Not ReportedEmail mintdentalmiamigmailcomFax (786) 616-8588Accepts New Patients YHospital Affiliation NA

DIAZ VivianMain Street Childrens Dentistryand Orthodontics(305) 255-9497Prov No 00000069623313400 Sw 120th St Ste 310Miami FL 33186Gender FemaleNPI 1245560028License DN18896License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-9541Accepts New Patients YHospital Affiliation NA

DIAZ VivianTowncare Dental of LondonSquare Pllc(305) 255-3986Prov No 00001272696013400 Sw 120th St Ste 302Miami FL 33186Gender FemaleNPI 1245560028License DN18896License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

189GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DIAZ VASQUEZ Andrea cAdriana Echenagucia(305) 226-8236Prov No 0000122271053850 Sw 87th Ave Ste 101Miami FL 33165Gender FemaleNPI 1730562133License DN21381License Type DBP DentistBoard Certified Not ReportedEmail info305dentistry comFax (305) 226-8238Accepts New Patients YHospital Affiliation NA

DIAZ VASQUEZ Andrea cDental Options Pa(305) 891-2015Prov No 00001253586211645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1730562133License DN21381License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

DIAZ VASQUEZ Andrea cDental Options Pa(305) 466-1804Prov No 0000125373002999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1730562133License DN21381License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DOLPHIN Tyler CGlicksmanamp Mars Dental Llc(305) 935-1613Prov No 0000132032502797 Ne 207th St Ste 100 Miami FL 33180Gender MaleNPI 1699298547License DN22525License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFax (305) 935-4258Accepts New Patients YHospital Affiliation NA

DOMINGUEZ Jorge LJorge L Dominquez Dmd Pa(305) 222-8999Prov No 00000001897213155 Sw 42nd St Ste 101 Miami FL 33175Gender MaleNPI 1669676052License DN12485License Type DBP DentistBoard Certified Not ReportedEmail drjldominguezddsgmailcomFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(305) 443-9206Prov No 0000127913494500 Nw 7th StMiami FL 33126Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 501-2163Prov No 00001296816113768 Sw 8th StMiami FL 33184Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 501-2168Prov No 0000129699486801 Sw 8th StMiami FL 33144Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 534-2796Prov No 0000129729838300 W Flagler St Ste 200Miami FL 33144Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DOOLEY Jill CSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124363996820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631166820 Bird RdMiami FL 33155Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631176820 Bird RdMiami FL 33155Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

190 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DUARTE Ivonne JDental American Group(305) 225-3452Prov No 00001299878910721 W Flagler St Miami FL 33174Language SpanishGender FemaleNPI 1952888752License DN23696License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631186820 Bird RdMiami FL 33155Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

EAGAN Jessica CJessica Eagan Dds(305) 856-1178Prov No 0000022997851378 Coral Way Ste 500 Miami FL 33145Gender FemaleNPI 1811197254License DN18007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-9452Accepts New Patients NHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ECHEZARRAGA MilaidisMilaidis Echezarraga Dds Pa(305) 480-6048Prov No 0000002940563822 Sw 137th AveMiami FL 33175Language SpanishGender FemaleNPI 1689845158License DN17578License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 480-6081Accepts New Patients YHospital Affiliation NA

ENG Martha CFermin R Lopez Dds Pa(305) 649-6112Prov No 0000004125401125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1730345091License DN17980License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Miami Pllc(786) 476-8711Prov No 0000125858356820 Bird RdMiami FL 33155Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ESPINET KUSNIER ElaineSage Dental of West KendallPllc(786) 621-5800Prov No 00001258585612554 Sw 88th StMiami FL 33186Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINOSA Ricardo JTowncare Dental of WestKendall(305) 388-7900Prov No 00000114276715724 Sw 72nd StMiami FL 33193Gender MaleNPI 1083825665License DN15397License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

FATMI NavedDental Specialty Center atBaptist(305) 275-8875Prov No 0000006921138940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1558690974License DN18878License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000129467805361 Nw 22nd AveMiami FL 33142Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

FEIZ Maria TJessie Trice Community Health(305) 637-6400Prov No 00001294678118360 Nw 7th Ave Miami FL 33169Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 000012946782217 Nw 15th StMiami FL 33136Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFaxAccepts New Patients YHospital Affiliation NA

191GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000129798535607 Nw 27th Ave Ste 2 Miami FL 33142Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

FELIPE Veronica MTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000007066358353 Sw 124th St Ste 202Miami FL 33156Gender FemaleNPI 1407050149License DN15552License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

FELIPE Veronica MDental Associates of KendallDds Pa(305) 271-2254Prov No 00001231370011400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1407050149License DN15552License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FELIX ErickaDental Health Group Pa(305) 227-0600Prov No 00000458887011865 Sw 26th St Ste C39Miami FL 33175Gender FemaleNPI 1386837037License DN16544License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

FELIX ErickaKendall Dental Corp(305) 385-1442Prov No 00001249751013632 Sw 88th StMiami FL 33186Gender FemaleNPI 1386837037License DN16544License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

FELIX ErickaSunset Dental Corp(305) 596-7155Prov No 00001253444310728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1386837037License DN16544License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FELTON TanyaKornbluth amp De Jesus(305) 944-1946Prov No 00000069614119080 Ne 29th AveMiami FL 33180Gender FemaleNPI 1801050059License DN18035License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FEOLI Carmen ACarmen A Feoli Dds(305) 949-5252Prov No 0000011467241490 Ne Miami Gardens Dr Miami FL 33179Language SpanishGender FemaleNPI 1013199819License DN18037License Type DBP DentistBoard Certified NEmail drfeolihotmailco mFax (305) 949-5011Accepts New Patients YHospital Affiliation NA

FERNANDEZ Aurelio JAurelio Fernandez(305) 552-5511Prov No 0000000188678500 W Flagler St Ste 101 AMiami FL 33144Gender MaleNPI 1609880145License DN13931License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 552-6671Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FERNANDEZ Carlos FCarlos F Fernandez Dmd(305) 226-0803Prov No 0000000180668500 W Flagler St Ste 104Miami FL 33144Gender MaleNPI 1356511075License DN7694License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ EdithEdith Fernandez Dmd Pa(305) 262-0509Prov No 0000002223758560 Sw 8th StMiami FL 33144Gender FemaleNPI 1952417628License DN16078License Type DBP DentistBoard Certified Not ReportedEmail fernandezdmdaolcomFax (305) 262-1823Accepts New Patients YHospital Affiliation NA

FERNANDEZ Lazaro CFernandez Lazaro C(305) 598-7550Prov No 0000006930838740 N Kendall Dr Ste 214Miami FL 33176Gender MaleNPI 1972715712License DN14160License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-7551Accepts New Patients YHospital Affiliation NA

192 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001306244313540 Sw 135th AveMiami FL 33186Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

FERNANDEZ YenyFernandezdent Pa(786) 708-4494Prov No 00001288507011776 Sw 88th StMiami FL 33186Language SpanishGender FemaleNPI 1861784688License DN20110License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 708-4424Accepts New Patients YHospital Affiliation NA

FERNANDEZ DOMINGUEZ GiselleOceandents Inc(786) 615-8586Prov No 0000124604058216 W Flagler StMiami FL 33144Language SpanishGender FemaleNPI 1235484890License DN20900License Type DBP DentistBoard Certified Not ReportedEmail infooceandentsco mFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FERNANDEZ-ABRIL Jorge CAltima Dental Group of WestKendall Llc(786) 404-6246Prov No 00001212944116371 Sw 88th StMiami FL 33196Gender MaleNPI 1720307572License DN16962License Type DBP DentistBoard Certified NEmailFax (305) 728-0582Accepts New Patients YHospital Affiliation NA

FERNANDEZ-ABRIL Jorge CDental Center of Country WalkLlc(305) 547-8398Prov No 00001244122415795 Sw 152nd StMiami FL 33187Gender MaleNPI 1720307572License DN16962License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631206820 Bird RdMiami FL 33155Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FIGUEREDO JoelJadent Inc(305) 220-0066Prov No 0000121096263945 Sw 92nd Ave Miami FL 33165Language SpanishGender MaleNPI 1568695724License DN20981License Type DBP DentistBoard Certified Not ReportedEmail jadentccaolcomFax (305) 220-1210Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CNew Smile Dental Center(305) 856-0022Prov No 000000427355861 Sw 8th StMiami FL 33130Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 856-0021Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CDental Specialty Center atBaptist(305) 275-8875Prov No 0000125596298940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FLEITAS PERDOMO YarielaUniversal Dental Clinic(305) 326-7159Prov No 000012451138432 Nw 12th Ave Miami FL 33128Language SpanishGender FemaleNPI 1669857462License DN21260License Type DBP DentistBoard Certified Not ReportedEmail universaldental2011hotmailcomFax (305) 324-5875Accepts New Patients YHospital Affiliation NA

FLORES Joan MFlores Dental Group Pa(305) 485-0072Prov No 00000046649511890 Sw 8th St Ste 300 Miami FL 33184Gender MaleNPI 1962604488License DN17660License Type DBP DentistBoard Certified Not ReportedEmail floresdental2009gmailcomFax (305) 485-0080Accepts New Patients YHospital Affiliation NA

FLORES Juan CJuan Carlos Flores Dmd(305) 264-9191Prov No 0000011367847171 Coral Way Ste 401Miami FL 33155Language SpanishGender MaleNPI 1548459803License DN17732License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-6246Accepts New Patients YHospital Affiliation NA

193GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FONTECILLA SofiaCocnut Grove Dental(305) 856-6811Prov No 0000122446303220 S Dixie Hwy Ste 101 Miami FL 33133Language SpanishGender FemaleNPI 1962780882License DN20387License Type DBP DentistBoard Certified Not ReportedEmail infococonutgrovedentalcomFax (305) 704-1588Accepts New Patients YHospital Affiliation NA

FORNOS EvaEva M Fornos Dds Pa(305) 290-4999Prov No 00001221878815790 Sw 56th StMiami FL 33185Gender FemaleNPI 1740628452License DN20511License Type DBP DentistBoard Certified Not ReportedEmail mydentistofmiamipelaezgmailcomFax (305) 501-2523Accepts New Patients YHospital Affiliation NA

FORNOS Jorge ATotal Dental Spa(305) 290-4999Prov No 00001219962015790 Sw 56th StMiami FL 33185Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail mydentistofmiamipelaezgmailcomFax (305) 418-0750Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FOX Jeffrey MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631216820 Bird RdMiami FL 33155Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FRAGA-DAVIDSON BeatrizThe Falls Dental Care Grp Pa(305) 255-5550Prov No 0000000200518729 Sw 136th St Miami FL 33176Language SpanishGender FemaleNPI 1003133778License DN9939License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

FRANCO Jaime FDental Options Pa(305) 466-1804Prov No 0000125772902999 Ne 191st St Ste 804 Miami FL 33180Language SpanishGender MaleNPI 1831571744License DN21349License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FRANCO Jaime FDental Options Pa(305) 892-2960Prov No 00001259406911645 Biscayne Blvd Ste 2 04Miami FL 33181Language SpanishGender MaleNPI 1831571744License DN21349License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

FRANCO Jaime FFranco Dental(305) 330-4343Prov No 00001292461911410 N Kendall Dr Ste 207Miami FL 33176Language SpanishGender MaleNPI 1831571744License DN21349License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (786) 870-1130Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ADental Options Pa(305) 466-1804Prov No 0000129679852999 Ne 191st St Ste 804Miami FL 33180Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FRANKLIN Tim ADental Options Pa(305) 892-2960Prov No 00001296798611645 Biscayne Blvd Ste 2 04Miami FL 33181Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

FRIEDMAN Rene JDental Specialty Center atBaptist(305) 275-8875Prov No 0000000180338940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

FRIEDMAN Rene JRio Dental(305) 728-2000Prov No 000012153015279 Nw 82nd AveMiami FL 33126Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmail erma2315gmailcomFax (786) 683-1665Accepts New Patients YHospital Affiliation NA

194 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FRIEDMAN Rene JMy Smile Center(305) 728-2000Prov No 00001248695612800 Sw 8th StMiami FL 33184Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

FUNDORA Yolaivys VKendall Dental Corp(305) 385-1442Prov No 00001207962213632 Sw 88th StMiami FL 33186Gender FemaleNPI 1285074112License DN20186License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

GALLO Don ATowncare Dental of LondonSquare Pllc(305) 255-3986Prov No 00001290863413400 Sw 120th St Ste 302Miami FL 33186Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GANDUL CABRERA JansSunset Family amp CosmeticDentistry Pllc(305) 596-2815Prov No 0000130096859777 Sw 72nd St Miami FL 33173Gender MaleNPI 1487176996License DN22900License Type DBP DentistBoard Certified Not ReportedEmail drubietaoutlook comFax (305) 596-1820Accepts New Patients YHospital Affiliation NA

GARCES CarolinaDental Health Group Pa(305) 652-3412Prov No 0000007188421001 Ives Dairy Rd Ste 103Miami FL 33179Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 652-3259Accepts New Patients YHospital Affiliation NA

GARCES CarolinaGreat Expressions DentalCenters(305) 670-4476Prov No 0000122430307300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCES CarolinaFontainebleau Dentistry(714) 845-8500Prov No 0000129334859971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

GARCIA CristinaDental Associates of KendallDds Pa(305) 271-2254Prov No 00001059616911400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1871617886License DN14303License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

GARCIA DelioDg Grandal Dds Corp(305) 846-9669Prov No 00001293584613055 Sw 42nd St Ste 206Miami FL 33175Language SpanishGender MaleNPI 1790006823License DN18984License Type DBP DentistBoard Certified Not ReportedEmail kendalldentalimplanthotmailcomFax (786) 542-1931Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA IdalmesGomara Dmd and SalcinesDmd Pa(305) 387-4954Prov No 00001223689513706 Sw 56th St Ste 201Miami FL 33175Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFaxAccepts New Patients YHospital Affiliation NA

GARCIA RicardoDental Health Group Pa(305) 385-4215Prov No 00000046094513876 Sw 88th StMiami FL 33186Gender MaleNPI 1184700783License DN14737License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 856-2300Prov No 0000123133362375 Sw 27th Ave Miami FL 33145Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

195GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 552-1553Prov No 00001244803411880 Sw 40th St Ste 215 Miami FL 33175Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

GARCIA FERNANDEZ AliuskaAesthetic Dentistry By DrGarcia Dds Inc(305) 541-1115Prov No 0000124959279600 Sw 8th St Ste 3Miami FL 33174Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail aestheticdentistryyahoocomFax (305) 690-0151Accepts New Patients YHospital Affiliation NA

GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 944-4373Prov No 0000125183131400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 325-0050Prov No 0000129086381050 Nw 14th St Ste 9BMiami FL 33136Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GARCIA SARRIA Maria CDental Progress(786) 409-2233Prov No 000013153321477 Nw 27th AveMiami FL 33125Language SpanishGender FemaleNPI 1861864340License DN21592License Type DBP DentistBoard Certified Not ReportedEmail garciadentalddsgmailcomFax (786) 409-2245Accepts New Patients YHospital Affiliation NA

GARCIA-CASTELLANOS JacquelineWest Kendall Dental Associates(305) 221-0102Prov No 00000139949211880 Sw 40th St Ste 302 Miami FL 33175Gender FemaleNPI 1487795472License DN14574License Type DBP DentistBoard Certified Not ReportedEmail wkdaddsgmailcomFax (305) 221-0103Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA-PORRAS MarcelaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631226820 Bird RdMiami FL 33155Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARMIZO JoshuaMonem Dental Llc(305) 625-5400Prov No 0000128950671505 Nw 167th St Ste 100 Miami FL 33169Gender MaleNPI 1912427287License DN22885License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631236820 Bird RdMiami FL 33155Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARROTE RogelioSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001256015613706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000051797345361 Nw 22nd AveMiami FL 33142Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 694-6270Prov No 00000517973518360 Nw 7th Ave Miami FL 33169Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 363-5155Accepts New Patients YHospital Affiliation NA

196 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000051797375607 Nw 27th Ave Ste 2 Miami FL 33142Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 0000127469075607 Nw 27th Ave Ste 1Miami FL 33142Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmailFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873738217 Nw 15th StMiami FL 33136Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GHATTAS Maureen ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631516820 Bird RdMiami FL 33155Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GIL Lester ODental Design Specialists Corp(305) 270-0744Prov No 00001212705313550 Sw 88th St Ste 112 Miami FL 33186Gender MaleNPI 1427216803License DN18301License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

GIL ARAUJO Eduardo FEgil Dental(305) 595-4397Prov No 0000102148369950 Sw 107th Ave Ste 201 Miami FL 33176Language SpanishGender MaleNPI 1841553112License DN19789License Type DBP DentistBoard Certified NEmail infoegildentalco mFax (305) 595-4398Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GLICKSMAN Joel EGlicksman and Mars Dental Llc(305) 935-2797Prov No 0000000611482797 Ne 207th St Ste 100Miami FL 33180Gender MaleNPI 1669537981License DN8869License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFax (305) 937-4834Accepts New Patients YHospital Affiliation NA

GOMARA Luis ASalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00000002235813706 Sw 56th St Ste 201 Miami FL 33175Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121954076820 Bird RdMiami FL 33155Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ Ana DWestchester Dental Services Gr(786) 360-3694Prov No 0000121020917801 Coral Way Ste 122Miami FL 33155Gender FemaleNPI 1326260894License DN17868License Type DBP DentistBoard Certified Not ReportedEmail albaeperezgmailc omFax (786) 431-1522Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosDental Plus Inc(305) 969-2651Prov No 00001208094911352 Quail Roost Dr Miami FL 33157Language SpanishGender MaleNPI 1790959963License DN13073License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosKendall Dental Corp(305) 385-1442Prov No 00001253008513632 Sw 88th StMiami FL 33186Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

197GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ CarlosDental American Group(305) 225-3452Prov No 00001253008810721 W Flagler St Miami FL 33174Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosSunset Dental Corp(305) 596-7155Prov No 00001253008910728 Sw 72nd StMiami FL 33173Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ CarlosDixie Dental Corp(305) 273-9330Prov No 0000125302718718 Sw 72nd StMiami FL 33173Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ CarlosDental American Group(305) 273-9330Prov No 0000125302718718 Sw 72nd StMiami FL 33173Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(786) 501-2163Prov No 00001297152713768 Sw 8th StMiami FL 33184Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(786) 534-2796Prov No 0000129715298300 W Flagler St Ste 200Miami FL 33144Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ GiovanniDental Excellence Partners Llc(786) 501-2168Prov No 0000129812886801 Sw 8th StMiami FL 33144Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(305) 443-9206Prov No 0000129812894500 Nw 7th StMiami FL 33126Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ HanselFermin R Lopez Dds Pa(305) 649-6112Prov No 0000096648011125 Nw 22nd AveMiami FL 33125Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ HanselLobaina Dental(305) 480-9838Prov No 0000111163638822 Sw 24th St Miami FL 33165Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail lobainadentalgmailcomFax (305) 261-4448Accepts New Patients YHospital Affiliation NA

GONZALEZ HanselHansel Gonzalez Dmd Pa(305) 223-0072Prov No 0000122053688512 Bird RdMiami FL 33155Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail drhanselgonzalesgmailcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ Juan CJuan C Gonzalez(305) 387-3232Prov No 0000128665205711 Sw 137th AveMiami FL 33183Gender MaleNPI 1306100441License DN19791License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 385-9198Accepts New Patients YHospital Affiliation NA

198 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ LilianSunset Dental Corp(305) 596-7155Prov No 00000004338810728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ LilianDental American Group(305) 225-3452Prov No 00000034946410721 W Flagler St Miami FL 33174Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

GONZALEZ LilianKendall Dental Corp(305) 385-1442Prov No 00000128175913632 Sw 88th StMiami FL 33186Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ LilianDental American Group(305) 273-9330Prov No 0000125296298718 Sw 72nd StMiami FL 33173Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

GONZALEZ Monica GFontainebleau Dentistry(714) 845-8500Prov No 0000124237859971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1699115741License DN20163License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

GONZALEZ SutnamisSage Dental of West KendallPllc(786) 621-5800Prov No 00001285839912554 Sw 88th StMiami FL 33186Gender FemaleNPI 1750762019License DN23039License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ SutnamisConfidental Smiles(786) 542-0977Prov No 0000132858781843 Sw 8th StMiami FL 33135Gender FemaleNPI 1750762019License DN23039License Type DBP DentistBoard Certified Not ReportedEmail sutnamisddsgmailcomFax (786) 275-4046Accepts New Patients YHospital Affiliation NA

GONZALEZ CACERES Ana LDental Options Pa(305) 466-1804Prov No 0000127550692999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1699133132License DN22931License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

GONZALEZ CACERES Ana LDental Options Pa(305) 892-2960Prov No 00001279649011645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1699133132License DN22931License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GORDON AlexandraDental Options Pa(305) 892-2960Prov No 00000037050311645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1760692537License DN15162License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

GORDON AlexandraDental Options Pa(305) 466-1804Prov No 0000004635862999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1760692537License DN15162License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of West Miami Pllc(786) 476-8711Prov No 0000122044226820 Bird RdMiami FL 33155Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

199GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GRIGOROPOULOS MariosAltima Dental Group(305) 547-8398Prov No 00001252750015795 Sw 152nd StMiami FL 33187Gender MaleNPI 1720285646License DN14743License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

GRIGOROPOULOS MariosAltima Dental Group(305) 459-3192Prov No 00001252750316371 Sw 88th StMiami FL 33196Gender MaleNPI 1720285646License DN14743License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

GUERRA NatalieWest Kendall Dental Assoc(305) 221-0102Prov No 00001284941811880 Sw 40th St Ste 302Miami FL 33175Gender FemaleNPI 1306225099License DN22926License Type DBP DentistBoard Certified Not ReportedEmail wkdaddsgmailcomFax (305) 221-0103Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUERRA NatalieDental Health Group Pa(305) 595-6411Prov No 0000128494229595 N Kendall Dr Ste 201Miami FL 33176Gender FemaleNPI 1306225099License DN22926License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 595-8724Accepts New Patients YHospital Affiliation NA

GUERRA NatalieGr Dental(786) 365-9144Prov No 0000130522891701 Nw 112th Ave Unit 110Miami FL 33172Gender FemaleNPI 1306225099License DN22926License Type DBP DentistBoard Certified Not ReportedEmail grdental87gmailc omFaxAccepts New Patients YHospital Affiliation NA

GUERRA VannetteWest Kendall Dental Associates(305) 221-0102Prov No 00001257808811880 Sw 40th St Ste 302 Miami FL 33175Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail wkdaddsgmailcomFax (305) 221-0103Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUERRA CRESPO Beatriz DDental American Group(305) 225-3452Prov No 00001245480110721 W Flagler St Miami FL 33174Language SpanishGender FemaleNPI 1376960658License DN21830License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631496820 Bird RdMiami FL 33155Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUILLERMO IvetteIvette Guillermo Dmd(305) 220-3777Prov No 00000004895910768 Sw 24th StMiami FL 33165Gender FemaleNPI 1568543916License DN15614License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 220-7845Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUILLERMO IvetteIvette Guillermo Dmd(305) 220-3777Prov No 0000130507459970 Sw 40th StMiami FL 33165Gender FemaleNPI 1568543916License DN15614License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GUTIERREZ Carlos ABorinquen Health Care CenterInc(305) 576-6611Prov No 0000024516263601 Federal Hwy Fl 5 Miami FL 33137Gender MaleNPI 1861756603License DN19839License Type DBP DentistBoard Certified YEmail gtabetborinquenhealthorgFax (305) 576-0008Accepts New Patients YHospital Affiliation NA

GUTIERREZ Victor RSmile Innovation(305) 639-8272Prov No 0000120411527190 Sw 87th Ave Ste 206Miami FL 33173Gender MaleNPI 1649396557License DN14239License Type DBP DentistBoard Certified Not ReportedEmail smileinnovationsbellsouthnetFax (305) 639-8362Accepts New Patients YHospital Affiliation NA

200 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUZMAN Nestor EDental Center at Baptist Pa(305) 275-8875Prov No 0000119948188940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1558477919License DN16737License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

HALEM Merritt DMerrittd Halem(305) 652-7702Prov No 0000000183121021 Ives Dairy Rd Ste 121Miami FL 33179Gender MaleNPI 1821037649License DN4753License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 605-7703Accepts New Patients YHospital Affiliation NA

HASAN VERRETT HajarVerrett Holistic Dental Llc(305) 696-9999Prov No 0000010825323058 Nw 79th StMiami FL 33147Gender FemaleNPI 1386894715License DN18479License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 853-0062Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HAYES NorysAltima Dental Group(305) 547-8398Prov No 00001222455915795 Sw 152nd StMiami FL 33187Language SpanishGender FemaleNPI 1578638540License DN17144License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

HAYES NorysAltima Dental Group(305) 459-3192Prov No 00001222457016371 Sw 88th StMiami FL 33196Language SpanishGender FemaleNPI 1578638540License DN17144License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

HECHAVARRIA MirtaGarmen Dental Care(786) 580-3517Prov No 0000124691071334 Sw 1st StMiami FL 33135Language SpanishGender FemaleNPI 1851411177License DN13256License Type DBP DentistBoard Certified Not ReportedEmail garmendentalcaregmailcomFax (786) 580-3678Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HECHAVARRIA MirtaFermin R Lopez Dds Pa(305) 649-6112Prov No 0000129017021125 Nw 22nd AveMiami FL 33125Language SpanishGender FemaleNPI 1851411177License DN13256License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JFiliberto J Herdocia Dds Pa(786) 401-6798Prov No 0000000897249100 Sw 24th St Ste 4Miami FL 33165Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmail interdentalclinicmiamigmailcomFax (786) 401-6798Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JAll In One Dental Services Inc(305) 456-7383Prov No 00001221483013728 Sw 84th StMiami FL 33183Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmailFax (305) 676-9028Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HEREDIA AbelardoGateway Dental Inc(305) 552-1553Prov No 00001251781611880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

HEREDIA AbelardoGateway Dental Inc(305) 944-4373Prov No 0000125184731400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

HEREDIA AbelardoGateway Dental Inc(305) 325-0050Prov No 0000129086391050 Nw 14th St Ste 9BMiami FL 33136Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

201GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ DaynetFermin R Lopez Dds Pa(305) 649-6112Prov No 0000024495561125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1336469121License DN19770License Type DBP DentistBoard Certified NEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

HERNANDEZ DaynetFlagler Dental Care(305) 324-5072Prov No 0000121275741199 W Flagler St Ste 7 Miami FL 33130Gender FemaleNPI 1336469121License DN19770License Type DBP DentistBoard Certified NEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

HERNANDEZ MariaDr Maria Hernandez-Dausa(305) 223-0072Prov No 0000003077448512 Bird Rd Miami FL 33155Gender FemaleNPI 1053439646License DN13609License Type DBP DentistBoard Certified Not ReportedEmail drhanselgonzalezgmailcomFax (305) 223-6798Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ Norberto JDr Norberto Hernandez(305) 642-7796Prov No 0000000183911235 Sw 27th AveMiami FL 33135Language SpanishGender MaleNPI 1285693267License DN14451License Type DBP DentistBoard Certified Not ReportedEmail njh9864bellsouth netFax (305) 642-4773Accepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 501-2163Prov No 00001258224513768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 534-2796Prov No 0000129777158300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 501-2168Prov No 0000130105746801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(305) 443-9206Prov No 0000130105764500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ ACOSTA Cristina MDental Options Pa(305) 466-1804Prov No 0000120555892999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1255731246License DN20922License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ ACOSTA Cristina MDental Options Pa(305) 892-2960Prov No 00001210515411645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1255731246License DN20922License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

HERNANDEZ RIVERA Ricardo NNicolas Hernandez Rivera DdsPa(954) 399-7839Prov No 00001255107621000 Ne 28th Ave Ste 100Miami FL 33180Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(305) 856-2300Prov No 0000007060522375 Sw 27th Ave Miami FL 33145Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

202 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERRERA VictoriaGateway Dental Inc(305) 856-2300Prov No 0000040299721050 Nw 14th St Ste 204 Miami FL 33136Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail civicgatewaydentalinccomFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(305) 552-1553Prov No 00001245109111880 Sw 40th St Ste 215 Miami FL 33175Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(305) 944-4373Prov No 0000125181391400 Ne Miami Gardens Dr Ste 201Miami FL 33179Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HIDALGO-GONZALEZ Allison MSunset Smiles Dental Office(305) 270-0171Prov No 0000002922558585 Sunset Dr Ste 101 Miami FL 33143Language SpanishGender FemaleNPI 1497814503License DN16743License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HORESH-WEISSER EttieDental Options Pa(305) 466-1804Prov No 0000127031872999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1881063477License DN21340License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

HORESH-WEISSER EttieDental Options Pa(305) 891-2015Prov No 00001270318811645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1881063477License DN21340License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HORWITZ StevenSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121790476820 Bird RdMiami FL 33155Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HOSSAIN Marta CFermin R Lopez Dds Pa(305) 649-6112Prov No 0000013186611125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

HOSSAIN Marta CFlagler Dental Care(305) 324-5072Prov No 0000013186621199 W Flagler St Ste 7 Miami FL 33130Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HURTADO Cesar FCesar F Hurtado Jr(305) 444-1555Prov No 0000000243719463 W Flagler St Miami FL 33174Gender MaleNPI 1972874519License DN10308License Type DBP DentistBoard Certified Not ReportedEmail cesarhurtadoddspahotmailcomFax (305) 226-7669Accepts New Patients YHospital Affiliation NA

IDUATE BANOBRE YolandaHialeah Dental Care Inc(305) 823-1882Prov No 00001281657410920 W Flagler St Ste 201Miami FL 33174Gender FemaleNPI 1598140618License DN21433License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalatt netFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of West Miami Pllc(786) 476-8711Prov No 0000125102046820 Bird RdMiami FL 33155Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

203GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)IRAVANI Mina FSage Dental of West KendallPllc(786) 621-5800Prov No 00001253059512554 Sw 88th StMiami FL 33186Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IZQUIERDO YaneisyYaneisy Izquierdo Dds Pa(305) 559-3870Prov No 000012210795927 Sw 122nd AveMiami FL 33184Gender FemaleNPI 1548540099License DN19502License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

JACINTO SantiagoSantiago J Jacinto Dds Llc(305) 643-4770Prov No 000000018217330 Sw 27th Ave Ste 704Miami FL 33135Gender MaleNPI 1497807374License DN9240License Type DBP DentistBoard Certified Not ReportedEmail dentaloffice330yahoocomFax (305) 643-4770Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)JAMIS JuanDr J Dental and AssociatesCorp(305) 259-0080Prov No 00001301619115940 Sw 137th AveMiami FL 33177Gender MaleNPI 1265693352License DN16976License Type DBP DentistBoard Certified Not ReportedEmail razardental1gmailcomFaxAccepts New Patients YHospital Affiliation NA

JARQUIN-VALDIVIA Alvaro JJarquin amp Associates Pa(305) 221-1230Prov No 0000000362298410 W Flagler St Ste 110 BMiami FL 33144Gender MaleNPI 1437352176License DN15180License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 221-1540Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthDade(786) 231-0800Prov No 00001246764513540 Sw 135th AveMiami FL 33186Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)JOHNSON Robert BCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546953831 Grand AveMiami FL 33133Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631366820 Bird RdMiami FL 33155Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

KAMRAN KianiQuality Professional DentistryCorp(305) 582-5735Prov No 0000124709635040 Nw 7th St Ste 632Miami FL 33126Language SpanishGender MaleNPI 1699175729License DN20849License Type DBP DentistBoard Certified Not ReportedEmail qualityprofessionaldentistrygmailcomFax (305) 441-2883Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)KEANE ChrisFontainebleau Dentistry Pa(786) 418-3074Prov No 0000130370049971 W Flagler St Ste 220Miami FL 33174Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (786) 619-3746Accepts New Patients YHospital Affiliation NA

KRAVITZ EugeneEugene Kravitz Dds(305) 822-9696Prov No 00000001923018482 Nw 67th Ave Miami FL 33015Gender MaleNPI 1043496490License DN10328License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 824-9560Accepts New Patients NHospital Affiliation NA

KRIKORIAN Charles RDental Specialists of CoralGables Group(305) 305-9601Prov No 0000083604092645 Sw 37th Ave Ste 303 Miami FL 33133Gender MaleNPI 1720272081License DN15836License Type DBP DentistBoard Certified YEmail gymasmysanitasco mFax (305) 543-6885Accepts New Patients YHospital Affiliation NA

204 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)KUSNICK Steven JDental Options Pa(305) 466-1804Prov No 0000011444352999 Ne 191st St Ste 804 Miami FL 33180Gender MaleNPI 1811056823License DN7442License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

LAGE Richard CSenior Dental Llc(305) 642-3552Prov No 000012007375351 Nw 42nd Ave Ste 504Miami FL 33126Gender MaleNPI 1629181417License DN11477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 642-3554Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631376820 Bird RdMiami FL 33155Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LANG TomasCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546353831 Grand AveMiami FL 33133Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

LANSTER Robert MRobert M Lanster Dds(305) 261-7661Prov No 0000000201307399 Coral Way Miami FL 33155Gender MaleNPI 1730283243License DN9656License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 261-8108Accepts New Patients YHospital Affiliation NA

LANSTER Steven MSteven M Lanster Dds(305) 261-7661Prov No 0000000201297399 Coral WayMiami FL 33155Gender MaleNPI 1407851272License DN8893License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LANTIGUA Carlos ALandent Dmd Pa(305) 386-7337Prov No 00000348355411254 Sw 137th AveMiami FL 33186Language SpanishGender MaleNPI 1083970164License DN19355License Type DBP DentistBoard Certified NEmailFax (305) 386-4002Accepts New Patients YHospital Affiliation NA

LASTRA PEREZ AnnetteFermin R Lopez Dds Pa(305) 649-6112Prov No 0000125777351125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1942745385License DN22369License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

LAU VicenteWest Kendall Medical Center(786) 231-0800Prov No 00001249725313540 Sw 135th AveMiami FL 33186Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEA PLAZA RodolfoLatin Quarter Dental Pa(305) 642-8499Prov No 0000127010041660 Sw 1st StMiami FL 33135Language SpanishGender MaleNPI 1932407103License DN19240License Type DBP DentistBoard Certified Not ReportedEmail latinquarterdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000125067845361 Nw 22nd AveMiami FL 33142Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 00001250681718360 Nw 7th Ave Miami FL 33169Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

205GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 636-3336Prov No 0000125068185607 Nw 27th Ave Ste 2Miami FL 33142Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 805-1715Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873739217 Nw 15th StMiami FL 33136Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

LEE Nancy VAltima Dental Group(305) 547-8398Prov No 00000681158815795 Sw 152nd StMiami FL 33187Language SpanishVietnameseGender FemaleNPI 1174883482License DN19879License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEE Nancy VAltima Dental Group(305) 459-3192Prov No 00001201734116371 Sw 88th StMiami FL 33196Language SpanishVietnameseGender FemaleNPI 1174883482License DN19879License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124449516820 Bird RdMiami FL 33155Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121768236820 Bird RdMiami FL 33155Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEVIN ShellyMain Street Childrens Dentistryof Aventura(305) 933-4355Prov No 00001244436019084 Ne 29th AveMiami FL 33180Language SpanishGender FemaleNPI 1023351715License DN21753License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

LEWIS BradFloridian Dental Care Inc(305) 693-8888Prov No 0000124996127900 Nw 27th Ave Ste 205Miami FL 33147Gender MaleNPI 1376567685License DN10097License Type DBP DentistBoard Certified Not ReportedEmail medflorida205aolcomFax (305) 693-8893Accepts New Patients YHospital Affiliation NA

LLAPUR CarlosMain Street Orthodontics ofAventura(305) 933-4355Prov No 00001231281819084 Ne 29th AveMiami FL 33180Language SpanishGender MaleNPI 1275947913License DN20712License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LOBAINA Karina MDelacalle Medical Center Llc(305) 321-5927Prov No 00001224911810775 Sw 56th StMiami FL 33165Language SpanishGender FemaleNPI 1063895076License DN21153License Type DBP DentistBoard Certified Not ReportedEmail delacalledentalcentergmailcomFax (786) 360-4217Accepts New Patients YHospital Affiliation NA

LOBAINA Yoan ELobaina Dental(305) 480-9838Prov No 0000012436588822 Sw 24th St Miami FL 33165Gender MaleNPI 1245468131License DN18774License Type DBP DentistBoard Certified NEmail lobainadentalgmailcomFax (305) 261-4448Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631396820 Bird RdMiami FL 33155Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

206 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LOOR Kleber AKleber A Loor Dds Pa(305) 649-7800Prov No 0000002461421450 W Flagler StMiami FL 33135Gender MaleNPI 1124037833License DN16772License Type DBP DentistBoard Certified Not ReportedEmail kleberaloorddstabellsouthnetFax (305) 649-9937Accepts New Patients YHospital Affiliation NA

LOPEZ AnabelleAnabelle Lopez Dds Pa(305) 603-8086Prov No 0000015487868501 Sw 124th Ave Ste 106 AMiami FL 33183Gender FemaleNPI 1063606143License DN17093License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 639-8008Accepts New Patients YHospital Affiliation NA

LOPEZ EdgarTamiami Dental Center Pa(305) 553-9655Prov No 00001213021813232 Sw 8th St Miami FL 33184Gender MaleNPI 1598712432License DN16385License Type DBP DentistBoard Certified NEmail onestopsmileshophotmailcomFax (305) 553-7688Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LOPEZ ReinierBest Dental Creations(305) 270-8029Prov No 0000085137468740 N Kendall Dr Ste 220 Miami FL 33176Language SpanishGender MaleNPI 1942632617License DN20324License Type DBP DentistBoard Certified NEmail bestdentalcreationsgmailcomFax (305) 273-8437Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546383831 Grand AveMiami FL 33133Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

LOPEZ PEREZ VictorVictor M Lopez Perez Dds Pa(305) 271-2517Prov No 0000124548067158 Sw 117th AveMiami FL 33183Language SpanishGender MaleNPI 1609271550License DN20992License Type DBP DentistBoard Certified Not ReportedEmail drvmlopezdental2016yahocomFax (305) 271-2140Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LUBIN Victor DDental Specialty Center atBaptist(305) 275-8875Prov No 0000120026838940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender MaleNPI 1629417381License DN20118License Type DBP DentistBoard Certified NEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631406820 Bird RdMiami FL 33155Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MANZUR LamyaTowncare Dental of WestKendall(305) 388-7900Prov No 00001206326115724 Sw 72nd StMiami FL 33193Gender FemaleNPI 1699826305License DN15202License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARES Adolfo EAdolfo E Mares Dental Office(305) 642-0535Prov No 000000024432306 Sw 12th Ave Ste B Miami FL 33130Gender MaleNPI 1811048937License DN12527License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MARQUEZ-IGLESIAS FelicitaMed Dental Associates Inc(305) 264-0063Prov No 0000123136997200 Nw 7th St Ste 333Miami FL 33126Language SpanishGender FemaleNPI 1740619402License DN20430License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0065Accepts New Patients YHospital Affiliation NA

MARRO Blanca RSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001284982613706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

207GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARS Rick AGlickman amp Mars Dental(305) 935-2797Prov No 0000000194082797 Ne 207th St Ste 100 Miami FL 33180Gender MaleNPI 1316002637License DN11641License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFax (305) 937-4834Accepts New Patients YHospital Affiliation NA

MARTIN CiroCiro A Martin Dds Pa(305) 551-6714Prov No 0000000192908463 Bird Rd Miami FL 33155Gender MaleNPI 1093855256License DN13508License Type DBP DentistBoard Certified Not ReportedEmail ciromartinaolcomFaxAccepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001256015713706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARTINEZ Jeidy DPrayers DdsHonest DentalService(305) 456-8046Prov No 000000468237400 Sw 27th AveMiami FL 33135Gender FemaleNPI 1194935783License DN16347License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

MARTINEZ Jeidy DJeidy Martinez-Pena(305) 846-9082Prov No 0000007136932915 Nw 7th St Miami FL 33125Gender FemaleNPI 1194935783License DN16347License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 846-9092Accepts New Patients YHospital Affiliation NA

MARTINEZ Miguel AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 00001244166113706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARTOS GriselG L Dental Clinic Pa(305) 448-0808Prov No 000000157901782 Nw 42nd Ave Ste 633Miami FL 33126Gender FemaleNPI 1578975264License DN15442License Type DBP DentistBoard Certified Not ReportedEmail insuranceoterodentalcenterscomFax (305) 442-2225Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LFontainebleau Dentistry(714) 845-8500Prov No 0000122257509971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LDentists at Midtown(786) 724-0418Prov No 0000133710783120 N Miami AveMiami FL 33127Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmailFax (303) 982-0892Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MCHUGH Allyson MDental Center at Baptist(305) 271-3001Prov No 0000131813908940 N Kendall Dr Ste 1005EMiami FL 33176Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-5077Accepts New Patients YHospital Affiliation NA

MENDEZ AntonioMendez Dental Inc(305) 227-7997Prov No 0000121754099100 Sw 24th St Ste 9Miami FL 33165Gender MaleNPI 1659570430License DN13520License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 675-3237Accepts New Patients YHospital Affiliation NA

MENDOZA IreniaNew Smiles Dental Associates(786) 717-7779Prov No 00001218968814138 Sw 8th St 1Miami FL 33184Gender FemaleNPI 1124256920License DN18576License Type DBP DentistBoard Certified Not ReportedEmail infonewsmilesdentalassociatescomFax (786) 534-8863Accepts New Patients YHospital Affiliation NA

208 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MENENDEZ LLERA Vivian MSunset Dental Corp(305) 596-7155Prov No 00000215947210728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MENENDEZ LLERA Vivian MDental American Group(305) 225-3452Prov No 00000222842110721 W Flagler St Miami FL 33174Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

MESTRE Jairo FBorinquen Health Care CenterInc Dental(305) 576-6611Prov No 0000130203183601 Federal Hwy Fl 5Miami FL 33137Language French SpanishGender MaleNPI 1811202971License DN19140License Type DBP DentistBoard Certified Not ReportedEmail otamarezborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MILANES ElioverEliover F Milanes(305) 261-0633Prov No 0000062329126791 W Flagler StMiami FL 33144Gender MaleNPI 1548411937License DN18309License Type DBP DentistBoard Certified Not ReportedEmail cmcdentalyahooco mFax (305) 261-2457Accepts New Patients YHospital Affiliation NA

MIRANDA AlejandraCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546483831 Grand AveMiami FL 33133Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(305) 856-2300Prov No 0000002946652375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MIRANDA Pablo EGateway Dental Inc(305) 856-2300Prov No 0000047058001050 Nw 14th St Ste 204 Miami FL 33136Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail civicgatewaydentalinccomFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(305) 552-1553Prov No 00001220385511880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(305) 944-4373Prov No 0000125177821400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MOHR Eric ESage Dental of West Miami Pllc(786) 476-8711Prov No 0000121986946820 Bird RdMiami FL 33155Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MOLINA MaylingDental Health Group Pa(305) 670-4476Prov No 0000002933847300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1699820134License DN16243License Type DBP DentistBoard Certified NEmailFax (305) 514-0138Accepts New Patients YHospital Affiliation NA

MOLINA Rosario GRosario G Molina Dmd(305) 685-5133Prov No 0000125427061909 Sw 27th AveMiami FL 33145Gender FemaleNPI 1912231549License DN9515License Type DBP DentistBoard Certified Not ReportedEmail rosiegmolinaattn etFax (305) 856-9358Accepts New Patients YHospital Affiliation NA

209GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MOLINA ARIZA YudisbelYudisbel Molina Ariza Dmd Pa(305) 226-0803Prov No 0000125579638500 W Flagler St Ste 104 AMiami FL 33144Language SpanishGender FemaleNPI 1760865067License DN21386License Type DBP DentistBoard Certified Not ReportedEmail drmolinasmilesgmailcomFax (305) 226-0988Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Miami Pllc(786) 476-8711Prov No 0000128194976820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MORA Eddy AEddy A Mora Dds Pa(305) 267-1620Prov No 0000001936737171 Coral Way Ste 217 Miami FL 33155Language SpanishGender MaleNPI 1407999782License DN12455License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 267-1102Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MORA Eugenio AMora Family Dentistry(305) 267-1620Prov No 0000125546567171 Coral Way Ste 217Miami FL 33155Gender MaleNPI 1346396488License DN14115License Type DBP DentistBoard Certified YEmailFax (305) 267-1102Accepts New Patients YHospital Affiliation NA

MORA YosjanyMora Family Dentistry(305) 267-1620Prov No 0000002944787171 Coral Way Ste 217Miami FL 33155Gender FemaleNPI 1922179613License DN17506License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 267-1102Accepts New Patients YHospital Affiliation NA

MORALES Ronald JDental Plus Inc(305) 969-2651Prov No 00000026525411352 Quail Roost DrMiami FL 33157Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MORALES Ronald JDental Center of Country Walk(305) 233-3335Prov No 00001296619415795 Sw 152nd StMiami FL 33187Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail judyanoffaltimadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

MORALES Ronald JAltima Dental Group(305) 459-3192Prov No 00001297350316371 Sw 88th StMiami FL 33196Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

MORELL NayadeNayade Morell(305) 265-5811Prov No 000000385930916 Sw 67th AveMiami FL 33144Language SpanishGender FemaleNPI 1942396502License DN17626License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 265-5813Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546343831 Grand AveMiami FL 33133Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001255465813540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631426820 Bird RdMiami FL 33155Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

210 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)NAIERMAN Eric HDental Specialists of CoralGables Group(305) 305-9601Prov No 0000104002262645 Sw 37th Ave Ste 303 Miami FL 33133Gender MaleNPI 1982981643License DN19906License Type DBP DentistBoard Certified NEmail gymasmysanitasco mFax (305) 543-6885Accepts New Patients YHospital Affiliation NA

NAIERMAN Eric HDental Specialists of DoralGroup(305) 220-8911Prov No 00001213830310666 Fontainebleau BlvdMiami FL 33172Gender MaleNPI 1982981643License DN19906License Type DBP DentistBoard Certified NEmail dsinslibetgmailc omFaxAccepts New Patients YHospital Affiliation NA

NAZARIO LUGO Beatriz TDental Health Group Pa(305) 385-4215Prov No 00001100929613876 Sw 88th StMiami FL 33186Gender FemaleNPI 1255340279License DN17881License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)NELSON John AMidtown Dental(305) 598-6070Prov No 0000068112583915 Biscayne Blvd Ste 30 6Miami FL 33137Language French Other(Non-English) SpanishGender MaleNPI 1831335645License DN18534License Type DBP DentistBoard Certified Not ReportedEmail infomidtowndentalmiamicomFaxAccepts New Patients YHospital Affiliation NA

NIETO MartaMarta Nieto Dds Pa(305) 228-9600Prov No 0000120417542710 Sw 87th Ave Ste 2700Miami FL 33165Gender FemaleNPI 1962521898License DN13137License Type DBP DentistBoard Certified Not ReportedEmail drnietodentalgmailcomFax (305) 228-9614Accepts New Patients YHospital Affiliation NA

NUNES LEDOUX Joanne MPrayers DdsHonest DentalService(305) 456-8046Prov No 000012138426400 Sw 27th AveMiami FL 33135Language Portuguese SpanishGender FemaleNPI 1952559502License DN18333License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)OJEDA JR Juan MGreat Expressions DentalCenters(248) 203-1119Prov No 0000124629131001 Ives Dairy Rd Ste 103Miami FL 33179Gender MaleNPI 1861786949License DN19477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 652-3259Accepts New Patients YHospital Affiliation NA

OJEDA JR Juan MGreat Expressions DentalCenters(305) 670-4476Prov No 0000124632877300 N Kendall Dr Ste 110Miami FL 33156Gender MaleNPI 1861786949License DN19477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

OLIVA PEREZ AnnyAnny Oliva Perez(305) 935-4800Prov No 0000129173612925 Aventura Blvd Ste 309Miami FL 33180Language SpanishGender FemaleNPI 1144602400License DN21257License Type DBP DentistBoard Certified Not ReportedEmail aplusdentalaventuragmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ORTEGA Laura OEast Coast Family Dental Pa(305) 264-0747Prov No 0000125181526741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1558742528License DN21243License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

OSPINA Ana MDental Options Pa(305) 466-1804Prov No 0000126083142999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1689806077License DN20977License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

OSSA GOMEZ PaolaSunset Dental Corp(305) 596-7155Prov No 00001230243510728 Sw 72nd StMiami FL 33173Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

211GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)OSSA GOMEZ PaolaDental American Group(305) 225-3452Prov No 00001249252110721 W Flagler St Miami FL 33174Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

OSSA GOMEZ PaolaDental American Group(305) 273-9330Prov No 0000126182408718 Sw 72nd StMiami FL 33173Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

PALACIOS Ana YAll Dental Paradise Corp(305) 506-6616Prov No 00001251808615 Sw 107th AveMiami FL 33174Language SpanishGender FemaleNPI 1295925717License DN21594License Type DBP DentistBoard Certified Not ReportedEmail adp15ddsgmailco mFax (305) 675-0974Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PALACIOS Ana YEast Coast Family Dental Pa(305) 264-0747Prov No 0000125183236741 Coral Way Ste 14Miami FL 33155Language SpanishGender FemaleNPI 1295925717License DN21594License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

PANDEY AnitaTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000002021388353 Sw 124th St Ste 202Miami FL 33156Gender FemaleNPI 1841370558License DN14642License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

PAPIR Jessica BDental Options Pa(305) 892-2960Prov No 00000073238511645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PAPIR Jessica BDental Options Pa(305) 466-1804Prov No 0000013997022999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

PAPIR Jessica BDental Health Group Pa(305) 670-4476Prov No 0000121378927300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 514-0138Accepts New Patients YHospital Affiliation NA

PAYA AnabelFermin R Lopez Dds Pa(305) 649-6112Prov No 0000121996991125 Nw 22nd AveMiami FL 33125Language SpanishGender FemaleNPI 1609256700License DN21221License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PAYA AnabelPaya Dental and Associates(305) 541-5103Prov No 0000129337452143 Nw 7th StMiami FL 33125Language SpanishGender FemaleNPI 1609256700License DN21221License Type DBP DentistBoard Certified Not ReportedEmail apayadentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

PELTON Ivan SDental Specialists of DoralGroup Co(305) 220-8911Prov No 00001270675410666 Fontainebleau BlvdMiami FL 33172Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail dsdanay1992gmailcomFax (305) 593-6855Accepts New Patients YHospital Affiliation NA

PENATE Ada LAda L Penate Dds Pa(305) 388-3725Prov No 00000002063314609 Sw 104th St Miami FL 33186Gender FemaleNPI 1770609166License DN11668License Type DBP DentistBoard Certified Not ReportedEmail apenatebellsouth netFax (305) 388-1745Accepts New Patients YHospital Affiliation NA

212 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000051797675361 Nw 22nd AveMiami FL 33142Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

PERDIGON-CANGAHUALA NitzaJessie Trice Community Health(305) 637-6400Prov No 00000517976818360 Nw 7th Ave Miami FL 33169Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000051797705607 Nw 27th Ave Ste 2 Miami FL 33142Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 0000127466695607 Nw 27th Ave Ste 1Miami FL 33142Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmailFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873820217 Nw 15th StMiami FL 33136Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

PEREIRA IeshyDental Options Pa(305) 892-2960Prov No 00001297344911645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1558788836License DN22101License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREIRA IeshyDental Options Pa(305) 466-1804Prov No 0000130418612999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1558788836License DN22101License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

PEREZ Alina JDental Design Specialists Corp(305) 270-0744Prov No 00001201072213550 Sw 88th St Ste 112 Miami FL 33186Gender FemaleNPI 1649408469License DN18627License Type DBP DentistBoard Certified NEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

PEREZ Alina JUnlimited Dental Care Corp(786) 356-7246Prov No 00001204551611498 Quail Roost DrMiami FL 33157Gender FemaleNPI 1649408469License DN18627License Type DBP DentistBoard Certified NEmail unlimitedental11498yahoocomFax (305) 232-4487Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREZ AnnabelGentle Teeth of Kendall(305) 595-3400Prov No 0000126789546670 Sw 117th AveMiami FL 33183Gender FemaleNPI 1932639283License DN22652License Type DBP DentistBoard Certified Not ReportedEmail genteeth2gmailco mFax (305) 596-3352Accepts New Patients YHospital Affiliation NA

PEREZ DileyDiley Perez Dmd Pa(305) 846-9082Prov No 0000121050852915 Nw 7th StMiami FL 33125Language SpanishGender MaleNPI 1780962092License DN19487License Type DBP DentistBoard Certified NEmailFax (305) 846-9092Accepts New Patients YHospital Affiliation NA

PEREZ EuniceUnidental Center(305) 456-8877Prov No 00001298979412622 Sw 8th StMiami FL 33184Gender FemaleNPI 1649527227License DN20994License Type DBP DentistBoard Certified Not ReportedEmail unidentalcentergmailcomFaxAccepts New Patients YHospital Affiliation NA

213GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREZ ZailyUniversal Dental Clinic(305) 326-7159Prov No 000012451278432 Nw 12th Ave Miami FL 33128Gender FemaleNPI 1063828929License DN20781License Type DBP DentistBoard Certified Not ReportedEmail universaldental2011hotmailcomFax (305) 324-5875Accepts New Patients YHospital Affiliation NA

PEREZ ZailyZaily Perez(305) 222-1150Prov No 0000126415398020 Coral WayMiami FL 33155Gender FemaleNPI 1063828929License DN20781License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PEREZ ALAMO JenniferDental Specialty Center atBaptist(305) 275-8875Prov No 0000126459068940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREZ ALAMO JenniferTowncare Dental of WestKendall(305) 388-7900Prov No 00001264597215724 Sw 72nd StMiami FL 33193Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

PEREZ CARMONA Alba EPerez Dental Group Inc(786) 360-3694Prov No 0000130995717801 Coral Way Ste 122Miami FL 33155Gender FemaleNPI 1548636244License DN21498License Type DBP DentistBoard Certified Not ReportedEmail perezdentalgroupincgmailcomFax (786) 431-1522Accepts New Patients YHospital Affiliation NA

PEREZ-MURGUIA OmarOmar Perez-Murguia Dds(305) 552-6446Prov No 0000006302239835 Sw 40th StMiami FL 33165Gender MaleNPI 1033210216License DN15727License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 225-2880Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERROTTI Steven DGateway Dental Inc(305) 856-2300Prov No 0000003027832375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

PERROTTI Steven DGateway Dental Inc(305) 552-1553Prov No 00001220355711880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

PERROTTI Steven DGateway Dental Inc(305) 944-4373Prov No 0000125180281400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERROTTI Steven DGateway Dental Inc(305) 856-2300Prov No 0000127960741050 Nw 14th St Ste 204Miami FL 33136Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

PESATURO Ana HMendez Dental Inc(305) 227-7997Prov No 0000032744669100 Sw 24th St Ste 9Miami FL 33165Language SpanishGender FemaleNPI 1417276924License DN19688License Type DBP DentistBoard Certified NEmailFax (305) 675-3237Accepts New Patients YHospital Affiliation NA

PESATURO Ana HAna Pesaturo Dds Pa(305) 551-2722Prov No 0000122348468500 W Flagler St Ste 108AMiami FL 33144Language SpanishGender FemaleNPI 1417276924License DN19688License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

214 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PHAM Minh BFontainebleau Dentistry(714) 845-8500Prov No 0000125655859971 W Flagler St Ste 220Miami FL 33174Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(305) 856-2300Prov No 0000121657942375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(305) 552-1553Prov No 00001245145511880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PITA ReynaldoGateway Dental Inc(305) 944-4373Prov No 0000125180811400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(305) 856-2300Prov No 0000128687421050 Nw 14th St Ste 204Miami FL 33136Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631576820 Bird RdMiami FL 33155Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PRIA CarlosBorinquen Health Care CenterInc(305) 576-6611Prov No 0000125407143601 Federal Hwy Fl 5 Miami FL 33137Gender MaleNPI 1811166838License DN19249License Type DBP DentistBoard Certified Not ReportedEmail gtabetborinquenhealthorgFax (305) 576-0008Accepts New Patients YHospital Affiliation NA

PRIETO EvelynSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001248247513706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

PUENTE KatiaFermin R Lopez Dds Pa(305) 649-6112Prov No 0000006965701125 Nw 22nd AveMiami FL 33125Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PUENTE KatiaFlagler Dental Care(305) 324-5072Prov No 0000006965721199 W Flagler St Ste 7 Miami FL 33130Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

PUIG LianaLiang Puig Dds Pa(305) 266-0011Prov No 000012911430720 Sw 58th CtMiami FL 33144Gender FemaleNPI 1790016202License DN15854License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631606820 Bird RdMiami FL 33155Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

215GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)QUILICHINI Carlos ADental Specialists of DoralGroup Co(305) 220-8911Prov No 00001200100910666 Fontainebleau BlvdMiami FL 33172Gender MaleNPI 1700079399License DN11673License Type DBP DentistBoard Certified Not ReportedEmail dsdanay1992gmailcomFax (305) 593-6855Accepts New Patients YHospital Affiliation NA

QUINTANA VilmaDental Group of Miami BeachCorp(305) 868-8500Prov No 0000012153531010 71st StMiami FL 33141Gender FemaleNPI 1598064354License DN19274License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAMIREZ MauricioDental Specialty Center atBaptist(305) 275-8875Prov No 0000126156628940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RAMIREZ MauricioDental Associates of KendallDds Pa(305) 271-2254Prov No 00001262299811400 N Kendall Dr Ste 207Miami FL 33176Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenWest Kendall Medical Center(786) 231-0800Prov No 00001307332613540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

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 cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RAMOS YilianDental Associates of KendallDds Pa(305) 271-2254Prov No 00001213022311400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1699030205License DN19848License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

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 administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

RAND Matthew KGateway Dental Inc(305) 856-2300Prov No 0000124307292375 Sw 27th Ave Miami FL 33145Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RAPPAPORT David BSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631526820 Bird RdMiami FL 33155Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(786) 501-2168Prov No 0000128956756801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(786) 501-2163Prov No 00001289568413768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

216 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)REYES Christina MDental Excellence Partners Llc(786) 534-2796Prov No 0000128967408300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Group of Miami Pa(305) 443-9206Prov No 0000128970924500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(786) 534-2796Prov No 0000125354208300 W Flagler St Ste 200Miami FL 33144Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)REYES Miguel ADental Excellence Partners Llc(786) 501-2163Prov No 00001296566913768 Sw 8th StMiami FL 33184Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(786) 501-2168Prov No 0000129656716801 Sw 8th StMiami FL 33144Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(305) 443-9206Prov No 0000129656724500 Nw 7th StMiami FL 33126Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)REYES CANALS Osmil ASalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001221948213706 Sw 56th St Ste 201 Miami FL 33175Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RIBAS Jose EJose E Ribas Dds(305) 541-7626Prov No 000000018486730 Nw 40th Ave Miami FL 33126Gender MaleNPI 1841311198License DN11199License Type DBP DentistBoard Certified Not ReportedEmail ribasbellsouthne tFax (305) 643-3436Accepts New Patients YHospital Affiliation NA

RIBOT AlianaRight Care Dental Llc(786) 206-6021Prov No 0000125262428290 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1811377732License DN21224License Type DBP DentistBoard Certified Not ReportedEmail inforightcaredentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RIEGER Eric RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631556820 Bird RdMiami FL 33155Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631626820 Bird RdMiami FL 33155Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CDental Options Pa(305) 892-2960Prov No 00001326412911645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

217GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RIOS KU HOP Milagritos CDental Options Pa(305) 466-1804Prov No 0000132641302999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

RIVAS Miguel ADental R Us(305) 253-7588Prov No 00000666102111373 Sw 211th St Ste 11Miami FL 33189Gender MaleNPI 1194895011License DN12051License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7515Accepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family Dental Pa(305) 264-0747Prov No 0000128515356741 Coral Way Ste 14Miami FL 33155Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RIVERA Lina NEast Coast Family Dental Pa(786) 300-3483Prov No 0000128665166800 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family Dental Pa(786) 534-2796Prov No 0000128665968300 W Flagler St Ste 210Miami FL 33144Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1129Accepts New Patients YHospital Affiliation NA

RODRIGUEZ AlejandroHappy Teeth Dental Llc(305) 266-4544Prov No 0000026185997976 Sw 8th StMiami FL 33144Gender MaleNPI 1942386305License DN16431License Type DBP DentistBoard Certified Not ReportedEmail happyteethdentalyahoocomFax (305) 266-8644Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ Esteban JDental Plus Inc(305) 969-2651Prov No 00000003622211352 Quail Roost DrMiami FL 33157Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000007321118353 Sw 124th St Ste 202Miami FL 33156Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

RODRIGUEZ GretellGretell Rodriguez(305) 646-9222Prov No 0000042503674150 Nw 7th St Ste 103Miami FL 33126Language SpanishGender FemaleNPI 1154678910License DN19927License Type DBP DentistBoard Certified Not ReportedEmail healthcosmeticdentalyahoocomFax (305) 646-6704Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ Guillermo PGables Smiles Inc(305) 441-7700Prov No 0000003150957036 Coral WayMiami FL 33155Gender MaleNPI 1558492363License DN13312License Type DBP DentistBoard Certified Not ReportedEmail gablessmilesfdgmailcomFax (305) 441-7900Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Hernan MDr Hernan Rodriguez(786) 230-1568Prov No 0000002318742645 Sw 37th Ave Ste 702Miami FL 33133Gender MaleNPI 1003950502License DN15859License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 447-6656Accepts New Patients YHospital Affiliation NA

RODRIGUEZ LazaroTratamientos DentalesIncorporated(305) 649-5710Prov No 000000368419285 Nw 27th Ave Ste 19Miami FL 33125Gender MaleNPI 1184823031License DN17750License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 649-5710Accepts New Patients YHospital Affiliation NA

218 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ LazaroKr Dental Group Inc(305) 595-0917Prov No 00000068988810543 Sw 109th Ct Miami FL 33176Gender MaleNPI 1184823031License DN17750License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 595-0919Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121986956820 Bird RdMiami FL 33155Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Ramon ADampR Dentistry(305) 400-8060Prov No 00001021395814750 Sw 26th St Ste 210 Miami FL 33185Language SpanishGender MaleNPI 1366768657License DN18940License Type DBP DentistBoard Certified Not ReportedEmail drdentistry210hotmailcomFax (888) 627-7939Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ CASTRO LiliamFermin R Lopez Dds Pa Corp(305) 649-6112Prov No 0000023731221125 Nw 22nd Ave Miami FL 33125Gender FemaleNPI 1376806125License DN19765License Type DBP DentistBoard Certified NEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

ROJAS SandraDental Options Pa(305) 466-1804Prov No 0000014009272999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1619265790License DN19424License Type DBP DentistBoard Certified NEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

ROMAY RicardoDesign A Smile Pa(305) 667-8887Prov No 0000000426276437 Bird Rd Miami FL 33155Gender MaleNPI 1720095037License DN14151License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 667-2166Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ROMAY RicardoDesign A Smile Kendall Pa(305) 408-3388Prov No 00001285283113091 Sw 88th St Miami FL 33186Gender MaleNPI 1720095037License DN14151License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 408-3029Accepts New Patients YHospital Affiliation NA

ROMERO VAZQUEZ IvetAltima Dental Group(305) 547-8398Prov No 00001261381515795 Sw 152nd StMiami FL 33187Language SpanishGender FemaleNPI 1316476682License DN22624License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

ROMERO VAZQUEZ IvetAltima Dental Group(305) 459-3192Prov No 00001262983416371 Sw 88th StMiami FL 33196Language SpanishGender FemaleNPI 1316476682License DN22624License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ROQUE-RUANO MaikelSage Dental of West Miami Pllc(786) 476-8711Prov No 0000125239396820 Bird RdMiami FL 33155Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of West KendallPllc(786) 621-5800Prov No 00001252830912554 Sw 88th StMiami FL 33186Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROSALES SalvadorSalvador Rosales(305) 261-5556Prov No 0000000189568150 Sw 8th St Ste 206 Miami FL 33144Language SpanishGender MaleNPI 1457441511License DN12058License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 261-5429Accepts New Patients YHospital Affiliation NA

219GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ROSSEN Peter AAmerican Dental Center(305) 625-5400Prov No 0000123141461505 Nw 167th St Ste 100 Miami FL 33169Gender MaleNPI 1003224643License DN8066License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthDade(786) 231-0800Prov No 00001253220913540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546603831 Grand AveMiami FL 33133Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SAENZ Manuel ODental Health Group Pa(305) 385-4215Prov No 00000037382613876 Sw 88th StMiami FL 33186Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

SAENZ Manuel ODental Health Group Pa(305) 227-0600Prov No 00001213830811865 Sw 26th St Ste C39Miami FL 33175Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

SAGUE Gustavo ADental Plus Inc(305) 969-2651Prov No 00001217802511352 Quail Roost DrMiami FL 33157Language SpanishGender MaleNPI 1699177964License DN20771License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SAGUE Gustavo AG S Dental(305) 200-3404Prov No 00001258582515640 Sw 72nd StMiami FL 33193Language SpanishGender MaleNPI 1699177964License DN20771License Type DBP DentistBoard Certified Not ReportedEmail gsdentalmiamigmailcomFaxAccepts New Patients YHospital Affiliation NA

SALAZAR Manuel ASalazar Dental Inc(305) 269-0208Prov No 0000012343968346 Sw 8th StMiami FL 33144Gender MaleNPI 1699097261License DN18913License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 269-0310Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00000034991713706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SALCINES Damaris GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000019256614750 Nw 7th St Ste 1Miami FL 33126Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

SALGUEIRO Jose LMiami Smiles Dental(305) 261-5251Prov No 0000000194187933 Nw 2nd St Miami FL 33126Gender MaleNPI 1184632515License DN11158License Type DBP DentistBoard Certified Not ReportedEmail traviesasdentalgmailcomFax (305) 261-3446Accepts New Patients YHospital Affiliation NA

SANCHEZ Mayra GMayra Sanchez Dds(305) 261-8025Prov No 0000000188445845 W Flagler St Miami FL 33144Gender FemaleNPI 1558680439License DN9618License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

220 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANCHEZ ReinaldoMiami Center For Dentistry(305) 267-8110Prov No 000000218379825 Sw 87th Ave Ste G Miami FL 33174Gender MaleNPI 1922193978License DN15236License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SANCHEZ ReinaldoDentist at Market Square(786) 476-3583Prov No 00000337914411770 Sw 104th StMiami FL 33186Gender MaleNPI 1922193978License DN15236License Type DBP DentistBoard Certified Not ReportedEmail sanchezdmdyahoocomFax (786) 476-3586Accepts New Patients YHospital Affiliation NA

SANTAMARINA Luis MLuis M Santamarina Dmd Pa(305) 644-3464Prov No 000000018424330 Sw 27th Ave Ste 602 Miami FL 33135Gender MaleNPI 1427157320License DN8610License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTANA DaniaGateway Dental Inc(305) 552-1553Prov No 00001226851111880 Sw 40th St Ste 215 Miami FL 33175Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

SANTANA DaniaGateway Dental Inc(305) 856-2300Prov No 0000123111452375 Sw 27th Ave Miami FL 33145Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

SANTANA DaniaGateway Dental Inc(305) 944-4373Prov No 0000125181281400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTANA DaniaGateway Dental Inc(305) 325-0050Prov No 0000129087131050 Nw 14th St Ste 9BMiami FL 33136Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SANTIAGO-HERZOG Tatiana EDental Center at Baptist Pa(305) 275-8875Prov No 0000012652558940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001286055313706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTIESTEBAN AymaraGateway Dental Inc(305) 856-2300Prov No 0000128697441050 Nw 14th St Ste 204 Miami FL 33136Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail civicgatewaydentalinccomFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraGateway Dental Inc(305) 552-1553Prov No 00001297987911880 Sw 40th St Ste 215 Miami FL 33175Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraGateway Dental Inc(305) 944-4373Prov No 0000129805661400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

221GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTIESTEBAN AymaraGateway Dental Inc(305) 856-2300Prov No 0000129805692375 Sw 27th Ave Miami FL 33145Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

SARDUY Luis OTratamientos DentalesIncorporated(305) 649-5710Prov No 000000177824285 Nw 27th Ave Ste 19Miami FL 33125Language SpanishGender MaleNPI 1861596157License DN13211License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 649-5710Accepts New Patients YHospital Affiliation NA

SARDUY Luis OBiltmore Dental Network Co(305) 554-6054Prov No 00001200961210322 W Flagler StMiami FL 33174Language SpanishGender MaleNPI 1861596157License DN13211License Type DBP DentistBoard Certified Not ReportedEmail biltmoredentalnetworkgmailcomFax (888) 552-1321Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001247390013540 Sw 135th AveMiami FL 33186Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125009813831 Grand AveMiami FL 33133Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

SCOTT Tessa FDental Health Group Pa(305) 385-4215Prov No 00000001856613876 Sw 88th StMiami FL 33186Gender FemaleNPI 1396821948License DN16102License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SEGAL Michelle ADental Options Pa(305) 892-2960Prov No 00001251562311645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1992014021License DN16066License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

SEGAL Michelle ADental Options Pa(305) 466-1804Prov No 0000125156842999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1992014021License DN16066License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

Sepulveda Isabel CHonest Dental Service(305) 456-8046Prov No 000012121261400 Sw 27th AveMiami FL 33135Language SpanishGender FemaleNPI 1790111763License DN20070License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SERRA-JOVENICH ManuelManuel Serra-Jovenich amp Assoc(305) 264-9191Prov No 0000000190797171 Coral Way Ste 401Miami FL 33155Gender MaleNPI 1831149517License DN9487License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-6246Accepts New Patients YHospital Affiliation NA

SIDDIQUI Rasheed BGentle Teeth of Kendall(305) 595-3400Prov No 0000120050186670 Sw 117th AveMiami FL 33183Language SpanishGender MaleNPI 1518309145License DN20293License Type DBP DentistBoard Certified NEmail genteeth2gmailco mFax (305) 596-3352Accepts New Patients YHospital Affiliation NA

SILVA SandraSandra C Silva Dmd Pa(305) 670-0197Prov No 00000010913810661 N Kendall Dr Ste 10 5Miami FL 33176Language SpanishGender FemaleNPI 1437348166License DN16071License Type DBP DentistBoard Certified Not ReportedEmail silvasandra048gmailcomFax (786) 577-0121Accepts New Patients YHospital Affiliation NA

222 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SILVESTRY AilynDental Associates of KendallDds Pa(305) 271-2254Prov No 00000001847511400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1215056874License DN13823License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

SILVESTRY Elvin JDental Associates of KendallDds Pa(305) 271-2254Prov No 00000001847411400 N Kendall Dr Ste 207Miami FL 33176Gender MaleNPI 1447332374License DN13522License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

SIMBACO WalterDental Specialty Center atBaptist(305) 275-8875Prov No 0000002669578940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SIMBACO WalterMed Dental Associates Inc(305) 264-0063Prov No 0000131214307200 Nw 7th St Ste 333Miami FL 33126Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0065Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764056820 Bird RdMiami FL 33155Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SOHEIL Michelle MBorinquen Health Care CenterInc Dental(305) 576-6611Prov No 0000004454623601 Federal Hwy Fl 5Miami FL 33137Gender FemaleNPI 1215014394License DN16074License Type DBP DentistBoard Certified Not ReportedEmail otamarezborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SOLIS GONZALEZ Elena MElena M Solis Gonzalez DmdLlc(786) 776-3328Prov No 00001285275312002 Sw 128th Ct Ste 210Miami FL 33186Gender FemaleNPI 1780024950License DN20240License Type DBP DentistBoard Certified Not ReportedEmail rdccredentialinggmailcomFaxAccepts New Patients YHospital Affiliation NA

SOSA RobertoRoberto Sosa Dds(305) 261-6965Prov No 000000311615815 Nw 57th Ave Ste 301Miami FL 33126Gender MaleNPI 1548357478License DN13179License Type DBP DentistBoard Certified Not ReportedEmail carmenrobertososaddscomFax (305) 265-2089Accepts New Patients YHospital Affiliation NA

SOSA-ABELLA Nancy MDental Center at Baptist Pa(305) 275-8875Prov No 0000011329518940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1821186982License DN13746License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SOTO Paola FMed Dental Associates Inc(305) 264-0063Prov No 0000123127457200 Nw 7th St Ste 333Miami FL 33126Language Portuguese SpanishGender FemaleNPI 1336572007License DN20370License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0065Accepts New Patients YHospital Affiliation NA

SOTO Paola FCaimen A Feoli Dds Pa(305) 949-5252Prov No 0000125142241490 Ne Miami Gardens Dr Miami FL 33179Language Portuguese SpanishGender FemaleNPI 1336572007License DN20370License Type DBP DentistBoard Certified Not ReportedEmail drfeolihotmailco mFax (305) 949-5011Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121728436820 Bird RdMiami FL 33155Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

223GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)STRONG Shanice De OnaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124543176820 Bird RdMiami FL 33155Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental(786) 621-5800Prov No 00001247295912554 Sw 88th StMiami FL 33186Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SUAREZ RenierRenier Suarez Dmd Pa(305) 412-7728Prov No 00000041358710000 Sw 56th St Ste 23Miami FL 33165Gender MaleNPI 1104005669License DN17625License Type DBP DentistBoard Certified Not ReportedEmail dr123smileyahooc omFax (305) 412-7728Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SUAREZ TatianaPrayers DdsHonest DentalService(305) 456-8046Prov No 000001348737400 Sw 27th AveMiami FL 33135Language Arabic PortugueseSpanishGender FemaleNPI 1396973483License DN18701License Type DBP DentistBoard Certified NEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

SUAREZ TatianaThe Center For Excellence InCosmetic Dentistry(305) 915-2558Prov No 0000117745831900 N Bayshore Dr Ste 207Miami FL 33132Language Arabic PortugueseSpanishGender FemaleNPI 1396973483License DN18701License Type DBP DentistBoard Certified NEmailFax (305) 915-2558Accepts New Patients YHospital Affiliation NA

SUATE PEDROZA Isabel MTamiami Dental Center Pa(305) 553-9655Prov No 00000245147313232 Sw 8th St Miami FL 33184Language Italian SpanishGender FemaleNPI 1972858751License DN19876License Type DBP DentistBoard Certified NEmail onestopsmileshophotmailcomFax (305) 553-7688Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SWANSON Wendy ESunset Center Dental Services(786) 534-7314Prov No 00001291185810300 Sw 72nd St Ste 280Miami FL 33173Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail sunsetdentalservicesgmailcomFax (786) 534-7324Accepts New Patients YHospital Affiliation NA

TAVERAS Sonia DSonia Taveras(305) 261-8608Prov No 0000000193047892 W Flagler StMiami FL 33144Gender FemaleNPI 1659493500License DN13186License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 261-7608Accepts New Patients YHospital Affiliation NA

TOIRAC Maria DAmerican Dental ClinicCorporation(305) 485-8427Prov No 0000003440663631 Sw 87th AveMiami FL 33165Gender FemaleNPI 1790987543License DN17931License Type DBP DentistBoard Certified Not ReportedEmail infoamericadentalcliniccomFax (305) 485-8429Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)TRAVIESAS EladioTraviesas Dental Corp(305) 261-5251Prov No 0000131576637933 Nw 2nd StMiami FL 33126Gender MaleNPI 1992187876License DN22857License Type DBP DentistBoard Certified Not ReportedEmail traviesasdentalgmailcomFax (305) 261-3446Accepts New Patients YHospital Affiliation NA

TRIANA Lauren DCoba Richard I(305) 595-1239Prov No 0000123127939541 Sw 72nd StMiami FL 33173Gender FemaleNPI 1952534158License DN18336License Type DBP DentistBoard Certified NEmail cobadentalgmailc omFax (305) 595-1241Accepts New Patients YHospital Affiliation NA

TRIANA CONCEPCION Nelcy MMiami Dental Care Inc(305) 267-3751Prov No 0000011055985771 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1932429461License DN19017License Type DBP DentistBoard Certified Not ReportedEmail miamidcaregroupcomFaxAccepts New Patients YHospital Affiliation NA

224 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)TRUJILLO MadeleneAlfredo Corpas Dds Pa(305) 264-0747Prov No 0000004623766741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1881835767License DN18770License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

TRUJILLO ZuzelZuzel Trujillo Dmd(305) 223-2828Prov No 00000153702313323 Sw 42nd StMiami FL 33175Gender FemaleNPI 1285860353License DN18673License Type DBP DentistBoard Certified Not ReportedEmail trujillodmdgmail comFax (305) 223-1459Accepts New Patients YHospital Affiliation NA

TYDIR MichelleDental Associates of KendallDds Pa(305) 271-2254Prov No 00001059617011400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1326296278License DN17741License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)UBIETA ARBESU EduardoSunset Family amp CosmeticDentistry Pllc(305) 596-2815Prov No 0000120440579777 Sw 72nd St Miami FL 33173Language SpanishGender MaleNPI 1477992436License DN20181License Type DBP DentistBoard Certified Not ReportedEmail drubietaoutlook comFax (305) 596-1820Accepts New Patients YHospital Affiliation NA

UCROS Maria JHammocks Dental Center Pa(305) 387-5700Prov No 0000124490139280 Hammocks Blvd Ste 102Miami FL 33196Language SpanishGender FemaleNPI 1366833212License DN21212License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-6566Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124626366820 Bird RdMiami FL 33155Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VALDES Martha BFamily amp Cosmetic Dentistry(305) 387-4954Prov No 00001204917713706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

VALDES VivianVnd Corp(305) 669-6111Prov No 0000000191956840 Bird Rd Ste 207A Miami FL 33155Language SpanishGender FemaleNPI 1689681108License DN14228License Type DBP DentistBoard Certified Not ReportedEmail drvivianvaldesgmailcomFaxAccepts New Patients YHospital Affiliation NA

VALDES CASTELLANOS LissetDental Family Center Llc(305) 552-0702Prov No 0000128527499584 Sw 40th StMiami FL 33165Gender FemaleNPI 1437543105License DN22898License Type DBP DentistBoard Certified Not ReportedEmail dentalfamilycenteryahoocomFax (305) 552-0709Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VANDENEDES WilliamWilliam Vandenedes Dds(305) 264-4008Prov No 0000000184438163 Bird RdMiami FL 33155Gender MaleNPI 1457563975License DN13280License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-9716Accepts New Patients YHospital Affiliation NA

VASALLO FranciscoVasallo Dental Office(305) 552-5340Prov No 0000000189588782A Sw 8th St Miami FL 33174Gender MaleNPI 1730207077License DN11722License Type DBP DentistBoard Certified Not ReportedEmail drvasalloaolcomFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764116820 Bird RdMiami FL 33155Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

225GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VAZQUEZ Humberto JHumberto D Vazquez Dds(305) 541-4677Prov No 0000001449582742 Sw 8th St Ste 220Miami FL 33135Gender MaleNPI 1558503896License DN12425License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 541-3416Accepts New Patients YHospital Affiliation NA

VAZQUEZ Humberto JUltra Dental Care Inc(305) 835-0413Prov No 0000122107906801 Sw 8th StMiami FL 33144Gender MaleNPI 1558503896License DN12425License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-2118Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(305) 856-2300Prov No 0000124563562375 Sw 27th Ave Miami FL 33145Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VAZQUEZ Jorge EGateway Dental Inc(305) 552-1553Prov No 00001248668611880 Sw 40th St Ste 215 Miami FL 33175Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(305) 944-4373Prov No 0000124866881400 Ne Miami Gardens Dr Ste 201Miami FL 33179Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(305) 325-0050Prov No 0000129087151050 Nw 14th St Ste 9BMiami FL 33136Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VENTO YosvanyGateway Dental Inc(305) 944-4373Prov No 0000125197931400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

VENTO YosvanyGateway Dental Inc(305) 552-1553Prov No 00001251989911880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

VENTO YosvanyGateway Dental Inc(305) 856-2300Prov No 0000125199052375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VENTO YosvanyGateway Dental Inc(305) 325-0050Prov No 0000129087201050 Nw 14th St Ste 9BMiami FL 33136Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VENTO YosvanyGateway Dental Inc(305) 325-0050Prov No 0000129218091050 Nw 14th St Ste 204Miami FL 33136Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764126820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

226 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VIDAL Maria CBest Smile Dental Care Corp(786) 517-6127Prov No 0000127030761380 Ne Miami Gardens DrSte 132Miami FL 33179Language SpanishGender FemaleNPI 1780749473License DN16229License Type DBP DentistBoard Certified Not ReportedEmail bestsmiledental1gmailcomFax (305) 847-0184Accepts New Patients YHospital Affiliation NA

VIEGO RebecaDental Options Pa(305) 466-1804Prov No 0000128402172999 Ne 191st St Ste 804Miami FL 33180Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

VIEGO RebecaDental Options Pa(305) 892-2960Prov No 00001290937611645 Biscayne Blvd Ste 2 04Miami FL 33181Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VIEGO RebecaSofia Fontecilla Dds Pa(786) 353-0735Prov No 0000130029823220 S Dixie Hwy Ste 101Miami FL 33133Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmail infococnutgrovesdentalcomFax (305) 255-9165Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764136820 Bird RdMiami FL 33155Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VILLANUEVA Lourdes MLourdes M Villanueva Dmd(305) 552-6969Prov No 00000002438311760 Sw 40th St Ste 112 Miami FL 33175Gender FemaleNPI 1093800054License DN12530License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 552-6775Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VILLAREAL Ruben DDental Specialty Center atBaptist(305) 275-8875Prov No 0000126460268940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DDental Center at Baptist Pa(305) 271-3001Prov No 0000129218768940 N Kendall Dr Ste 1005EMiami FL 33176Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-5077Accepts New Patients YHospital Affiliation NA

VINUELA LarryFloridian Dental at Sunset Llc(305) 388-9229Prov No 00001298153815124 Sunset DrMiami FL 33193Language SpanishGender MaleNPI 1356515035License DN19253License Type DBP DentistBoard Certified Not ReportedEmail picassodental24gmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VUELTA FloralbaCoral Reef Dental Ctr(305) 235-4075Prov No 00000001833514981 S Dixie Hwy Miami FL 33176Gender FemaleNPI 1275930570License DN11392License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

WATSON-HAMILTON Sheri SCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125929523831 Grand AveMiami FL 33133Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546293831 Grand AveMiami FL 33133Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

227GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001255465513540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000129439555361 Nw 22nd AveMiami FL 33142Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community Health(305) 637-6400Prov No 00001294395618360 Nw 7th Ave Miami FL 33169Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 000012945510217 Nw 15th StMiami FL 33136Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFaxAccepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000129798525607 Nw 27th Ave Ste 2 Miami FL 33142Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

WILSON Dwight EDwight E Wilson Dds Pa(305) 757-0541Prov No 0000001214024301 Nw 7th AveMiami FL 33127Gender MaleNPI 1295859171License DN7765License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 757-0541Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)YU Cynthia WSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764166820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124856576820 Bird RdMiami FL 33155Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YUSMAN-WIRTH LindaFalls Dental Care Group(305) 255-5550Prov No 0000000200528729 Sw 136th St Miami FL 33176Gender FemaleNPI 1598082885License DN10419License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ZAMORA Lyan TGateway Dental Inc(305) 944-4373Prov No 0000125180791400 Ne Miami Gardens Dr Ste 201Miami FL 33179Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

ZAMORA Lyan TGateway Dental Inc(305) 856-2300Prov No 0000125181152375 Sw 27th Ave Miami FL 33145Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

ZAMORA Lyan TGateway Dental Inc(305) 552-1553Prov No 00001251813111880 Sw 40th St Ste 215 Miami FL 33175Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

228 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ZAMORA Lyan TGateway Dental Inc(305) 856-2300Prov No 0000128762111050 Nw 14th St Ste 204Miami FL 33136Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

ZUNIGA Juan CAlfredo Corpas Dds Pa(305) 264-0747Prov No 0000013100266741 Coral Way Ste 14Miami FL 33155Gender MaleNPI 1033384235License DN14804License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764176820 Bird RdMiami FL 33155Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH

ABDEL-JABBAR Sana HSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012457906227 71st St Miami Beach FL 33141Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192564227 71st St Miami Beach FL 33141Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012212120227 71st St Miami Beach FL 33141Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)BRATMAN JerrySage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192490227 71st St Miami Beach FL 33141Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000000736258227 71st St Miami Beach FL 33141Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CERRUD Ginette HMiami Beach Comm HealthCenter(305) 538-8835Prov No 000001301554710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1720093412License DN12873License Type DBP DentistBoard Certified NEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)CHILDERS Carmen DSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012201454227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193036227 71st St Miami Beach FL 33141Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192637227 71st St Miami Beach FL 33141Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

229GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)CRUZ Antonio RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193071227 71st St Miami Beach FL 33141Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012242638227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE LIMA Anacaona CMiami Beach Dental Center(305) 532-1728Prov No 000000342943975 Arthur Godfrey Rd Ste 306Miami Beach FL 33140Gender FemaleNPI 1841413267License DN16152License Type DBP DentistBoard Certified Not ReportedEmail miamibeachdentalhotmailcomFax (305) 532-1729Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)DELCASTILLO Daniel ADaniel Del Castillo Dmd Pa(305) 535-3113Prov No 000000028598925 Arthur Godfrey Rd Ste302Miami Beach FL 33140Gender MaleNPI 1235135716License DN12306License Type DBP DentistBoard Certified Not ReportedEmail ericnaiermanyahoocomFax (305) 535-3138Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012436389227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193037227 71st St Miami Beach FL 33141Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)DUARTE BeatrizSage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012212118227 71st St Miami Beach FL 33141Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012192639227 71st St Miami Beach FL 33141Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012585932227 71st St Miami Beach FL 33141Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)EXPOSITO ArielMiami Beach Dental Center(305) 674-0095Prov No 000001089806333 W 41st St Ste 818Miami Beach FL 33140Gender FemaleNPI 1508177577License DN19078License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192695227 71st St Miami Beach FL 33141Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192487227 71st St Miami Beach FL 33141Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

230 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192638227 71st St Miami Beach FL 33141Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192481227 71st St Miami Beach FL 33141Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GITRON BEER MarianaMiami Beach Dental Associates(305) 532-1728Prov No 000012126401975 Arthur Godfrey Rd Ste306Miami Beach FL 33140Gender FemaleNPI 1336438068License DN18468License Type DBP DentistBoard Certified Not ReportedEmail miamibeachdentalhotmailcomFax (305) 532-1729Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)GONZALES AngelicaSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012195158227 71st St Miami Beach FL 33141Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ Carmen LMiami Beach CommunityHealth Center Inc(305) 538-8835Prov No 000013157981710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1285110718License DN23700License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (305) 938-4044Accepts New Patients YHospital Affiliation NA

GONZALEZ Jovani MMiami Beach CommunityHealth Center Inc(305) 538-8835Prov No 000013071568710 Alton RdMiami Beach FL 33139Gender MaleNPI 1700362076License DN23653License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (305) 938-4044Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)GREEN BeverlySage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012204450227 71st St Miami Beach FL 33141Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192635227 71st St Miami Beach FL 33141Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012510188227 71st St Miami Beach FL 33141Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)IRVING Bizu NMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012747266710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1245588664License DN20237License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

JOFFRE John AMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012518092710 Alton RdMiami Beach FL 33139Gender MaleNPI 1841348208License DN8881License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012242637227 71st St Miami Beach FL 33141Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

231GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)KRAJEWSKI Helena JMain St Childrens Dentistry ofMiami Beach Pllc(305) 921-4601Prov No 0000120965644308 Alton Rd Ste 930Miami Beach FL 33140Gender FemaleNPI 1356670988License DN18852License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LAURENCE PeterMiami Beach Comm HealthCenter(305) 538-8835Prov No 000001215287710 Alton RdMiami Beach FL 33139Gender MaleNPI 1700962065License DN6875License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012444957227 71st St Miami Beach FL 33141Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)LEPORE KrystinaSage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012192631227 71st St Miami Beach FL 33141Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012212119227 71st St Miami Beach FL 33141Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOPEZ Alexander OAlexander Oscar Lopez(305) 674-0200Prov No 0000017007271235 Alton RdMiami Beach FL 33139Gender MaleNPI 1326224130License DN13015License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-7346Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)MA RobertSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192559227 71st St Miami Beach FL 33141Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MARTINEZ Tamara TMiami Beach Dental Center(305) 674-0095Prov No 000000462421333 W 41st St Ste 818Miami Beach FL 33140Language SpanishGender FemaleNPI 1881727717License DN17684License Type DBP DentistBoard Certified NEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

MAYA MartinSouth Beach Dentistry Inc(305) 532-6795Prov No 000012604014407 Lincoln Rd Ste 700 Miami Beach FL 33139Language SpanishGender MaleNPI 1790046233License DN20090License Type DBP DentistBoard Certified Not ReportedEmail southbeachdentistrygmailcomFax (305) 397-8396Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)MONCRIEFFE Tiffany ISage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012816896227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192685227 71st St Miami Beach FL 33141Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PENA Maria LMiami Beach Dental Center(305) 674-0095Prov No 000005059863333 W 41st St Ste 818Miami Beach FL 33140Gender FemaleNPI 1427305796License DN19909License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

232 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)PLANES Alex ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193068227 71st St Miami Beach FL 33141Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PORRAS Lori BMiami Beach Dental Center(305) 532-1728Prov No 000012031652975 Arthur Godfrey Rd Ste 306Miami Beach FL 33140Language SpanishGender FemaleNPI 1750636569License DN19624License Type DBP DentistBoard Certified Not ReportedEmail miamibeachdentalhotmailcomFax (305) 532-1729Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192482227 71st St Miami Beach FL 33141Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)RANGARAJAN TheyyarMiami Beach Dental Center(305) 674-0095Prov No 000012130375333 W 41st St Ste 818Miami Beach FL 33140Gender MaleNPI 1003029489License DN14363License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193070227 71st St Miami Beach FL 33141Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193073227 71st St Miami Beach FL 33141Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)RING Stephen GSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012242628227 71st St Miami Beach FL 33141Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Hernan MMiami Beach Comm HealthCenter(305) 538-8835Prov No 000001301546710 Alton RdMiami Beach FL 33139Gender MaleNPI 1003950502License DN15859License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012492657227 71st St Miami Beach FL 33141Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)SAIDI ArdavanSofi Dental Care ampOrthodontics(305) 534-4440Prov No 000000375101119 Washington Ave Ste 60 1Miami Beach FL 33139Gender MaleNPI 1922296524License DN16061License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 534-0444Accepts New Patients YHospital Affiliation NA

SANTEIRO AlfredoDr Alfredo Santeiro(305) 672-9698Prov No 0000006321282555 Collins Ave Ste C3 Miami Beach FL 33140Gender MaleNPI 1669602629License DN12959License Type DBP DentistBoard Certified NEmail drasanteirogmailcomFaxAccepts New Patients YHospital Affiliation NA

SAUER Mark JMiami Beach Dental Center(305) 674-0095Prov No 000000432025333 W 41st St Ste 818Miami Beach FL 33140Gender MaleNPI 1093889933License DN18427License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

233GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)SCARFONE MelanieSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193076227 71st St Miami Beach FL 33141Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193040227 71st St Miami Beach FL 33141Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012192562227 71st St Miami Beach FL 33141Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)STRONG Shanice De OnaSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012454309227 71st St Miami Beach FL 33141Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SUDACK Peter AMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012518089710 Alton RdMiami Beach FL 33139Gender MaleNPI 1659691764License DN19564License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

TELLEZ-ARMENTEROS Ana MMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012985220710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1356828008License DN23703License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)UBIETA ARBESU EduardoSunset Family amp CosmeticDentistry Pllc(305) 531-0063Prov No 000012430420830 Washington AveMiami Beach FL 33139Language SpanishGender MaleNPI 1477992436License DN20181License Type DBP DentistBoard Certified Not ReportedEmail sobesmiles830gmailcomFax (305) 532-2983Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012462658227 71st St Miami Beach FL 33141Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VALLS SandorMia Dental Corp(305) 532-6795Prov No 000013491658407 Lincoln Rd Ste 700Miami Beach FL 33139Gender MaleNPI 1194255539License DN22731License Type DBP DentistBoard Certified Not ReportedEmail southbeachdentistrygmailcomFax (305) 397-8396Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)VERA Anny BSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193066227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192489227 71st St Miami Beach FL 33141Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193067227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

234 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)YU Joyce WSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012485402227 71st St Miami Beach FL 33141Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192485227 71st St Miami Beach FL 33141Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI GARDENS

BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 914-9740Prov No 0000128620165190 Nw 169 St Ste 109Miami Gardens FL 33014Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)BRODY Robert AGreat Expressions DentalCenters(305) 624-1371Prov No 00000001859017301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

CARDENAS SARRACINO Astrid HGreat Expressions DentalCenters(305) 624-1371Prov No 00001281619617301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1962831644License DN21523License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

CORRALES-IGLESIAS Luisa YMiami Gardens Dental Inc(305) 625-8272Prov No 0000003878014538 Nw 183rd St Miami Gardens FL 33055Language SpanishGender FemaleNPI 1861546277License DN17100License Type DBP DentistBoard Certified Not ReportedEmail mgdentalcentergmailcomFax (305) 290-3194Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)DAGAN ShacharGreat Expressions DentalCenters(305) 624-1371Prov No 00001216446317301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1447632542License DN21396License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

DIAZ YanetGreat Expressions DentalCenters(305) 624-1371Prov No 00001212732517301 Nw 27th AveMiami Gardens FL 33056Language SpanishGender FemaleNPI 1215376934License DN20123License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

DVORKIN BorisGreat Expressions DentalCenters(305) 624-1371Prov No 00000114776017301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1740419464License DN18682License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)GARCIA RicardoGreat Expressions DentalCenters(305) 624-1371Prov No 00000063103617301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1184700783License DN14737License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ-ABREU LuisGcf Dental amp MedicalManagement(305) 974-5175Prov No 00000181990317560 Nw 27th Ave Ste 101Miami Gardens FL 33056Gender MaleNPI 1902296452License DN13557License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 974-5775Accepts New Patients YHospital Affiliation NA

MARTINEZ Jose MJeps Dental Group Llc(305) 627-3402Prov No 00001261320019517 Nw 57th AveMiami Gardens FL 33055Language SpanishGender MaleNPI 1467511006License DN13951License Type DBP DentistBoard Certified Not ReportedEmail jepsdentalgroupgmailcomFax (305) 974-4296Accepts New Patients YHospital Affiliation NA

235GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)MARTINEZ Milton FGreat Expressions DentalCenters(305) 624-1371Prov No 00001213761317301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1346326972License DN17433License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

PEREZ-SOLAR Juan EJeps Dental Group Llc(305) 627-3402Prov No 00001260941919517 Nw 57th AveMiami Gardens FL 33055Gender MaleNPI 1770658304License DN15474License Type DBP DentistBoard Certified Not ReportedEmail jepsdentalgroupgmailcomFax (305) 974-4296Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Mayra LGreat Expressions DentalCenters(305) 624-1371Prov No 00001213749117301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1972703254License DN18010License Type DBP DentistBoard Certified NEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)SAENZ Manuel OGreat Expressions DentalCenters(305) 624-1371Prov No 00000034905517301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

SCOTT Tessa FGreat Expressions DentalCenters(305) 624-1371Prov No 00000001860217301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1396821948License DN16102License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

SIEGEL Tara LGreat Expressions DentalCenters(305) 624-1371Prov No 00000113842417301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)SIERRA-DUQUE Pablo JGreat Expressions DentalCenters(305) 624-1371Prov No 00000044924317301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1841356847License DN17835License Type DBP DentistBoard Certified NEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RGreat Expressions DentalCenters(305) 624-1371Prov No 00000165718617301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

YANES MarnieGreat Expressions DentalCenters(305) 624-1371Prov No 00001217862517301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1407236052License DN21238License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 507-3454Prov No 0000129777245190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

ARDILA VELOSA LeonardoCarlos Quilichini Dds(305) 557-5775Prov No 00001224962815436 Nw 77th Ct Miami Lakes FL 33016Language SpanishGender MaleNPI 1851683759License DN20109License Type DBP DentistBoard Certified Not ReportedEmail miguetrustdental netFax (305) 557-7284Accepts New Patients YHospital Affiliation NA

BLAY Marina MCarlos Quilichini Pa(305) 557-5775Prov No 00001224816615436 Nw 77th Ct Miami Lakes FL 33016Language Chinese SlovakSpanishGender FemaleNPI 1932425972License 12269License Type DBP DentistBoard Certified Not ReportedEmail miguetrustdental netFax (305) 557-7284Accepts New Patients YHospital Affiliation NA

236 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)BLAY Marina MBest Family Dental(305) 624-4114Prov No 0000123364105190 Nw 167th St Ste 216Miami Lakes FL 33014Language Chinese SlovakSpanishGender FemaleNPI 1932425972License 12269License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 507-3454Prov No 0000129703295190 Nw 167th StMiami Lakes FL 33014Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelEast Coast Family Dental Pa(305) 914-9740Prov No 0000130369995190 Nw 167th St Ste 109Miami Lakes FL 33014Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)BRETOS Alexander LRoyal Dental Oaks Partners Llc(305) 822-7332Prov No 00000001974715502 Nw 77th Ct Miami Lakes FL 33016Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmail royaloaksdental01gmailcomFax (305) 822-7281Accepts New Patients NHospital Affiliation NA

BRETOS Alexander LRoyal Oaks Dental(305) 822-7332Prov No 00000001974715502 Nw 77th Ct Miami Lakes FL 33016Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmail royaloaksdental01gmailcomFax (305) 822-7281Accepts New Patients NHospital Affiliation NA

BROWN KevinAffiliated Dental Specialists Pl(786) 319-9057Prov No 00001251206516010 Nw 57th Ave Ste 106-108Miami Lakes FL 33014Gender MaleNPI 1851848295License DN16672License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CABRERA LadysLadys Cabrera(305) 556-7595Prov No 0000001259476500 Cow Pen Rd Ste 203Miami Lakes FL 33014Gender FemaleNPI 1629185509License DN14268License Type DBP DentistBoard Certified Not ReportedEmail drladyscabrerapayahoocomFax (305) 556-7597Accepts New Patients YHospital Affiliation NA

CABRERA MoisesMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000001815415450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1326196163License DN15114License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 507-3454Prov No 0000129699505190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CARBALLO MauroDental Excellence Partners Llc(786) 507-3454Prov No 0000132580865190 Nw 167th StMiami Lakes FL 33014Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CARBALLO RodolfoMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000022682015450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

CARPIO JesusDental Dreams Llc(305) 625-9777Prov No 0000003278225632 Nw 167th St Miami Lakes FL 33014Gender MaleNPI 1932281961License DN16291License Type DBP DentistBoard Certified Not ReportedEmail dentaldreams1bellsouthnetFaxAccepts New Patients YHospital Affiliation NA

237GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CASTELLANOS AlinaMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000182483115450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender FemaleNPI 1720114317License DN11783License Type DBP DentistBoard Certified NEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 507-3454Prov No 0000131579995190 Nw 167th StMiami Lakes FL 33014Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family Dental Pa(305) 914-9740Prov No 0000128903305190 Nw 167th St Ste 109Miami Lakes FL 33014Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)COLLAZO Ralph CRalph Collazo(305) 822-7332Prov No 00000010607115502 Nw 77th Ct Miami Lakes FL 33016Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmail royaloaksdental01gmailcomFax (305) 822-7281Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family Dental Pa(305) 914-9740Prov No 0000128665875190 Nw 167th St Ste 109Miami Lakes FL 33014Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

CORREA AnelysDr Ladys Cabrera Dmd Pa(305) 556-7595Prov No 0000121301116500 Cow Pen Rd Ste 203Miami Lakes FL 33014Gender FemaleNPI 1902117591License DN19129License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-7597Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CRUZ YarelieDental Excellence Partners Llc(786) 507-3454Prov No 0000129699515190 Nw 167th StMiami Lakes FL 33014Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 507-3454Prov No 0000129699525190 Nw 167th StMiami Lakes FL 33014Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DROBES DavidBest Family Dental(305) 624-4115Prov No 0000006355075190 Nw 167th St Ste 216Miami Lakes FL 33014Gender MaleNPI 1861680340License DN6340License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)ERRO Juan CMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000001814615450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1205161742License DN9599License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

FAGET DavidMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000017957615450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1811224397License DN16328License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

FIGUEROA Celia CMain StreetChildren[e67320]Dentistry ofMiami Lakes(305) 921-4601Prov No 00001250010115501 Nw 67th Ave Ste 201Miami Lakes FL 33014Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmail sgomezdentalcarealliancecomFaxAccepts New Patients YHospital Affiliation NA

238 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)GALLO Don AMain Street Orthodontics ofMiami Lakes(305) 823-8831Prov No 00001274637715600 Nw 67th Ave Ste 110Miami Lakes FL 33014Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 823-8799Accepts New Patients YHospital Affiliation NA

GHERBALI Alexandra DAlexandra D Gherbali Dds Pa(305) 512-0066Prov No 0000004399567415 Miami Lakes DrMiami Lakes FL 33014Gender FemaleNPI 1386841690License DN17624License Type DBP DentistBoard Certified Not ReportedEmail adolfoall-dentalgroupcomFax (305) 826-5466Accepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(786) 507-3454Prov No 0000129715325190 Nw 167th StMiami Lakes FL 33014Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)GONZALEZ SusanaSweet Smile Dental(786) 536-9411Prov No 00001262399616010 Nw 57th Ave Ste 130Miami Lakes FL 33014Language SpanishGender FemaleNPI 1457654824License DN17960License Type DBP DentistBoard Certified Not ReportedEmail sweetsmiledrggmailcomFax (305) 515-3997Accepts New Patients YHospital Affiliation NA

HERNANDEZ Rutsie AMiami Lakes Dental Associates(305) 392-1158Prov No 0000125601077975 Nw 154th St Ste 260Miami Lakes FL 33016Language SpanishGender FemaleNPI 1245338565License DN14185License Type DBP DentistBoard Certified Not ReportedEmail infomiamilakessmilescomFax (786) 631-3524Accepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 507-3454Prov No 0000129777215190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

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 SpanishGender FemaleNPI 1699020347License DN19881License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

LABRADA LiudmilaLiudmila Labrada(305) 231-1820Prov No 00000018986915525 Bull Run RdMiami Lakes FL 33014Gender FemaleNPI 1972670123License DN15573License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 231-1838Accepts New Patients YHospital Affiliation NA

MADERAL Martha EPalmetto Smile Center(305) 827-3926Prov No 0000000183026500 Cow Pen Rd Ste 104 Miami Lakes FL 33014Gender FemaleNPI 1497870083License DN11118License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)MARTINEZ ErnestoRobert A Del Castillo Dmd(305) 556-7010Prov No 0000020881357735 Nw 146th St Ste 104 Miami Lakes FL 33016Language SpanishGender MaleNPI 1740341106License DN17582License Type DBP DentistBoard Certified Not ReportedEmail welcomecenterdrperionetFax (305) 231-3984Accepts New Patients YHospital Affiliation NA

NAVARRO RebeccaRobert A Del Castillo Dmd(305) 556-7010Prov No 0000122042657735 Nw 146th St Ste 104Miami Lakes FL 33016Gender FemaleNPI 1689083834License DN20999License Type DBP DentistBoard Certified Not ReportedEmail welcomecenterdrperionetFaxAccepts New Patients YHospital Affiliation NA

PERALTA Johnny LMiami Lakes CosmeticDentistryProv No 0000127041016600 Cow Pen Rd Ste 240 Miami Lakes FL 33014Language SpanishGender MaleNPI 1396179701License DN20996License Type DBP DentistBoard Certified Not ReportedEmail miamilakescosmeticdentistrygmailcomFaxAccepts New Patients YHospital Affiliation NA

239GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)QUILICHINI Carlos ACarlos Quilichini Dds(305) 557-5775Prov No 00000037422315436 Nw 77th Ct Miami Lakes FL 33016Gender MaleNPI 1700079399License DN11673License Type DBP DentistBoard Certified Not ReportedEmail miguetrustdental netFax (305) 557-7284Accepts New Patients YHospital Affiliation NA

QUINTERO Juan MBest Family Dental(305) 624-4114Prov No 0000121734925190 Nw 167th St Ste 216Miami Lakes FL 33014Language SpanishGender MaleNPI 1710298302License DN19085License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(786) 507-3454Prov No 0000129777225190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)REYES Miguel ADental Excellence Partners Llc(786) 507-3454Prov No 0000129656675190 Nw 167th StMiami Lakes FL 33014Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family Dental Pa(305) 914-9740Prov No 0000128665185190 Nw 167th St Ste 109Miami Lakes FL 33014Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Nury ELakes Dental Pa(305) 646-1630Prov No 0000015349306710 Main St Ste 131Miami Lakes FL 33014Gender FemaleNPI 1649472150License DN17930License Type DBP DentistBoard Certified Not ReportedEmail lakesdentalyahoocomFax (305) 646-1284Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)SOROPOULOS GeorgeMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000063164315450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1255472783License DN15874License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

STREETT RosarioDental Excellence Partners Llc(305) 914-9740Prov No 0000130955065190 Nw 167th St Ste 109Miami Lakes FL 33014Language SpanishGender FemaleNPI 1801230768License DN21495License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

UCROS Maria JLakes Dental Pa(305) 646-1630Prov No 0000128408076710 Main St Ste 131Miami Lakes FL 33014Language SpanishGender FemaleNPI 1366833212License DN21212License Type DBP DentistBoard Certified Not ReportedEmail lakesdentalyahoocomFax (305) 646-1284Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES

BUSTILLO CynthiaMiami Shores ModernDentistry(786) 310-4816Prov No 0000129877029503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1457871733License DN22795License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCES CarolinaMiami Shores ModernDentistry(786) 310-4816Prov No 0000127013619503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GONZALES Nathaniel SMiami Shores ModernDentistry(714) 845-8500Prov No 0000130391669503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1528416302License DN23881License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

240 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES (Cont)GONZALES Nathaniel SMiami Shores ModernDentistry(786) 310-4816Prov No 0000130391669503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1528416302License DN23881License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KEANE ChrisMiami Shores ModernDentistry(714) 845-8500Prov No 0000128675789503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

MAUSKAR Sagar SMiami Shores ModernDentistry(714) 845-8500Prov No 0000125899059503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1477800985License DN19913License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES (Cont)NIN Frederick JDr Frederick Nin(305) 758-8755Prov No 0000000189759425 Ne 6th Ave Miami Shores FL 33138Language SpanishGender MaleNPI 1326256934License DN13234License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 758-8740Accepts New Patients YHospital Affiliation NA

PEREZ Nelly RMiami Shores ModernDentistry(786) 310-4816Prov No 0000129835459503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PEREZ Nelly RMiami Shores ModernDentistry(786) 310-4816Prov No 0000129835459503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES (Cont)PHAM Minh BMiami Shores ModernDentistry(714) 845-8500Prov No 0000124511649503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

SHIMANSKY Daniel AMiami Shores ModernDentistry(786) 310-4816Prov No 0000130108149503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1134634967License DN23092License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIAMI SPRINGS

ALVAREZ Maria JDental Group of South FloridaIII(305) 885-1357Prov No 000002160489101 Westward Dr Miami Springs FL 33166Language SpanishGender FemaleNPI 1124165303License DN17638License Type DBP DentistBoard Certified Not ReportedEmail dentalgroupsf101gmailcomFax (786) 431-5691Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SPRINGS (Cont)LEWKOWICZ EstherSprings Dental(305) 885-9721Prov No 000000018953657 South Dr Ste 301 Miami Springs FL 33166Gender FemaleNPI 1114097904License DN8408License Type DBP DentistBoard Certified Not ReportedEmail miamispringsdentalgmailcomFax (305) 885-9722Accepts New Patients YHospital Affiliation NA

ZAYAS FrancoisFrancois Zayas Dds Pa(305) 888-1742Prov No 000012130140373 Westward Dr Miami Springs FL 33166Language Other(Non-English) SpanishGender MaleNPI 1649453978License DN12850License Type DBP DentistBoard Certified Not ReportedEmail metricdental1stofficegmailcomFax (305) 223-8022Accepts New Patients YHospital Affiliation NA

NARANJA

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001210298913805 Sw 264th StNaranja FL 33032Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

241GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001207739113805 Sw 264th StNaranja FL 33032Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001315775213805 Sw 264th StNaranja FL 33032Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00000034159213805 Sw 264th StNaranja FL 33032Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)LANG TomasCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00000104442613805 Sw 264th StNaranja FL 33032Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001249725113805 Sw 264th StNaranja FL 33032Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedNaranja Health Center(305) 258-6813Prov No 00000085848613805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 257-5971Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)MIRANDA AlejandraNaranja Health Center(305) 258-6813Prov No 00001205980813805 Sw 264th StNaranja FL 33032Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 257-5971Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001207109813805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001268321013805 Sw 264th StNaranja FL 33032Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001307154613805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00000099751313805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

SARMIENTO Jeffrey ECommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001247389713805 Sw 264th StNaranja FL 33032Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

242 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)WATSON-HAMILTON Sheri SNaranja Health Center(305) 258-6813Prov No 00000073552313805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 257-5971Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001206019213805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

NORTH MIAMI

ADLER Robert MBorinquen Health Care CenterInc(786) 433-8815Prov No 000012259046708 Ne 125th StNorth Miami FL 33161Gender MaleNPI 1508996851License DN1171License Type DBP DentistBoard Certified Not ReportedEmail gtabetborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)ALDAMA-ESPINOSA EvelynAldama Dental Group Pa(786) 542-0421Prov No 000012657163645 Ne 127th StNorth Miami FL 33161Gender FemaleNPI 1275976771License DN17045License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ALVAREZTORRE GloriaGloria Alvareztorre(305) 892-1515Prov No 00000002538611645 Biscayne Blvd Ste 4 06North Miami FL 33181Gender FemaleNPI 1336225259License DN13515License Type DBP DentistBoard Certified Not ReportedEmail dralvareztorre406gmailcomFax (305) 893-0886Accepts New Patients YHospital Affiliation NA

BAKER Amira MRonia Baker Dds(305) 899-7979Prov No 0000039103391075 Ne 125th St Ste 201North Miami FL 33161Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmail beautifulsmileslesliegmailcomFax (305) 899-2880Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)BERNKRANT ShannaShanna Bernkrant(305) 893-4801Prov No 00001212726112404 W Dixie HwyNorth Miami FL 33161Language SpanishGender FemaleNPI 1366730236License DN19628License Type DBP DentistBoard Certified YEmail allsmiles33161gmailcomFax (305) 675-3743Accepts New Patients YHospital Affiliation NA

CERRUD Ginette HMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251814611645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender FemaleNPI 1720093412License DN12873License Type DBP DentistBoard Certified NEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

GONZALEZ Carmen LMiami Beach CommunityHealth Center Inc(305) 538-8835Prov No 00001315711911645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender FemaleNPI 1285110718License DN23700License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 938-4044Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)GONZALEZ Jovani MMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001306929211645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1700362076License DN23653License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

GUTIERREZ Carlos ABorinquen Health Care CenterInc(786) 433-8815Prov No 000012260541708 Ne 125th StNorth Miami FL 33161Gender MaleNPI 1861756603License DN19839License Type DBP DentistBoard Certified YEmail gtabetborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

IRVING Bizu NMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251781511645 Biscayne Blvd Ste 2 07North Miami FL 33181Gender FemaleNPI 1245588664License DN20237License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 532-5766Accepts New Patients NHospital Affiliation NA

243GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)IRVING Bizu NMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001263630411645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender FemaleNPI 1245588664License DN20237License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

JOFFRE John AMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251812511645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1841348208License DN8881License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

LAURENCE PeterMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251833711645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1700962065License DN6875License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)LOPEZ EdgarBiscayne Dental Center amp Spa(305) 945-7745Prov No 00000153630514550 Biscayne Blvd North Miami FL 33181Gender MaleNPI 1598712432License DN16385License Type DBP DentistBoard Certified NEmail biscaynedentalhotmailcomFax (305) 945-7740Accepts New Patients NHospital Affiliation NA

OSPINA Angela MSamar Dental Solutions Llc(786) 332-4500Prov No 0000129575951313 Ne 125th StNorth Miami FL 33161Gender FemaleNPI 1508042649License DN17493License Type DBP DentistBoard Certified Not ReportedEmail samardentalsolutionsgmailcomFaxAccepts New Patients YHospital Affiliation NA

PEREZ ALAMO JenniferBiscayne Dental Center and Spa(305) 945-7745Prov No 00001279908814550 Biscayne Blvd North Miami FL 33181Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmail biscaynedentalhotmailcomFax (305) 945-7740Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)RODRIGUEZ Hernan MMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001249503411645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1003950502License DN15859License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

SINILO-KATZ Elena MElena Katz Dmd(305) 892-0008Prov No 00000023470812955 Biscayne Blvd Ste 210North Miami FL 33181Gender FemaleNPI 1427494137License DN 15913License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 892-0018Accepts New Patients YHospital Affiliation NA

SOHEIL Michelle MBorinquen Health Care CenterInc(786) 433-8815Prov No 000012260540708 Ne 125th StNorth Miami FL 33161Gender FemaleNPI 1215014394License DN16074License Type DBP DentistBoard Certified Not ReportedEmail gtabetborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)SUDACK Peter AMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251807511645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1659691764License DN19564License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

URBINO RafaelBiscayne Dental Center Inc(305) 945-7745Prov No 00001287452014550 Biscayne Blvd North Miami FL 33181Gender MaleNPI 1629086335License DN16865License Type DBP DentistBoard Certified Not ReportedEmail biscaynedentalhotmailcomFax (305) 945-7740Accepts New Patients YHospital Affiliation NA

VOLTAPETTI Clifford EClifford E Voltapetti Dds Pa(305) 895-2191Prov No 00000001918112550 Biscayne Blvd Ste 3 07North Miami FL 33181Gender MaleNPI 1457512931License DN10187License Type DBP DentistBoard Certified Not ReportedEmail receptionvoltdentistrycomFax (305) 895-5915Accepts New Patients YHospital Affiliation NA

244 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)WEBB MichelleDentalvana Llc(786) 516-2882Prov No 00001268478412417 Biscayne Blvd North Miami FL 33181Gender FemaleNPI 1912312554License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail infodentalvanaco mFaxAccepts New Patients YHospital Affiliation NA

NORTH MIAMI BEACH

ABDEL-JABBAR Sana HSage Dental of North MiamiBeach(305) 654-9399Prov No 000012457907850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

ADELMAN David MDavid M Adelman Dds Pa(305) 944-6669Prov No 00000001951916680 Ne 10th Ave North Miami Beach FL 33162Gender MaleNPI 1215053160License DN3881License Type DBP DentistBoard Certified Not ReportedEmail dadelmanddscomcastnetFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)AZARI Scott JSage Dental of North MiamiBeach(305) 654-9399Prov No 000001956175850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of North MiamiBeach(305) 654-9399Prov No 000004029473850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

BRATMAN JerryNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746327850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)CASAS Silvia BC amp C Dental Inc(305) 493-9371Prov No 000003379242951 Ne 167th St Ste 104North Miami Beach FL 33162Gender FemaleNPI 1912295387License DN19495License Type DBP DentistBoard Certified Not ReportedEmail cwilma516aolcomFax (305) 493-9428Accepts New Patients YHospital Affiliation NA

CASAS Silvia BC amp C Dental Inc(305) 705-2798Prov No 00001231407816777 N Miami AveNorth Miami Beach FL 33169Gender FemaleNPI 1912295387License DN19495License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 749-6890Accepts New Patients YHospital Affiliation NA

CASTILLO Juan INorthwestern ManagementServices Llc(305) 654-9399Prov No 000012151738850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)CHILDERS Carmen DNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746917850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

CORONADO EfrainNorthwestern ManagementServices Llc(305) 654-9399Prov No 000001540170850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of North MiamiBeach(305) 654-9399Prov No 000003916236850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

245GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)CRUZ Antonio RSage Dental of North MiamiBeach(305) 654-9399Prov No 000001771610850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of North MiamiBeach(305) 654-9399Prov No 000004589944850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MBdc Dental Health Inc(305) 949-2766Prov No 00001213019016125 Ne 18th AveNorth Miami Beach FL 33162Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail infonextdentalcarecomFax (305) 949-4118Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)DOOLEY Jill CSage Dental of North MiamiBeach(305) 654-9399Prov No 000012436408850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of North MiamiBeach(305) 654-9399Prov No 000001958459850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

Drubi MartinMartin Drubi(305) 948-8882Prov No 00001301428918140 Ne 19th AveNorth Miami Beach FL 33162Language SpanishGender MaleNPI 1265952642License DN22671License Type DBP DentistBoard Certified Not ReportedEmail drubidentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)DUARTE BeatrizSage Dental of North MiamiBeach(305) 654-9399Prov No 000012110542850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of North MiamiBeach(305) 654-9399Prov No 000001772229850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

EDDERAI Jean JJean-Jacques Edderai Dds Pa(305) 947-7999Prov No 00000014500117101 Ne 19th Ave Ste 104North Miami Beach FL 33162Language French HebrewSpanishGender MaleNPI 1598981227License DN12836License Type DBP DentistBoard Certified NEmail infodrjjedderaic omFax (305) 949-2913Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)ELPERIN AlexeiTin Wai Hui Dmd Pa(305) 940-9888Prov No A0000001836316209 Ne 13th Ave North Miami Beach FL 33162Gender MaleNPI 1295930063License DN15966License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

ESPINAL Licette FMlv Dental MedicalManagement Company Inc(305) 493-9371Prov No 000001234567951 Ne 167th St Ste 104North Miami Beach FL 33162Gender FemaleNPI 1629378203License DN19212License Type DBP DentistBoard Certified Not ReportedEmail cwilma516aolcomFax (305) 493-9428Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of North MiamiBeach(305) 654-9399Prov No 000012561649850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

246 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)ESPINET KUSNIER ElaineNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746950850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of North MiamiBeach(305) 654-9399Prov No 000011551579850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of North MiamiBeach(305) 654-9399Prov No 000000425271850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)FRIEND Michael JU Smile of Nmb Llc(305) 956-9996Prov No 0000126548131400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Gender MaleNPI 1518975390License DN15822License Type DBP DentistBoard Certified Not ReportedEmail lilyusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

FRIEND Michael JUsmile of Nmb Llc(305) 956-9996Prov No 0000126548131400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Gender MaleNPI 1518975390License DN15822License Type DBP DentistBoard Certified Not ReportedEmail lauradentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

GALBUT Kimberly AAli Farrokhi(305) 760-2740Prov No 0000121301802040 Ne 163rd St Ste 206 North Miami Beach FL 33162Language HebrewGender FemaleNPI 1649580747License DN15823License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 760-2740Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of North MiamiBeach(305) 654-9399Prov No 000001146386850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of North MiamiBeach(305) 654-9399Prov No 000000417557850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of North MiamiBeach(305) 654-9399Prov No 000012091374850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)GONZALES AngelicaSage Dental of North MiamiBeach(305) 654-9399Prov No 000012195159850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

GOODWIN Sharon RTin Wai Hui Dmd Pa(305) 940-9888Prov No 00001220901016209 Ne 13th Ave North Miami Beach FL 33162Gender FemaleNPI 1174800163License DN19313License Type DBP DentistBoard Certified NEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of North MiamiBeach(305) 654-9399Prov No 000012204451850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

247GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)GRUENBERG AlexJacqueline Cogan(305) 947-3439Prov No 00001282677716235 Ne 11th Ct North Miami Beach FL 33162Language Russian SpanishGender MaleNPI 1255844924License DN22951License Type DBP DentistBoard Certified Not ReportedEmail 163rddentalgmailcomFax (305) 940-0790Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of North MiamiBeach(305) 654-9399Prov No 000001216103850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

HASAN VERRETT HajarMlv Dental MedicalManagement Company Inc(305) 493-9371Prov No 000001136107951 Ne 167th St Ste 104North Miami Beach FL 33162Gender FemaleNPI 1386894715License DN18479License Type DBP DentistBoard Certified Not ReportedEmail cwilma516aolcomFax (305) 493-9428Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)HERNANDEZ RIVERA Ricardo NLeung Dental Care Inc(305) 760-2950Prov No 00001219244116200 Ne 13th AveNorth Miami Beach FL 33162Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

HODSON ShaneHodson amp Meister Pa(305) 974-6157Prov No 00001299810718333 Ne 19th AveNorth Miami Beach FL 33179Gender Not ReportedNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail infonmborthocomFax (786) 573-8120Accepts New Patients YHospital Affiliation NA

HORWITZ StevenNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746437850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)HUI Tin Wai WTin Wai Hui Dmd Pa(305) 940-9888Prov No 00000001812516209 Ne 13th Ave North Miami Beach FL 33162Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

HUTCHINSON PaulaPaula Hutchinson Dds Inc(786) 235-5120Prov No 000013039633100 Nw 170th St Ste 306North Miami Beach FL 33169Gender FemaleNPI 1801196936License DN19291License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012510150850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)JAFFE Avery CLeung Dental Care Inc(305) 760-2950Prov No 00001254160316200 Ne 13th Ave North Miami Beach FL 33162Gender FemaleNPI 1699023770License DN19941License Type DBP DentistBoard Certified NEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

JUMA ZaileenNorthwestern ManagementServices Llc(305) 654-9399Prov No 000011331755850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

LAMB NicoleNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746947850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

248 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)LEA PLAZA RodolfoLeung Dental Care Inc(305) 760-2950Prov No 00001221209716200 Ne 13th Ave North Miami Beach FL 33162Language SpanishGender MaleNPI 1932407103License DN19240License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of North MiamiBeach(305) 654-9399Prov No 000012444958850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of North MiamiBeach(305) 654-9399Prov No 000012176943850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)LONDONO Jennifer DSage Dental of North MiamiBeach(305) 654-9399Prov No 000012142473850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

LOPEZ Alexander OAstoria Dental(305) 948-8882Prov No A0000001960818140 Ne 19th AveNorth Miami Beach FL 33162Gender MaleNPI 1326224130License DN13015License Type DBP DentistBoard Certified Not ReportedEmail ewilkes14yahooco mFax (305) 948-1132Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of North MiamiBeach(305) 654-9399Prov No 000011551129850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)MOHR Eric ESage Dental of North MiamiBeach(305) 654-9399Prov No 000011771140850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany INorthwestern ManagementServices Llc(305) 654-9399Prov No 000012819509850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of North MiamiBeach(305) 654-9399Prov No 000001279595850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)NARVAEZ Jose AAntonio V Narvaez(305) 947-6453Prov No 00001233630668 Ne 167th St Ste B North Miami Beach FL 33162Gender MaleNPI 1548270184License DN13134License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of North MiamiBeach(305) 654-9399Prov No 000012128535850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of North MiamiBeach(305) 654-9399Prov No 000002023760850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

249GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)RAPPAPORT David BSage Dental of North MiamiBeach(305) 654-9399Prov No 000012172813850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

REICH Alice FU Smile of Nmb Llc(305) 956-9996Prov No 0000126548161400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Gender FemaleNPI 1497104269License DN21903License Type DBP DentistBoard Certified Not ReportedEmail lilyusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

RIEGER Eric RNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012066730850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)RING Stephen GSage Dental of North MiamiBeach(305) 654-9399Prov No 000001549141850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of North MiamiBeach(305) 654-9399Prov No 000000453870850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012523936850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)SCARFONE MelanieSage Dental of North MiamiBeach(305) 654-9399Prov No 000012175311850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

SHATHER Meriam ITin Wai Hui Dmd Pa(305) 940-9888Prov No 00000043107216209 Ne 13th Ave North Miami Beach FL 33162Gender FemaleNPI 1790973873License DN15867License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

SMITH Pierre-Michel MBdc Dental Health Inc(305) 949-2766Prov No 00001213827616125 Ne 18th AveNorth Miami Beach FL 33162Gender MaleNPI 1407993322License DN9323License Type DBP DentistBoard Certified Not ReportedEmail infonextdentalcarecomFax (305) 949-4118Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)SNIDER Erica MSage Dental of North MiamiBeach(305) 654-9399Prov No 000000704671850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of North MiamiBeach(305) 654-9399Prov No 000012163509850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012454310850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

250 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)SUAREZ AlbertoLeung Dental Care Inc(305) 760-2950Prov No 00001204873916200 Ne 13th AveNorth Miami Beach FL 33162Gender MaleNPI 1427347392License DN10843License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

SWANSON Wendy EAli Farrokhi(305) 760-2740Prov No 0000121275582040 Ne 163rd St Ste 206 North Miami Beach FL 33162Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 760-2740Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012462659850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)VAZANA Todd ASage Dental of North MiamiBeach(305) 654-9399Prov No 000012146182850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

VERA Anny BNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746453850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of North MiamiBeach(305) 654-9399Prov No 000002156186850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)VILA GabrielaSage Dental of North MiamiBeach Pa(305) 654-9399Prov No 000013042970850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

YANEZ BRAVO Maria AMaria A Yanez Bravo Dds(305) 945-9333Prov No 000001637445909 N Miami Beach Blvd StE 501North Miami Beach FL 33162Gender FemaleNPI 1891074183License DN19497License Type DBP DentistBoard Certified Not ReportedEmail infobravodentalc omFax (305) 945-9444Accepts New Patients YHospital Affiliation NA

YU Cynthia WNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746719850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)YU Joyce WNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012485403850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

ZEIG Dana AUsmile of Nmb Llc(305) 956-9996Prov No 0000126548151400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Language HebrewGender FemaleNPI 1497131122License DN21255License Type DBP DentistBoard Certified Not ReportedEmail lauradentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

ZUNIGA Juan CMiami Risa Dental Center(305) 932-6600Prov No 0000042497171829 Ne Miami Gardens DrNorth Miami Beach FL 33179Gender MaleNPI 1033384235License DN14804License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 856-3552Accepts New Patients YHospital Affiliation NA

251GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)ZYLBERING Jason MSage Dental of North MiamiBeach(305) 654-9399Prov No 000001194149850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

OPA LOCKA

BARCIA Antonio RJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683024490 Opa Locka BlvdOpa Locka FL 33054Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

FANDINO MayraShiny Smile Dental Care(305) 687-6880Prov No 000012192458482 Fisherman StOpa Locka FL 33054Gender FemaleNPI 1396775557License DN15967License Type DBP DentistBoard Certified Not ReportedEmail ndccorpyahoocomFax (305) 688-1661Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

OPA LOCKA (Cont)FEIZ Maria TJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012946783490 Opa Locka BlvdOpa Locka FL 33054Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683021490 Opa Locka BlvdOpa Locka FL 33054Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683039490 Opa Locka BlvdOpa Locka FL 33054Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

OPA LOCKA (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683042490 Opa Locka BlvdOpa Locka FL 33054Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

SWANSON Wendy EOpa Locka Dental Services Inc(305) 688-8393Prov No 00001215302412705 Nw 42nd Ave Ste Jj-24Opa Locka FL 33054Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012945511490 Opa Locka BlvdOpa Locka FL 33054Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY

BAKER Amira MFloridian Dental at PalmettoBay Llc(305) 255-4140Prov No 00000154709615801 S Dixie Hwy Ste SPalmetto Bay FL 33157Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BAKER Amira MFloridian Dental at PalmettoBay Llc(305) 255-4140Prov No 00001220228115801 S Dixie Hwy Ste 2 Palmetto Bay FL 33157Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmail managerfdpbgmailcomFax (305) 252-8323Accepts New Patients NHospital Affiliation NA

BAKER Amira MBeautiful Smiles Palmetto Bay(305) 459-3194Prov No 00001274722615801 S Dixie Hwy Ste BPalmetto Bay FL 33157Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmail bsmilespalmettobaygmailcomFax (305) 252-8323Accepts New Patients YHospital Affiliation NA

252 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)BUNASSAR Jenevieve MPinecrest Dentistry(714) 845-8500Prov No 00001263299013623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1982056867License DN21997License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BUNASSAR Jenevieve MPinecrest Dentistry(305) 330-9882Prov No 00001263299013623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1982056867License DN21997License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

FERNANDEZ Aurelio JAurelio Fernandez(305) 235-8912Prov No 0000000609989299 Sw 152nd St Ste 204Palmetto Bay FL 33157Gender MaleNPI 1609880145License DN13931License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 235-8916Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)GARCES CarolinaPinecrest Dentistry(305) 330-9882Prov No 00001297830513623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA CristinaCristina Garcia(305) 233-6575Prov No 0000007068039275 Sw 152nd St Ste 106 Palmetto Bay FL 33157Gender FemaleNPI 1871617886License DN14303License Type DBP DentistBoard Certified Not ReportedEmail dentalcareassociationgmailcomFax (786) 802-1844Accepts New Patients YHospital Affiliation NA

KEANE ChrisPinecrest Dentistry(305) 330-9882Prov No 00001303700313623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)LOPEZ AnabelleAnabelle Lopez Dds(305) 235-8912Prov No 0000004336139299 Sw 152nd St Ste 204 Palmetto Bay FL 33157Gender FemaleNPI 1063606143License DN17093License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 235-8912Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LPinecrest Dentistry(305) 330-9882Prov No 00001257077613623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SIMMONDS Shirley FDr Shirley F Simmonds(305) 253-7670Prov No 0000000191079000 Sw 152nd St Ste 208 Palmetto Bay FL 33157Gender FemaleNPI 1538299185License DN13171License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)VINUELA LarryFloridian Dental at PalmettoBay Llc(305) 459-3194Prov No 00000118097315801 S Dixie Hwy Ste B Palmetto Bay FL 33157Language SpanishGender MaleNPI 1356515035License DN19253License Type DBP DentistBoard Certified Not ReportedEmail managerfdpbgmailcomFax (305) 252-8323Accepts New Patients YHospital Affiliation NA

PERRINE

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001210245118255 Homestead AvePerrine FL 33157Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001207739618255 Homestead AvePerrine FL 33157Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

253GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 238-2438Prov No 00001306266318255 Homestead AvePerrine FL 33157Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001264240618255 Homestead AvePerrine FL 33157Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

LANG TomasCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00000104442718255 Homestead AvePerrine FL 33157Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)LAU VicenteCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001249725018255 Homestead AvePerrine FL 33157Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00000043898818255 Homestead AvePerrine FL 33157Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIRANDA AlejandraCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001205972018255 Homestead AvePerrine FL 33157Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001203957818255 Homestead AvePerrine FL 33157Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001268321618255 Homestead AvePerrine FL 33157Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001307154518255 Homestead AvePerrine FL 33157Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)RUIZ Sarabel MCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001212723218255 Homestead AvePerrine FL 33157Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001248458218255 Homestead AvePerrine FL 33157Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

WATSON-HAMILTON Sheri SCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00000073551818255 Homestead AvePerrine FL 33157Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

254 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001206211418255 Homestead AvePerrine FL 33157Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

PINECREST

BAILEY Michael WCalm Care Dental AssociatesInc(786) 842-3132Prov No 00001256140712531 S Dixie HwyPinecrest FL 33156Gender MaleNPI 1174735310License DN14973License Type DBP DentistBoard Certified Not ReportedEmail infopinecrestsouthdixiedentalcomFaxAccepts New Patients YHospital Affiliation NA

BENJAMIN Yehuda JSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001317172712695 S Dixie HwyPinecrest FL 33156Gender MaleNPI 1023320066License DN18632License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PINECREST (Cont)COSTOYA TaidyTaidy Costoya Dmd Pllc(305) 235-0020Prov No 00000154575811507 S Dixie Hwy Pinecrest FL 33156Language SpanishGender FemaleNPI 1497088835License DN17603License Type DBP DentistBoard Certified Not ReportedEmail pinecrestfamilydentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001273784912695 S Dixie HwyPinecrest FL 33156Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CUARTERO Mercedes FSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001298890512695 S Dixie HwyPinecrest FL 33156Gender FemaleNPI 1588981922License DN18937License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PINECREST (Cont)ELPERIN AlexeiTin Wai Hui Dmd Pa(305) 670-1486Prov No 00001209124912651 S Dixie Hwy Ste 400 Pinecrest FL 33156Gender MaleNPI 1295930063License DN15966License Type DBP DentistBoard Certified Not ReportedEmail cindypremieredentalcaregmailcomFax (305) 670-1485Accepts New Patients YHospital Affiliation NA

GONZALEZ Maria FSouth Dixie Dental Llc(786) 842-3132Prov No 00001306568612531 S Dixie HwyPinecrest FL 33156Gender FemaleNPI 1518244862License DN13836License Type DBP DentistBoard Certified NEmail infopinecrestsouthdixiedentalcomFax (786) 870-4283Accepts New Patients YHospital Affiliation NA

HUI Tin Wai WTin Wai Hui Dmd Pa(305) 670-1486Prov No 00000001812112651 S Dixie Hwy Ste 400 Pinecrest FL 33156Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmail cindypremieredentalcaregmailcomFax (305) 670-1485Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PINECREST (Cont)PINO Raquel CSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001277672212695 S Dixie HwyPinecrest FL 33156Language SpanishGender FemaleNPI 1912310665License DN20670License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

Sepulveda Isabel CTin Wai Hui Dmd Pa(305) 670-1486Prov No 00001212723112651 S Dixie Hwy Ste 400 Pinecrest FL 33156Language SpanishGender FemaleNPI 1790111763License DN20070License Type DBP DentistBoard Certified Not ReportedEmail cindypremieredentalcaregmailcomFax (305) 670-1485Accepts New Patients YHospital Affiliation NA

SOUTH MIAMI

CAMPBELL LisaCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125469556350 Sunset DrSouth Miami FL 33143Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

255GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125475686350 Sunset DrSouth Miami FL 33143Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

FAINE RobertAa South Florida Dentistry Pa(305) 661-9556Prov No 0000123272516280 Sunset Dr Ste 401South Miami FL 33143Gender MaleNPI 1114074366License DN5193License Type DBP DentistBoard Certified Not ReportedEmail smileaasouthfloridadentistrycomFax (305) 663-9949Accepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000130624196350 Sunset DrSouth Miami FL 33143Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)GAINES David SDavid Gaines Dds(305) 661-9556Prov No 0000000196716280 Sunset Dr Ste 401South Miami FL 33143Gender MaleNPI 1255506150License DN5708License Type DBP DentistBoard Certified Not ReportedEmail smileaasouthfloridadentistrycomFax (305) 663-9949Accepts New Patients YHospital Affiliation NA

GAINES David SDavid S Gaines(305) 661-9556Prov No 0000127466926280 Sunset Dr Ste 40South Miami FL 33143Gender MaleNPI 1255506150License DN5708License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 663-9949Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthDade(786) 293-5500Prov No 0000125473506350 Sunset DrSouth Miami FL 33143Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)LANG TomasCommunity Health of SouthDade(786) 293-5500Prov No 0000125546636350 Sunset DrSouth Miami FL 33143Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125416496350 Sunset DrSouth Miami FL 33143Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedCommunity Health of SouthDade(786) 293-5500Prov No 0000125468086350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)MIRANDA AlejandraCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125469206350 Sunset DrSouth Miami FL 33143Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125546626350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000126832146350 Sunset DrSouth Miami FL 33143Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

256 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000130715496350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthDade(786) 293-5500Prov No 0000125504276350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125401846350 Sunset DrSouth Miami FL 33143Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)WATSON-HAMILTON Sheri SCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125473736350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125546516350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

SWEETWATER

HERNANDEZ Norberto JJ M Dental Group(305) 584-8666Prov No 0000000394131470 Nw 107th Ave Ste G Sweetwater FL 33172Language SpanishGender MaleNPI 1285693267License DN14451License Type DBP DentistBoard Certified Not ReportedEmail jmdentalgrouphotmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

WEST MIAMI

APONTE-BARRIOS SecilSecil Aponte-Barrios(305) 265-6120Prov No 0000121351961350 Sw 57th Ave Ste 106West Miami FL 33144Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 265-6121Accepts New Patients YHospital Affiliation NA

BOBADILLA Patricia MAlpha Dental Groups Inc(305) 392-1261Prov No 0000130299205870 Sw 8th St Ste 4West Miami FL 33144Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmail alphadentalgroupgmailcomFax (786) 536-4766Accepts New Patients YHospital Affiliation NA

JAUREGUI RODRIGUEZ Guillermo CDr Jauregui Dental Care Corp(305) 269-1781Prov No 0000126830285757 Sw 8th St Ste 115West Miami FL 33144Gender MaleNPI 1124375647License DN21055License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 262-3030Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

WEST MIAMI (Cont)MOLINA Rolando Jesus JRolando J Molina Dds Pa(305) 262-0505Prov No 0000000337185991 Sw 8th St West Miami FL 33144Language SpanishGender MaleNPI 1689700221License DN14344License Type DBP DentistBoard Certified Not ReportedEmail rolandomolina1aolcomFax (305) 262-5075Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY

ATLANTIS

KELMAN AlanAlan Kelman Dds(561) 967-6453Prov No 0000004282715909 S Congress AveAtlantis FL 33462Gender MaleNPI 1760639223License DN17054License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BELLE GLADE

ABDEL-JABBAR Sana HGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012457919427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

257GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)AZARI Scott JGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001956165427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000004028912427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerryGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012127520427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)CASTILLO Juan IGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012151630427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012152957427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000365182427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)COWAN Marc AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000003916229427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001771620427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000004589994427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)DRISCOLL Allison RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001958450427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012110500427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001772261427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

258 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)ESPINET KUSNIER ElaineGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012585931427 Se 2nd StBelle Glade FL 33430Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000011551578427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000425275427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)GARCIA-PORRAS MarcelaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001146412427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000414294427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012091356427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)GONZALES AngelicaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012195411427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlyGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012204411427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001216107427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)HORWITZ StevenGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012099111427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012510209427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000009396000427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

259GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)LAMB NicoleGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012100707427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012444790427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012176926427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)LONDONO Jennifer DGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000365186427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000011550452427 Se 2nd StBelle Glade FL 33430Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric EGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000011552061427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)MONCRIEFFE Tiffany IGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012816354427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012128544427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000002023744427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)RAPPAPORT David BGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012172803427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012066673427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000397010427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

260 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)RODRIGUEZ Margarita MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000453861427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SALAZAR Manuel ABelle Glade Dental Group(561) 996-6165Prov No 00001212751517 W Canal St NBelle Glade FL 33430Gender MaleNPI 1699097261License DN18913License Type DBP DentistBoard Certified Not ReportedEmail bellegladedentalgmailcomFax (561) 983-8154Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012175319427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)SNIDER Erica MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000704657427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012163499427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012454389427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)URCUYO Jacqueline CGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012462664427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012146174427 Se 2nd StBelle Glade FL 33430Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012094380427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)VIGNOLA Jennifer AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000002156177427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012019354427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001194154427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

261GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON

ABDEL-JABBAR Sana HSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124579449874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124579491200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALARCON MARIMON FrankMarianna Zadov Dds(561) 241-7656Prov No 0000126455591905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender MaleNPI 1710417837License DN22660License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ANTEZANA MauricioMarianna Zadov Dds(561) 241-7656Prov No 0000126595801905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

AREVALO Oscar AArfa Dent Inc(561) 391-6066Prov No 0000122536397301 W Palmetto Park Rd STe 203BBoca Raton FL 33433Language SpanishGender MaleNPI 1457443285License DN19448License Type DBP DentistBoard Certified Not ReportedEmail managergatorstoothteamcomFax (561) 393-7361Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000019561671200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)AZARI Scott JSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000019561799874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

BAGHDASSARIAN RosemaryHab Dental Inc(561) 270-6494Prov No 000013023822341 E Yamato Rd Ste ABoca Raton FL 33431Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail doreenhabdentalflacomFax (561) 903-7994Accepts New Patients YHospital Affiliation NA

BENTSI ENCHILL FloraMarianna Zadov Pa(561) 241-7656Prov No 0000125998551905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)BETANCUR Alvaro LTowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000124591403401 N Federal Hwy Ste 101Boca Raton FL 33431Language SpanishGender MaleNPI 1750586079License DN12267License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

BLAND GiancarloGiancarlo Bland Dmd Pllc(561) 347-7006Prov No 0000121977551865 Nw Boca Raton Blvd STe 102Boca Raton FL 33432Gender MaleNPI 1104911015License DN16134License Type DBP DentistBoard Certified Not ReportedEmail cleotahotmailcomFax (561) 347-7008Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000040294691200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

262 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)BOCKIAN Joshua ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000040294809874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000008590649874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

BROGGI Edward PMarianna Zadov Pa(561) 241-7656Prov No 0000125832611905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender MaleNPI 1215955190License DN10457License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)BROWN KevinBeacon Square Family Dentistry(561) 998-0901Prov No 0000130649637805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1851848295License DN16672License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

CAPELLAN JessicaBoca Smile Center(561) 487-4555Prov No 0000129081498177 Glades Rd Ste 23Boca Raton FL 33434Gender FemaleNPI 1043579972License DN20283License Type DBP DentistBoard Certified Not ReportedEmail frontdeskbocasmilecentercomFax (561) 487-5251Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121516729874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)CASTILLO Juan IAnderson Andrew K(561) 997-9930Prov No 0000121790551200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121529821200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121529939874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)CHOURAQUI JonathanTowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000124473183401 N Federal Hwy Ste 101Boca Raton FL 33431Gender MaleNPI 1780024620License DN20472License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000003644501200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000015570679874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

263GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)COWAN Marc ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000039162301200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000039163589874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000017716049874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)CRUZ Antonio RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000017716221200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000045899779874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000045900101200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)DELGADO Angela LSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000127498711200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1447270491License DN15430License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124355471200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124363779874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)DRISCOLL Allison RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000019584361200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000019584669874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121105549874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

264 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)DURKAN Marcia ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000017722259874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000017722621200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000125858549874 Yamato Rd Ste 116Boca Raton FL 33434Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ESPINET KUSNIER ElaineSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125860721200 Nw 51st St Ste A4Boca Raton FL 33431Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000115515779874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000119953921200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)FOX Jeffrey MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000004252761200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000015931419874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

FRIAS Bernarda IBeacon Square Family Dentistry(561) 998-0901Prov No 0000130649867805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender FemaleNPI 1578658332License DN16164License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GARCIA-PORRAS MarcelaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000008590829874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000011463341200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000004142711200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

265GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GARRISON Harvey BSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133299874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

GHALLOUB Melad NMichael D Selzer Dds(561) 487-4555Prov No 0000002584728177 Glades RdBoca Raton FL 33434Gender MaleNPI 1962609628License DN16343License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 487-5251Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120913779874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GHATTAS Maureen ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121125731200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GILSON Seth AMounir Albert Dds(561) 394-6200Prov No 0000130726832200 N Dixie HwyBoca Raton FL 33431Gender MaleNPI 1386916211License DN19464License Type DBP DentistBoard Certified NEmail albertmounir32gmailcomFax (561) 394-6099Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121952029874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GONZALES AngelicaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121954121200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000122044121200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000122046649874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GUERRERO Luis ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000012161149874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

HANDEL Michelle SChildrens Dental Place of BocaRaton(561) 470-1109Prov No 00000003518020401 State Road 7 Ste 7Ste G 14Boca Raton FL 33498Gender FemaleNPI 1083649347License DN14584License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HELMY James MIsmile Dental(561) 417-3335Prov No 0000051788231956 Ne 5th Ave Ste 2Boca Raton FL 33431Gender MaleNPI 1730370818License DN18118License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

266 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)HERMAN Lee ELee E Herman Dds(561) 488-9288Prov No 0000000394458903 Glades Rd Ste A7 Boca Raton FL 33434Gender MaleNPI 1376565424License DN14006License Type DBP DentistBoard Certified Not ReportedEmail leeherman17yahoocmFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120991179874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125101151200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)IRAVANI Mina FSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000125102019874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

JACOBS LeonardLeonard Jacobs Dds Pa(561) 362-8308Prov No 0000000199347301A W Palmetto Park RdSte 203ABoca Raton FL 33433Gender MaleNPI 1043259385License DN13570License Type DBP DentistBoard Certified Not ReportedEmail infocjdentistryc omFax (561) 362-7654Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000111164691200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)JUMA ZaileenSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000113317949874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

KLEIN Lawrence MLawrence M Klein Dds Pa(561) 391-1114Prov No 0000001567437301A W Palmetto Park Rd Ste 204ABoca Raton FL 33433Gender MaleNPI 1922115716License DN7992License Type DBP DentistBoard Certified Not ReportedEmail bdsedationgroupgmailcomFaxAccepts New Patients YHospital Affiliation NA

KLEIN Samuel LSamuel L Klein Dds(561) 997-8300Prov No 0000001333215601 N Federal HwyBoca Raton FL 33487Gender MaleNPI 1497974430License DN10776License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 997-9112Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)KRYKHTIN PavelMarianna Zadov Pa(561) 241-7656Prov No 0000104002001905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender MaleNPI 1235394172License DN18905License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

LAGO-SANCHEZ IdelbisMarianna Zadov Dds(561) 241-7656Prov No 0000125687901905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121007099874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

267GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)LEMINH Chau JSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124447911200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124449499874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121766519874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)LEPORE KrystinaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121769271200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000003644961200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133309874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)LY Danny TDanny T Ly Dmd(561) 395-3290Prov No 0000002670101610 N Federal HwyBoca Raton FL 33432Gender MaleNPI 1174534572License DN16018License Type DBP DentistBoard Certified Not ReportedEmailFax (866) 734-4315Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000115504541200 Nw 51st St Ste A4Boca Raton FL 33431Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000115511409874 Yamato Rd Ste 116Boca Raton FL 33434Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)MARQUEZ Jaime RJaime Marquez(561) 990-9359Prov No 0000121233987301A W Palmetto Park RdSte 204ABoca Raton FL 33433Gender MaleNPI 1750442992License DN20355License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 391-2944Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMarianna Zadov Pa(561) 241-7656Prov No 0000125896651905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000115520251200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

268 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)MOHR Eric ESage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000117711459874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000128168921200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 997-9949Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000128173519874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)MONTANO Halina SHalina Montano(561) 394-2467Prov No 000000447722900 Glades Rd Ste 1DBoca Raton FL 33431Gender FemaleNPI 1720128424License DN14113License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 394-2470Accepts New Patients YHospital Affiliation NA

MONTILLA Miguel ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125940591200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1477664407License DN8580License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000012796159874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)NGUYEN ChiMarianna Zadov Pa(561) 241-7656Prov No 0000130684441905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1811482656License DN23511License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

NGUYEN JosieMarianna Zadov Pa(561) 241-7656Prov No 0000127031101905 Clint Moore Rd Ste 200Boca Raton FL 33496Language VietnameseGender FemaleNPI 1548790801License DN22692License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Dds(561) 241-7656Prov No 0000134915901905 Clint Moore Rd Ste 200Boca Raton FL 33496Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)NOVAK Stephen PBeacon Square Family Dentistry(561) 998-0901Prov No 0000129912267805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1497267025License DN23031License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

ORTIZ Ana MariaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000128515261200 W Yamato RdBoca Raton FL 33431Gender FemaleNPI 1982807541License DN17095License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121284179874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

269GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)PLANES Alex ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121287211200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PYSER Douglas NTowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000124855463401 N Federal Hwy Ste 101Boca Raton FL 33431Gender MaleNPI 1194728162License DN9139License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000020237291200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)QUICK James RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000020237629874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121728041200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121728409874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)RIEGER Eric RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133249874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000003966271200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133339874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)RODRIGUEZ Margarita MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000004538671200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000015566279874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000125239339874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

270 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ROQUE-RUANO MaikelSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125260511200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SALAMON Gary GSalamon amp Yanover Dental Pl(561) 883-2786Prov No 0000000183278221 Glades Rd Ste 4 Boca Raton FL 33434Gender MaleNPI 1336294255License DN13981License Type DBP DentistBoard Certified Not ReportedEmail salamonyanovergmailcomFax (561) 883-6594Accepts New Patients YHospital Affiliation NA

SANCHEZ Jairo ABeacon Square Family Dentistry(561) 998-0901Prov No 0000130301407805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1376994236License DN22032License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SANTIAGO-HERZOG Tatiana ETowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000120543233401 N Federal Hwy Ste 101Boca Raton FL 33431Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121752979874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121753201200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SCARFONE MelanieSage Dental of Boca Raton Pllc(561) 330-8330Prov No 0000129451441200 W Yamato RdBoca Raton FL 33431Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SELZER Michael DMichael D Selzer Dds(561) 487-4555Prov No 0000000184378177 Glades Rd Ste 23 Boca Raton FL 33434Gender MaleNPI 1457594434License DN7417License Type DBP DentistBoard Certified Not ReportedEmail frontdeskbocasmilecentercomFaxAccepts New Patients YHospital Affiliation NA

SHAPIRO Dari PBeacon Square Family Dentistry(561) 998-0901Prov No 0000124284267805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender FemaleNPI 1801099643License DN15490License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SHAPIRO Seth ABeacon Square Family Dentistry(561) 998-0901Prov No 0000123321637805 Nw Beacon Square BlvDBoca Raton FL 33487Gender MaleNPI 1114136223License DN15327License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

SHAPIRO Seth ABeacon Square Family Dentistry(561) 998-0901Prov No 0000129568007805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1528285665License DN15327License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

SMITH Larysa KLarysa K Smith Enterprises Inc(561) 482-6446Prov No 00001274667811435 W Palmetto Park RdSte IBoca Raton FL 33428Gender FemaleNPI 1710036819License DN17497License Type DBP DentistBoard Certified Not ReportedEmail drsmithpalmettodentistcomFaxAccepts New Patients YHospital Affiliation NA

271GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SNIDER Erica MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000007046921200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000019562629874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121635001200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)STEINER Samantha LSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121635309874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124542881200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124543159874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)STRONG Shanice De OnaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000130677481200 W Yamato RdBoca Raton FL 33431Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

TCHOU LuisaMini Mouths(561) 218-4012Prov No 0000122100109181 Glades Rd Ste 120Boca Raton FL 33434Language SpanishGender FemaleNPI 1124315270License DN19419License Type DBP DentistBoard Certified Not ReportedEmail managermini-mouthcomFax (954) 595-1859Accepts New Patients YHospital Affiliation NA

UCROS GermanGerman Ucros(561) 910-1862Prov No 0000121817229840 Sandalfoot BlvdBoca Raton FL 33428Gender MaleNPI 1558570499License DN19260License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 910-1862Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)URCUYO Jacqueline CSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124626349874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124626391200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121461289874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

272 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)VEGA Ivan EVage Brauti Gam Dental(561) 392-6844Prov No 0000004264552499 Glades Rd Ste 208 Boca Raton FL 33431Gender MaleNPI 1023208147License DN17333License Type DBP DentistBoard Certified Not ReportedEmail staffvegasmilestudiocomFaxAccepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120942169874 Yamato Rd Ste 116 Boca Raton FL 33434Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000120942731200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 997-9949Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)VIGNOLA Jennifer ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000021561481200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000021561889874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

YANOVER Clifford JSalamon amp Yanover Dental Pl(561) 883-2786Prov No 0000000183308221 Glades Rd Ste 4 Boca Raton FL 33434Gender MaleNPI 1245373745License DN 13703License Type DBP DentistBoard Certified Not ReportedEmail salamonyanovergmailcomFax (561) 883-6594Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)YU Cynthia WSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120193769874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121125761200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124853971200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)YU Joyce WSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124856559874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ZADOV MariannaMarianna Zadov Pa(561) 241-7656Prov No 0000003653271905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1104903301License DN16481License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

ZAMANI AzinMarianna Zadov Pa(561) 241-7656Prov No 0000124991631905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1588046049License DN21707License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

273GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ZYLBERING Jason MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000008590489874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000011941571200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCA ROTAN

BRATMAN JerrySage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121125791200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA ROTAN (Cont)DUARTE BeatrizSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121105051200 Yamato Rd Ste A4Boca Rotan FL 33431Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

GUERRERO Luis ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000012161081200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

HORWITZ StevenSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000120989991200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

LAMB NicoleSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121110161200 Yamato Rd Ste A4Boca Rotan FL 33431Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA ROTAN (Cont)RIEGER Eric RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000120904321200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

VAZANA Todd ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121461751200 Yamato Rd Ste A4Boca Rotan FL 33431Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

BOYNTON BEACH

ABDEL-JABBAR Sana HSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012457922556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ABDEL-JABBAR Sana HSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124579511790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALARCON MARIMON FrankMarianna Zadov Pa(561) 292-0155Prov No 0000126455381301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender MaleNPI 1710417837License DN22660License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

ANTEZANA MauricioMarianna Zadov Dds(561) 292-0155Prov No 0000126599301301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

274 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)AZARI Scott JSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001956171556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714371790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAGHDASSARIAN RosemaryHab Dental(561) 270-6494Prov No 00001213010912453 Hagen Ranch Rd Unit101Boynton Beach FL 33437Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail dorreenhabdentalflacomFax (561) 364-2967Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)BALLY Kurt OModern Dental Smiles(561) 732-2400Prov No 0000007196882280 N Congress Ave Boynton Beach FL 33426Gender MaleNPI 1497870034License DN17659License Type DBP DentistBoard Certified Not ReportedEmail shawnhayesmoderndentalsmilesorgFaxAccepts New Patients YHospital Affiliation NA

BENTSI ENCHILL FloraMarianna Zadov Pa(561) 292-0155Prov No 0000125998861301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

BERGLASS Michael ENorthwestern ManagementServices Llc(561) 732-3124Prov No 000013271273556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1457425787License DN17207License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)BOCKIAN Joshua ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000004029439556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714391790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000000018920556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)BRATMAN JerrySage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714401790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(561) 732-6900Prov No 000012440702930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROGGI Edward PMarianna Zadov Pa(561) 292-0155Prov No 0000126005121301 N Congress Ave Ste 110Boynton Beach FL 33426Gender MaleNPI 1215955190License DN10457License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

275GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CALVO Lourdes MAn Ocean Dental Studio(561) 732-2711Prov No 0000007163032860 S Seacrest BlvdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1811065840License 22792License Type DBP DentistBoard Certified Not ReportedEmail teagle24gmailcomFax (561) 732-0287Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121516321790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012151639556 E Woolbright Rd Boynton Beach FL 33435Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CERRA Frank ACoast Dental-Boynton Beach(561) 868-0900Prov No 0000124221794756 N Congress Ave Ste 106Boynton Beach FL 33426Gender MaleNPI 1598876435License DN8482License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHANG Ricardo KSmile Perfection Dental ofBoynton Beach(561) 244-7022Prov No 00001287787610075 S Jog Rd Ste 102Boynton Beach FL 33437Gender MaleNPI 1902059348License DN16950License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121529841790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CHILDERS Carmen DSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012153001556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CHOKSHI Payal PPayal Chokshi(561) 364-8700Prov No 0000120619081501 Corporate Dr Ste 140Boynton Beach FL 33426Gender FemaleNPI 1770714578License DN18713License Type DBP DentistBoard Certified Not ReportedEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

COHEN Michael ADental Health Group Pa(561) 732-6900Prov No 000012908633930 N Congress Ave Ste 200Boynton Beach FL 33426Language SpanishGender MaleNPI 1528484102License DN21088License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CORONADO EfrainSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001540175556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714431790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000003916225556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

276 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)COWAN Marc ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715411790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001771637556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715321790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CUNHA Renata FGreat Expressions DentalCenters(561) 732-6900Prov No 000012105127930 N Congress Ave Ste 20 0Boynton Beach FL 33426Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 732-6255Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000004589938556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714701790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DEYAB TimQuantum Dental of BoyntonBeach(561) 249-2585Prov No 0000033792431034 Gateway Blvd Ste 101 Boynton Beach FL 33426Gender MaleNPI 1124119474License DN17323License Type DBP DentistBoard Certified NEmail quatumdentalfloridagmailcomFax (561) 318-8040Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CDental Health Group Pa(561) 732-6900Prov No 000005178799930 N Congress Ave Ste 200Boynton Beach FL 33426Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124355571790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DOOLEY Jill CSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012436437556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001958453556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715551790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

277GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DUARTE BeatrizSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012110512556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121105271790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001772280556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DURKAN Marcia ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715561790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

EDUARDO Jose FCoast Dental-Boynton Beach(561) 868-0900Prov No 0000127879244756 N Congress Ave Ste 106Boynton Beach FL 33426Gender MaleNPI 1033105986License DN15816License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012585930556 E Woolbright RdBoynton Beach FL 33435Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ESPINET KUSNIER ElaineSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000125860741790 N Congress Ave Ste 100Boynton Beach FL 33426Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011551574556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715331790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)FOX Jeffrey MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001593136556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715341790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000000859083556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

278 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714541790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012056035556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714551790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GHATTAS Maureen ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012091368556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121122581790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012195369556 E Woolbright Rd Boynton Beach FL 33435Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GONZALES AngelicaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121953851790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000122044141790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012204443556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GUERRA CHICO Jose ASmile Perfection Dental ofBoynton Beach(561) 244-7022Prov No 00001294626610075 S Jog Rd Ste 102Boynton Beach FL 33437Language SpanishGender MaleNPI 1760862874License DN21222License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001216113556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715541790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

279GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)HAMARNAH SallyHamarnah Dds Pllc(561) 249-2585Prov No 0000127755261034 Gateway Blvd Ste 101 Boynton Beach FL 33426Gender FemaleNPI 1780103911License DN23000License Type DBP DentistBoard Certified Not ReportedEmail quatumdentalfloridagmailcomFax (561) 318-8040Accepts New Patients YHospital Affiliation NA

HARRIS Ana MGreat Expressions DentalCenters(561) 732-6900Prov No 000012917402930 N Congress Ave Ste 20 0Boynton Beach FL 33426Gender FemaleNPI 1265605323License DN17620License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 732-6255Accepts New Patients YHospital Affiliation NA

HENDOUS KhaledHab Dental Inc(561) 270-6494Prov No 00001287287412453 Hagen Ranch RdBoynton Beach FL 33437Gender MaleNPI 1811132384License DN17343License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)HORWITZ StevenSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120989721790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012098984556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012510196556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)IRAVANI Mina FSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000125102291790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IURCOVICH Maximillian ODental Health Group Pa(561) 732-6900Prov No 000001102976930 N Congress Ave Ste 200Boynton Beach FL 33426Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

JEAN HuguesCoast Dental-Boynton Beach(561) 868-0900Prov No 0000127599134756 N Congress Ave Ste 106Boynton Beach FL 33426Language FrenchGender MaleNPI 1700329968License DN23067License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)JUMA ZaileenSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011331664556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714481790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAGO-SANCHEZ IdelbisMarianna Zadov Pa(561) 292-0155Prov No 0000125998631301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

280 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)LAMB NicoleSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012100708556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121105261790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012444749556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)LEMINH Chau JSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124447931790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121769291790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012212343556 E Woolbright Rd Boynton Beach FL 33435Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)LONDONO Jennifer DSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714471790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012112956556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011551126556 E Woolbright RdBoynton Beach FL 33435Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)MA RobertSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715351790 N Congress Ave Ste 100Boynton Beach FL 33426Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MCCOWN Michael GDental Health Group Pa(561) 732-6900Prov No 000005605389930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMarianna Zadov Pa(561) 292-0155Prov No 0000125998871301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

281GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)MOHR Eric ESage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011552126556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715371790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany INorthwestern ManagementServices Llc(561) 732-3124Prov No 000012817352556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)MONCRIEFFE Tiffany ISage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000128195071790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(561) 732-6900Prov No 000012683705930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

NGUYEN ChiMarianna Zadov Pa(561) 292-0155Prov No 0000130683431301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1811482656License DN23511License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)NGUYEN JosieMarianna Zadov Pa(561) 292-0155Prov No 0000127031571301 N Congress Ave Ste 110Boynton Beach FL 33426Language VietnameseGender FemaleNPI 1548790801License DN22692License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Dds(561) 292-0155Prov No 0000134923381301 N Congress Ave Ste 110Boynton Beach FL 33426Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012128413556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)PLANES Alex ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121285461790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000002023749556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714321790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

282 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RANGEL RaulDental Health Group Pa(561) 732-6900Prov No 000012589015930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1629154216License DN13743License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121728061790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012172824556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RIEGER Eric RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012066680556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120897781790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001549144556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RING Stephen GSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714691790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001556624556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715431790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RODRIGUEZ Narda SDental Health Group Pa(561) 732-6900Prov No 000012640018930 N Congress Ave Ste 200Boynton Beach FL 33426Gender FemaleNPI 1548570831License DN20013License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ROMERO IngridSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000127257731790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1619494952License DN23024License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelNorthwestern ManagementServices Llc(561) 732-3124Prov No 000012523926556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

283GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ROQUE-RUANO MaikelSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000125260521790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(561) 732-6900Prov No 000012965924930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012175294556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)SCARFONE MelanieSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121753221790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SEMEAH YvesFlorida Dental amp DentureCenter(561) 738-5974Prov No 0000000190901901 S Federal Hwy Boynton Beach FL 33435Language SpanishGender MaleNPI 1326152463License DN13168License Type DBP DentistBoard Certified Not ReportedEmail fldentalbellsouth netFax (561) 738-2116Accepts New Patients YHospital Affiliation NA

SHKOLNIK SeanDevshil Pa(561) 364-8700Prov No 0000127769441501 Corporate Dr Ste 140Boynton Beach FL 33426Gender MaleNPI 1730589474License DN20779License Type DBP DentistBoard Certified Not ReportedEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)SHVETS AnkitaDeushil(561) 364-8700Prov No 0000132778871501 Corporate Dr Ste 140Boynton Beach FL 33426Language Hindi RussianGender FemaleNPI 1316322092License DN21743License Type DBP DentistBoard Certified Not ReportedEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

SILVER Richard MBoynton Implant and CosmeticSolutions L(561) 734-0505Prov No 0000125141963695 W Boynton Beach Blvd Ste 5Boynton Beach FL 33436Gender MaleNPI 1013017599License DN7158License Type DBP DentistBoard Certified Not ReportedEmail boyntonimplantandcosmeticgmailcomFax (561) 734-0506Accepts New Patients YHospital Affiliation NA

SMITH Gordon JGordon J Smith Dds(561) 732-9727Prov No 0000000194561250 S Federal Hwy Ste 101Boynton Beach FL 33435Gender MaleNPI 1538250089License DN 8620License Type DBP DentistBoard Certified Not ReportedEmail infodentistboyntonbeachflcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)SNIDER Erica MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001956261556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714731790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SPINGARN Joseph HDental Health Group Pa(561) 732-6900Prov No 000010903165930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1508886136License DN5044License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

284 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)STEINER Samantha LSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121635021790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012163514556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124542901790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)STRONG Shanice De OnaSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012454298556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

TRUONG Xen TRiverwalk Dental Group -Boyton(561) 364-8700Prov No 0000124344801501 Corporate Dr Ste 140Boynton Beach FL 33426Language VietnameseGender FemaleNPI 1376973388License DN20399License Type DBP DentistBoard Certified NEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

UMOREN Anne-Marie USage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012738047556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1942616453License 20750License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)URCUYO Jacqueline CSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124626411790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012462649556 E Woolbright Rd Boynton Beach FL 33435Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012146136556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)VAZANA Todd ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121461771790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120941921790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BNorthwestern ManagementServices Llc(561) 732-3124Prov No 000012094264556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

285GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)VIGNOLA Jennifer ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000002156180556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121123601790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012019363556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)YU Cynthia WSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715511790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124854091790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012485416556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ZADOV MariannaMarianna Zadov Pa(561) 292-0155Prov No 0000126214191301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1104903301License DN16481License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

ZAKI Fady AHab Dental Inc(561) 270-6494Prov No 00001302899512453 Hagen Ranch Rd Unit101Boynton Beach FL 33437Gender MaleNPI 1831322304License DN20041License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

ZAMANI AzinMarianna Zadov Pa(561) 292-0155Prov No 0000126156071301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1588046049License DN21707License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ZYLBERING Jason MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001194164556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121123611790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DELRAY BEACH

ABDEL-JABBAR Sana HSage Dental of East Delray Pllc(561) 404-6044Prov No 000012457923551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

286 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)ABDEL-JABBAR Sana HSage Dental of West Delray Pa(561) 272-9198Prov No 00001245794513722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

ARCINIEGAS Francy JDelray Family Dentistry(561) 498-3181Prov No 00001251846115300 S Jog Rd Ste 207Delray Beach FL 33446Gender FemaleNPI 1457791345License DN20126License Type DBP DentistBoard Certified Not ReportedEmail infodelrayfamilydentistrycomFax (561) 498-3144Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of West Delray Pa(561) 272-9198Prov No 00000195617013722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)AZARI Scott JSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071560551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAUER Richard CFamily amp Cosmetic Dentistry ofDelray Beach(561) 243-8833Prov No 0000128415182915 S Federal Hwy Ste D1Delray Beach FL 33483Gender MaleNPI 1922200500License DN14529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of West Delray Pa(561) 272-9198Prov No 00000402947013722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)BOCKIAN Joshua ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071562551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRADY TiffanySupersmiles Pediatric Dentistryand Orthodontics(561) 277-3361Prov No 0000125165934800 Linton Blvd Ste D505Delray Beach FL 33445Gender FemaleNPI 1407292824License DN21459License Type DBP DentistBoard Certified Not ReportedEmail infosupersmilesfl comFax (954) 473-6922Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Delray(561) 921-6555Prov No 00001204713413722 Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)BRATMAN JerrySage Dental of East Delray Pllc(561) 404-6044Prov No 000012071578551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Delray Pa(561) 272-9198Prov No 00001296027913722 S Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(561) 276-5800Prov No 0000124406751640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

287GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CASTILLO Juan ISage Dental of East Delray Pllc(561) 404-6044Prov No 000012151620551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Delray(561) 921-6555Prov No 00001215167313722 Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Delray Pa(561) 272-9198Prov No 00001278438313722 S Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CHILDERS Carmen DSage Dental of West Delray Pa(561) 272-9198Prov No 00001215299113722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of East Delray Pllc(561) 404-6044Prov No 000012153002551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COHEN Michael ADental Health Group Pa(561) 276-5800Prov No 0000121831041640 S Federal HwyDelray Beach FL 33483Language SpanishGender MaleNPI 1528484102License DN21088License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CORONADO EfrainSage Dental of West Delray Pa(561) 272-9198Prov No 00000154016813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071581551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of West Delray Pa(561) 272-9198Prov No 00000391623213722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)COWAN Marc ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071583551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Delray Pa(561) 272-9198Prov No 00000177160613722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012152661551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

288 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CUNHA Renata FDental Health Group Pa(561) 276-5800Prov No 0000121050001640 S Federal HwyDelray Beach FL 33483Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001292172914560 S Military Trl SteB2Delray Beach FL 33484Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of West Delray Pa(561) 272-9198Prov No 00000458993613722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DAROJAT Zuhdiyah MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012113002551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CDental Health Group Pa(561) 276-5800Prov No 0000051793981640 S Federal HwyDelray Beach FL 33483Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of West Delray Pa(561) 272-9198Prov No 00001243638113722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DOOLEY Jill CSage Dental of East Delray Pllc(561) 404-6044Prov No 000012436442551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of West Delray Pa(561) 272-9198Prov No 00000195844813722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071505551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DUARTE BeatrizSage Dental of East Delray Pllc(561) 404-6044Prov No 000012110488551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Delray Pa(561) 272-9198Prov No 00001211051113722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of West Delray Pa(561) 272-9198Prov No 00000177222613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

289GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DURKAN Marcia ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012152656551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ELEFANT Jacob IEledent Pa(561) 272-2424Prov No 000000018414801 Se 6th Ave Ste 105Delray Beach FL 33483Gender MaleNPI 1154511376License DN12892License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Delray(561) 272-9198Prov No 00001258585513722 Jog Rd Ste B Delray Beach FL 33446Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of West Delray Pa(561) 272-9198Prov No 00001155157313722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of East Delray Pllc(561) 404-6044Prov No 000012152660551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FESTA AntonioLaser and Cosmetic Dentistry ofDelray(561) 499-6664Prov No 00000043967215300 S Jog Rd Ste 210 Delray Beach FL 33446Gender MaleNPI 1710106315License DN13568License Type DBP DentistBoard Certified Not ReportedEmail lasercosmeticdentistrygmailcomFax (561) 498-2521Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)FIGUEROA Juan ALaser and Cosmetic Dentistry ofDelray(561) 499-6664Prov No 00000038926715300 S Jog Rd Ste 210 Delray Beach FL 33446Gender MaleNPI 1841419447License DN16545License Type DBP DentistBoard Certified Not ReportedEmail lasercosmeticdentistrygmailcomFax (561) 498-2521Accepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001292185014560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of West Delray Pa(561) 272-9198Prov No 00000042526813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)FOX Jeffrey MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071585551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of West Delray Pa(561) 272-9198Prov No 00000114637313722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071586551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

290 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GARRISON Harvey BSage Dental of West Delray Pa(561) 272-9198Prov No 00000041440413722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071587551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of West Delray Pa(561) 272-9198Prov No 00001209136113722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GHATTAS Maureen ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012113003551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012195194551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Delray Pa(561) 272-9198Prov No 00001219520313722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GREEN BeverlySage Dental of West Delray Pa(561) 272-9198Prov No 00001220442113722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of East Delray Pllc(561) 404-6044Prov No 000012204444551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of West Delray Pa(561) 272-9198Prov No 00000121610013722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GUERRERO Luis ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071484551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GULTZ Jerrold PSage Dental of East Delray Pllc(561) 404-6044Prov No 000012436444551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1851326581License DN10295License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HARRIS Richard HDelray Family Dentistry(561) 498-3181Prov No 00000124997815300 S Jog Rd Ste 207Delray Beach FL 33446Gender MaleNPI 1528119724License DN12508License Type DBP DentistBoard Certified Not ReportedEmail infodelrayfamilydentistrycomFax (561) 498-3144Accepts New Patients YHospital Affiliation NA

291GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)HARRIS Richard HDelray Famil Dentistry(561) 498-3181Prov No 00001271711015300 S Jog Rd Ste 207Delray Beach FL 33446Gender MaleNPI 1528119724License DN12508License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERMAN Mark AMark A Herman Dmd Pa(561) 498-0015Prov No 0000000180855329 W Atlantic Ave Ste 2 01Delray Beach FL 33484Gender MaleNPI 1356554711License DN14310License Type DBP DentistBoard Certified Not ReportedEmail lvom5329gmailcomFax (561) 496-6336Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of East Delray Pllc(561) 404-6044Prov No 000012098985551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)HORWITZ StevenSage Dental of West Delray Pa(561) 272-9198Prov No 00001209911313722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of East Delray Pllc(561) 404-6044Prov No 000012510197551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of West Delray Pa(561) 272-9198Prov No 00001251020213722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)IURCOVICH Maximillian ODental Health Group Pa(561) 276-5800Prov No 0000006943881640 S Federal HwyDelray Beach FL 33483Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of West Delray Pa(561) 272-9198Prov No 00001133166213722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071494551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)LAMB NicoleSage Dental of West Delray Pa(561) 272-9198Prov No 00001210070613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of East Delray Pllc(561) 404-6044Prov No 000012100714551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of East Delray Pllc(561) 404-6044Prov No 000012444750551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

292 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)LEMINH Chau JSage Dental of West Delray(561) 272-9198Prov No 00001244495013722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Delray Pa(561) 272-9198Prov No 00001274724513722 S Jog Rd Ste BDelray Beach FL 33446Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Delray Pa(561) 272-9198Prov No 00001217682213722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)LEPORE KrystinaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012176936551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of West Delray Pa(561) 272-9198Prov No 00001204714713722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071496551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MA RobertSage Dental of West Delray Pa(561) 272-9198Prov No 00001155112413722 Jog Rd Ste B Delray Beach FL 33446Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071497551 Linton Blvd Ste C2Delray Beach FL 33444Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertNorthwestern ManagementServices Llc(561) 272-9198Prov No 00001274724613722 S Jog Rd Ste BDelray Beach FL 33446Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MCCOWN Michael GDental Health Group Pa(561) 276-5800Prov No 0000056055791640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

MILANES ChristianDavid Craig Winer Dds Pa(561) 498-0015Prov No 0000128959715329 W Atlantic Ave Ste 2 01Delray Beach FL 33484Gender MaleNPI 1578947610License DN21356License Type DBP DentistBoard Certified Not ReportedEmail lvom5329gmailcomFax (561) 496-6336Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of West Delray Pa(561) 272-9198Prov No 00001155204813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

293GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MOHR Eric ESage Dental of East Delray Pllc(561) 404-6044Prov No 000012071491551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Delray Pa(561) 272-9198Prov No 00001281689413722 S Jog Rd Ste BDelray Beach FL 33446Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of East Delray Pllc(561) 404-6044Prov No 000012819502551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MORALES Alexis OAdvanced Prosthodontic ampImplant Dentistry(561) 370-6688Prov No 0000122353183100 S Federal Hwy Ste 5Delray Beach FL 33483Language SpanishGender MaleNPI 1336498476License DN19924License Type DBP DentistBoard Certified NEmail floridadentalrejuvenationgmailcomFaxAccepts New Patients YHospital Affiliation NA

MORALES Ronald JDental Health Group Pa(561) 276-5800Prov No 0000124225481640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(561) 276-5800Prov No 0000126830411640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)NAGUIB Michelle ASage Dental of West Delray Pa(561) 272-9198Prov No 00000127959013722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

NGO Tuong TNobel Dental Pa(561) 894-4299Prov No 0000007215382275 S Federal Hwy Ste 310Delray Beach FL 33483Gender FemaleNPI 1548421340License DN16583License Type DBP DentistBoard Certified Not ReportedEmail 2275dentalgmailc omFax (561) 894-4277Accepts New Patients YHospital Affiliation NA

PEREZ ReinaldoCare One Dental Llc(561) 894-4299Prov No 0000130520452275 S Federal Hwy Ste 310Delray Beach FL 33483Language SpanishGender MaleNPI 1447764931License DN22768License Type DBP DentistBoard Certified Not ReportedEmail 2275dentalgmailc omFax (561) 894-4277Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)PLANES Alex ASage Dental of West Delray Pa(561) 272-9198Prov No 00001212841913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012128551551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

POULERIGUEN AlainLaser and Cosmetic Dentistry ofDelray(561) 499-6664Prov No 00000038663315300 S Jog Rd Ste 210 Delray Beach FL 33446Gender MaleNPI 1710106307License DN12610License Type DBP DentistBoard Certified Not ReportedEmail lasercosmeticdentistrygmailcomFax (561) 498-2521Accepts New Patients YHospital Affiliation NA

294 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)QUICK James RSage Dental of West Delray Pa(561) 272-9198Prov No 00000202373913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071513551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of East Delray Pllc(561) 404-6044Prov No 000012172776551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RAPPAPORT David BSage Dental of West Delray Pa(561) 272-9198Prov No 00001217283813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

REUM Eric DDental Health Group Pa(561) 276-5800Prov No 0000124363621640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1730530106License DN21848License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of West Delray Pa(561) 272-9198Prov No 00001206667913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RIEGER Eric RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012090434551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001303700714560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Delray Pa(561) 272-9198Prov No 00000154913713722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RING Stephen GSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071511551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Delray Pa(561) 272-9198Prov No 00000045386913722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071512551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

295GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RODRIGUEZ-MARTIN Henry ABrilliant Smiles Dental Pa(561) 272-2131Prov No 0000121712032100 Lake Ida Rd Ste 2ADelray Beach FL 33445Gender MaleNPI 1467549444License DN15860License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 272-8141Accepts New Patients YHospital Affiliation NA

ROMERO IngridSage Dental of West Delray Pa(561) 272-9198Prov No 00001281328513722 S Jog Rd Ste BDelray Beach FL 33446Gender FemaleNPI 1619494952License DN23024License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of East Delray Pllc(561) 404-6044Prov No 000012523927551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)ROQUE-RUANO MaikelSage Dental of West Delray Pa(561) 272-9198Prov No 00001252604913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(561) 276-5800Prov No 0000129659271640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of East Delray Pllc(561) 404-6044Prov No 000012175295551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001315832414560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Delray Pa(561) 272-9198Prov No 00000070466713722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071571551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001303701114560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of East Delray Pllc(561) 404-6044Prov No 000012163490551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of West Delray Pa(561) 272-9198Prov No 00001216352813722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

296 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)STRONG Shanice De OnaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012454299551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of West Delray Pa(561) 272-9198Prov No 00001245431613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

SUTNICK Steven ADental Health Group Pa(561) 276-5800Prov No 0000102131141640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1922447374License DN10650License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)URCUYO Jacqueline CSage Dental of West Delray Pa(561) 272-9198Prov No 00001246263513722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of East Delray Pllc(561) 404-6044Prov No 000012462650551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Delray Pa(561) 272-9198Prov No 00001212641313722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)VAZANA Todd ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012146137551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Delray Pa(561) 272-9198Prov No 00001209426313722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of East Delray Pllc(561) 404-6044Prov No 000012094265551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)VERDECCHIA Dana JDental Health Group Pa(561) 276-5800Prov No 0000132166111640 S Federal HwyDelray Beach FL 33483Gender FemaleNPI 1245724848License DN23510License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Delray Pa(561) 272-9198Prov No 00000215617513722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071577551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

297GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)WILNER Jason MCare One Dental Llc(561) 894-4299Prov No 0000128640722275 S Federal Hwy Ste 310Delray Beach FL 33483Gender MaleNPI 1790210201License DN22956License Type DBP DentistBoard Certified Not ReportedEmail 2275dentalgmailc omFax (561) 894-4277Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of West Delray Pa(561) 272-9198Prov No 00001205624613722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071487551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)YU Joyce WSage Dental of West Delray Pa(561) 272-9198Prov No 00001248565613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of East Delray Pllc(561) 404-6044Prov No 000012493568551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZUSSELMAN ArnoldDental Health Group Pa(561) 276-5800Prov No 0000015580741640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1134347172License DN13888License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)ZYLBERING Jason MSage Dental of West Delray Pa(561) 272-9198Prov No 00000119414613722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012113005551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREENACRES

FIFFE EliseoGreenacres Dental Service(561) 838-7937Prov No 0000129562843098 S Jog Rd Ste BGreenacres FL 33467Language SpanishGender MaleNPI 1760737480License DN22223License Type DBP DentistBoard Certified Not ReportedEmail greenacresdentalservicegmailcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

GREENACRES (Cont)FIGUEROA Fernando Luis LFernando L Figueroa Dds Pa(561) 432-1718Prov No 0000001367454750 S Jog RdGreenacres FL 33467Gender MaleNPI 1316135205License DN15400License Type DBP DentistBoard Certified Not ReportedEmail elite-dentalhotmailcomFax (561) 432-1748Accepts New Patients YHospital Affiliation NA

MICHEL RaynaldMillake Dental Pa(561) 357-1009Prov No 0000124659256137 Lake Worth RdGreenacres FL 33463Language FrenchGender MaleNPI 1376859306License DN19473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 969-7624Accepts New Patients YHospital Affiliation NA

REDDY AnithaAnitha Reddy Dmd(561) 965-1254Prov No 0000001741555700 Lake Worth Rd Ste 102Greenacres FL 33463Gender FemaleNPI 1003939489License DN16053License Type DBP DentistBoard Certified Not ReportedEmail dr_anitha_reddyyahoocomFax (561) 965-1810Accepts New Patients YHospital Affiliation NA

298 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

GREENACRES (Cont)REDDY AnithaAnitha Reddy Dmd(561) 965-1254Prov No 0000129740405700 Lake Worth Rd 101amp102Greenacres FL 33463Gender FemaleNPI 1003939489License DN16053License Type DBP DentistBoard Certified Not ReportedEmail dr_anitha_reddyyahoocomFaxAccepts New Patients YHospital Affiliation NA

STEIN IlyaLakeworth Family Dental(561) 649-6446Prov No 0000004612296427 Lake Worth Rd Greenacres FL 33463Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 649-6445Accepts New Patients YHospital Affiliation NA

VICTOME Robert GMillake Dental Pa(561) 357-1009Prov No 0000000190286137 Lake Worth Rd Greenacres FL 33463Language French SpanishGender MaleNPI 1437238516License DN 13708License Type DBP DentistBoard Certified Not ReportedEmail millakedentalgmailcomFax (561) 969-7624Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER

ABDEL-JABBAR Sana HSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012457903451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124579041695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

ALVAREZ Jose FTowncare Dental of Jupiter Pa(561) 627-6090Prov No 0000003595245440 Military Trl Ste 11Jupiter FL 33458Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 627-6088Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ALVAREZ Jose FJupiter Dental Group Pa(561) 745-3118Prov No 000001148641175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000364400451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018197711695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BALLY Kurt OKurt O Bally Dmd Pa(561) 691-6055Prov No 0000004169064050 S Us Highway 1 Ste 3 22Jupiter FL 33477Gender MaleNPI 1497870034License DN17659License Type DBP DentistBoard Certified Not ReportedEmail moderndentalsmilesgmailcomFax (561) 691-6054Accepts New Patients YHospital Affiliation NA

BATES Barbara AOasis Family Dental Spa Llc(561) 427-0070Prov No 0000121540141096 W Indiantown Rd Ste200Jupiter FL 33458Gender FemaleNPI 1841331535License DN15804License Type DBP DentistBoard Certified Not ReportedEmail bbdmdpsdaolcomFax (561) 427-0435Accepts New Patients YHospital Affiliation NA

BENGOCHEA ArmandoJupiter Dental Group(561) 745-3118Prov No 000013004123175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender MaleNPI 1487094678License DN21590License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

299GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BENTSI ENCHILL FloraJupiter Dental Group Pa(561) 745-3118Prov No 000002228453175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

BIDKAR VibhorPayal Chokshi(561) 744-3646Prov No 000012688293759 Parkway Ste 102Jupiter FL 33477Gender MaleNPI 1477953677License DN20961License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 748-5123Accepts New Patients YHospital Affiliation NA

BLOCK Michael JJupiter Dental Group Pa(561) 745-3118Prov No 000007193229175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1104999267License DN16136License Type DBP DentistBoard Certified NEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BOCKIAN Joshua ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000004029433451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000040294411695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

BOSCIO Isabel CDentistry By Design(561) 406-6070Prov No 0000122343613889 Military TrlJupiter FL 33458Gender FemaleNPI 1467429316License DN17855License Type DBP DentistBoard Certified Not ReportedEmail infodbdflcomFax (561) 406-6072Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BRATMAN JerrySage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018197751695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Jupiter Pllc(561) 427-6850Prov No 000012113795451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Jupiter Pllc(561) 427-6850Prov No 000012151624451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)CASTILLO Juan ISage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121516251695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012153006451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121530071695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

300 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)CHOKSHI Payal PPayal P Chokshi Dmd(561) 744-3646Prov No 000001540415759 Parkway Ste 102Jupiter FL 33477Gender FemaleNPI 1770714578License DN18713License Type DBP DentistBoard Certified Not ReportedEmail drchokshiriverwalkdentalgroupcomFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000361107451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018197811695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)COWAN Marc ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000039162261695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000003916228451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000001771623451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)CRUZ Antonio RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017716331695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000045899401695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000004589942451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)DELGADO JudithJupiter Dental Group(561) 745-3118Prov No 000012926431175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1568983716License DN23194License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Jupiter(561) 427-6850Prov No 000012435571451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 427-6860Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124355751695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

301GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)DRISCOLL Allison RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000001958435451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000019584551695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012110539451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)DUARTE BeatrizSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121105401695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000001772265451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017722701695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ESPINET KUSNIER ElaineSage Dental of Indiantown Pllc(561) 741-7142Prov No 0000125841151695 W Indiantown Rd Ste32Jupiter FL 33458Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012586069451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Jupiter Pllc(561) 427-6850Prov No 000011551568451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000115515751695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

FOTEK Ilona PIlona P Fotek Dmd(561) 626-6116Prov No 0000121498524600 Military Trl Ste 210Jupiter FL 33458Language PolishGender FemaleNPI 1053519041License DN17982License Type DBP DentistBoard Certified Not ReportedEmail mailboxprestigeperiocomFax (561) 627-6914Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000425277451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

302 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)FOX Jeffrey MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017720621695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017720631695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012113798451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GARRISON Harvey BSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000414319451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017720641695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GELDRES Juana MJuand M Geldres(561) 653-1163Prov No 000000444235425 Greenwich Cir Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1649212796License DN16169License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 653-1164Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GHATTAS Maureen ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000012091370451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120913721695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121951561695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GONZALES AngelicaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012195198451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Jupiter Pllc(561) 427-6850Prov No 000012204448451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000122044491695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

303GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GUERRERO Luis ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000001216109451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012098988451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120989891695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)IRAVANI Mina FSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012510183451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000125101851695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Jupiter Pllc(561) 427-6850Prov No 000011331669451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)KACHAM SharadaShadara Kacham Dds(561) 844-0715Prov No 0000003378354600 Military Trl Ste 219Jupiter FL 33458Gender FemaleNPI 1801181458License DN15993License Type DBP DentistBoard Certified Not ReportedEmail smilecometruegmailcomFax (561) 776-4878Accepts New Patients YHospital Affiliation NA

KALOGLIAN SILVA MichelleJupiter Dental Group Pa(561) 745-3118Prov No 000012910493175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1245551217License DN23312License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

KLOPENSTINE Geoffrey AJupiter Dental Group Pa(561) 745-3118Prov No 000001171589175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1306951793License DN19238License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LAMB NicoleSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012100717451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121007181695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

LEIBOVICI JacobDental Spa at Abacoa Inc(561) 420-8888Prov No 0000000454431155 Main St Ste 105Jupiter FL 33458Gender MaleNPI 1386736767License DN14459License Type DBP DentistBoard Certified Not ReportedEmail dentalspacomcast netFax (561) 420-8330Accepts New Patients YHospital Affiliation NA

304 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LEIN Bruce NBruce Lein Dds(561) 744-6121Prov No 000000398812825 S Us Highway 1 Ste 25 0Jupiter FL 33477Gender MaleNPI 1902920598License DN17633License Type DBP DentistBoard Certified Not ReportedEmail bruceleinddsgmailcomFax (561) 401-9367Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012444755451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124449551695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LEPORE KrystinaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012176940451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121769411695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018201611695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LONDONO Jennifer DSage Dental of Jupiter(561) 427-6850Prov No 000012113799451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 427-6860Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000115504511695 W Indiantown Rd Ste32Jupiter FL 33458Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Jupiter Pllc(561) 427-6850Prov No 000011551128451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)MCCOSH FernandaJupiter Dental Group Pa(561) 745-3118Prov No 000012074404175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1427305150License DN19819License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Jupiter Pllc(561) 427-6850Prov No 000011552064451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000117711371695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

305GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)MONCRIEFFE Tiffany ISage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000128195041695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Jupiter Pllc(561) 427-6850Prov No 000012819508451 University Blvd Ste 101 Bldg 3Jupiter FL 33458Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000001279608451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)NAGUIB Michelle ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018201581695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

NGUYEN ChiMarianna Zadov Pa(561) 295-1566Prov No 0000134921791025 Military Trl Ste 210Jupiter FL 33458Gender FemaleNPI 1548452626License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Pa(561) 295-1566Prov No 0000134916441025 Military Trl Ste 210Jupiter FL 33458Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)PATEL Aditi KKa Dental Group Jupiter Pa(561) 795-1404Prov No 0000122139003755 Military Trl Ste B2Jupiter FL 33458Gender FemaleNPI 1518212877License DN 19875License Type DBP DentistBoard Certified NEmail contactkadentalgroupcomFax (561) 743-2639Accepts New Patients YHospital Affiliation NA

PATEL Krunal DKa Dental Group Jupiter Pa(561) 795-1404Prov No 0000122138983755 Military Trl Ste B2Jupiter FL 33458Gender MaleNPI 1225384472License DN19874License Type DBP DentistBoard Certified NEmail contactkadentalgroupcomFax (561) 743-2639Accepts New Patients YHospital Affiliation NA

PECORA Jefferson MJupiter Dental Group Pa(561) 745-3118Prov No 000012434954175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1831396282License DN13729License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)PEREZ ALAMO JenniferJupiter Dental Group Pa(561) 745-3118Prov No 000012577533175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000012128532451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121285331695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

306 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)QUICK James RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000020237271695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000002023745451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012172810451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)RAPPAPORT David BSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121728111695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

REZAIE AzadehJupiter Dental Group Pa(561) 745-3118Prov No 000012204703175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1740663848License DN21393License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012066727451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)RIEGER Eric RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120667281695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000364379451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018198471695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)RODRIGUEZ Margarita MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000453868451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018198491695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012523930451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

307GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ROQUE-RUANO MaikelSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000125239311695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

RUDNICK AndrewDonald Ross Dental(561) 493-8299Prov No 0000000334835440 Military Trl Ste 11 Jupiter FL 33458Gender MaleNPI 1154416626License DN14987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 493-7496Accepts New Patients YHospital Affiliation NA

SALEHI MojganDentistry By Design(561) 406-6070Prov No 0000125924643889 Military TrlJupiter FL 33458Gender FemaleNPI 1285860056License DN16437License Type DBP DentistBoard Certified Not ReportedEmail infodbdflcomFax (561) 406-6072Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)SCARFONE MelanieSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012175291451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121753051695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

SHIFLET Jennifer LJupiter Dental Group Pa(561) 745-3118Prov No 000013018941175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1043705205License DN23159License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)SNIDER Erica MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000704687451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018198951695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012163506451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)STEINER Samantha LSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121635071695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

STRAUSS William ADonald Ross Dental(561) 493-8299Prov No 0000003652015440 Military Trl Ste 11 Jupiter FL 33458Gender MaleNPI 1386739365License DN15748License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 493-7496Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012454306451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

308 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)STRONG Shanice De OnaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124543071695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012462655451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124626561695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)VARGAS AndresJupiter Dental Group Pa(561) 745-3118Prov No 000001243602175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1861515025License DN17711License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000012140203451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012094210451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)VERA Anny BSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120942111695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

VERA Anny BJupiter Dental Group Pa(561) 745-3118Prov No 000012184176175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000002156178451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)VIGNOLA Jennifer ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000021561821695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

YOUNG Lisa BJupiter Dental Group Pa(561) 745-3118Prov No 000001214788175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012019365451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

309GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)YU Cynthia WSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120193661695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012485399451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124854001695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ZASLAVSKY JuliaJupiter Dental Group(561) 745-3118Prov No 000013067949175 Toney Penna Dr Ste 105Jupiter FL 33458Language RussianGender FemaleNPI 1225481302License DN21923License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

ZELAZEK Bruce SSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012820323451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1053433144License DN10210License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000001194158451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ZYLBERING Jason MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121138071695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

LAKE PARK

BARRETT StevenGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130140271230 Northlake BlvdLake Park FL 33403Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130122731230 Northlake BlvdLake Park FL 33403Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE PARK (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130121021230 Northlake BlvdLake Park FL 33403Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130121201230 Northlake BlvdLake Park FL 33403Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients NHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130121171230 Northlake BlvdLake Park FL 33403Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

310 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE PARK (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130298121230 Northlake BlvdLake Park FL 33403Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ROYZMAN AnnaRoyzman Anna(561) 848-0087Prov No 0000120448121535 Prosperity Farms RdLake Park FL 33403Gender FemaleNPI 1962744102License DN 17148License Type DBP DentistBoard Certified NEmailFax (561) 848-0987Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130370211230 Northlake BlvdLake Park FL 33403Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH

ABDEL-JABBAR Sana HSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124579051922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124579506626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

AGREDA AngelAngel Agreda Dds(561) 253-0158Prov No 0000001958172311 10th Ave N Ste 14 Lake Worth FL 33461Gender MaleNPI 1699883199License DN11416License Type DBP DentistBoard Certified Not ReportedEmail infointegraldentalcomFax (561) 253-0159Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)AKEL RasmiBig Smile Dentistry(561) 331-3013Prov No 0000065120174481 Lake Worth Rd Ste B Lake Worth FL 33461Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail dentistrybigsmilegmailcomFax (561) 331-3015Accepts New Patients YHospital Affiliation NA

AKEL RasmiBig Smile Dentistry II Inc(561) 530-3325Prov No 0000124972833935 S Jog Rd Ste 16Lake Worth FL 33467Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail smilesbusinessmanagergmailcomFaxAccepts New Patients YHospital Affiliation NA

AKEL RasmiBig Smile Dentistry II Inc(561) 235-0995Prov No 0000126175503911 S Jog Rd Ste 16Lake Worth FL 33467Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail mspgold25yahooco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)ANDERSON MarcSerene Dental Center(561) 304-1414Prov No 0000003821632411 10th Ave N Lake Worth FL 33461Language SpanishGender MaleNPI 1669592598License DN16898License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 304-1416Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000003425256626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000019561731922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

311GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)BARRETT StevenGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128171957725 Lake Worth RdLake Worth FL 33467Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000040294356626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000040294431922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)BRATMAN JerrySage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121125946626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121138051922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121516261922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CASTILLO Juan ISage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121516316626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121529836626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121530081922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CORONADO EfrainSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000015401676626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000015401691922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

CORREA AliDr Claude Barosy(561) 223-3501Prov No 0000125388341702 S Dixie Hwy Ste C1Lake Worth FL 33460Language Portuguese SpanishGender MaleNPI 1972815835License DN20957License Type DBP DentistBoard Certified Not ReportedEmail cbardentistryoutlookcomFax (561) 223-3562Accepts New Patients YHospital Affiliation NA

312 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CORTES Astrid IBig Smiles Dentistry(561) 331-3012Prov No 0000083607214481 Lake Worth Rd Ste B Lake Worth FL 33461Language SpanishGender FemaleNPI 1346689155License DN20122License Type DBP DentistBoard Certified Not ReportedEmail dentistrybigsmilegmailcomFax (561) 331-3015Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000039162336626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000039162391922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CRUZ Antonio RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000017716071922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000017716086626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128967727725 Lake Worth RdLake Worth FL 33467Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DAROJAT Zuhdiyah MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000045900081922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000045900116626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124355781922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DOOLEY Jill CSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124480236626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000019584471922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000019584566626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

313GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DUARTE BeatrizSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121105066626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121105411922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000017722271922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DURKAN Marcia ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000017722286626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000125860701922 Lake Worth Rd Lake Worth FL 33461Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000125860736626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)FERNANDEZ EllysSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000127038376626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1093159923License DN22382License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000115515656626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000115515831922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)FINE DavidDavid Fine(561) 968-7050Prov No 0000004424427378 Lake Worth Rd Lake Worth FL 33467Gender MaleNPI 1487656526License DN17422License Type DBP DentistBoard Certified NEmail floridagardensdentalcentercomcastnetFaxAccepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000129218517725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000004252691922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

314 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)FOX Jeffrey MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000004252706626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000011463476626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000011464251922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GARRISON Harvey BSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000004142991922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121125976626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120913576626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GHATTAS Maureen ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120913731922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121951571922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121954156626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GREEN BeverlySage Dental of Boynton BeachPa(561) 433-9600Prov No 0000122044136626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Lake Worth Pa(561) 547-5597Prov No 0000122046811922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128162277725 Lake Worth RdLake Worth FL 33467Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

315GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GUERRERO Luis ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000012161011922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000012161026626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120985926626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)HORWITZ StevenSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120989901922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000125101166626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000125101871922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)JUMA ZaileenSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000111164706626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000113317531922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121005991922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)LAMB NicoleSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121007126626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

LAUER BradleyCagigas Dental Services LlcProv No 0000134916412311 10th Ave N Ste 14Lake Worth FL 33461Gender MaleNPI 1700806403License DN 7920License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124447926626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

316 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)LEMINH Chau JSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124449561922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121769286626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121769421922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)LIENDO FabiolaSerene Dental Center(561) 304-1414Prov No 0000015504892411 10th Ave N Lake Worth FL 33461Gender FemaleNPI 1780811554License DN19384License Type DBP DentistBoard Certified NEmailFax (561) 304-1416Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121122396626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121138031922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)MA RobertSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000115510976626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000115511251922 Lake Worth Rd Lake Worth FL 33461Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

Marti Bagdasarov AnjelikaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000130323481922 Lake Worth Rd Lake Worth FL 33461Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)MOHR Eric ESage Dental of Lake Worth Pa(561) 547-5597Prov No 0000115520461922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Boynton BeachPa(561) 433-9600Prov No 0000117711386626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

MOLINA-WASSERMAN Jacqueline MFlorida Gardens Dntl Ctr(561) 968-7050Prov No A000000185677378 Lake Worth Rd Lake Worth FL 33467Gender FemaleNPI 1033213459License DN13861License Type DBP DentistBoard Certified Not ReportedEmail floridagardensdentalcentercomcastnetFax (561) 968-7068Accepts New Patients YHospital Affiliation NA

317GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)MONCRIEFFE Tiffany ISage Dental of Lake Worth Pa(561) 547-5597Prov No 0000128166351922 Lake Worth RdLake Worth FL 33461Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Boynton BeachPa(561) 433-9600Prov No 0000128194936626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000012795911922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)NIROUMAND FarinazGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128163637725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1265987887License DN22213License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128163087725 Lake Worth RdLake Worth FL 33467Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121285341922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)PLANES Alex ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121285456626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PRADO Pablo RCagigas Dental Service(561) 540-4446Prov No 0000129086452311 10th Ave N Ste 14Lake Worth FL 33461Gender MaleNPI 1104207703License DN21250License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000020237381922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)QUICK James RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000020237536626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121728056626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121728121922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

318 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)RIEGER Eric RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120666726626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120667291922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000130298207725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)RING Stephen GSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000015491391922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000015491406626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000004538606626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)RODRIGUEZ Margarita MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000004538621922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000125239346626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000125260451922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)SCARFONE MelanieSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121738681922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121753216626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000131583017725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

319GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)SEIDENFELD AlanJacqueline Molina-WassermanPa(561) 968-7050Prov No 0000129664577378 Lake Worth RdLake Worth FL 33467Gender MaleNPI 1538668199License DN22663License Type DBP DentistBoard Certified Not ReportedEmail floridagardensdentalcentercomcastnetFax (561) 968-7068Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000007046681922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000007046696626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000130370177725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121635016626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121635081922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)STRONG Shanice De OnaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124542896626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124543081922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

UMOREN Anne-Marie USage Dental of Lake Worth Pa(561) 547-5597Prov No 0000128936141922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1942616453License 20750License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)URCUYO Jacqueline CSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124626406626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124626571922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121461766626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

320 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)VAZANA Todd ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121461811922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120942121922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120943816626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)VIGNOLA Jennifer ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000021561741922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000021561836626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120193576626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)YU Cynthia WSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120193671922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124854011922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124854086626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)ZYLBERING Jason MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000011941471922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000011941486626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

NORTH PALM BEACH

BRODY Robert AGreat Expressions DentalCenters(561) 624-2047Prov No 00001213826011682 Us Highway 1 Ste BSte 60North Palm Beach FL 33408Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5691Accepts New Patients YHospital Affiliation NA

321GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

NORTH PALM BEACH (Cont)JACKSON David CDental Health Group Pa(561) 624-2047Prov No 00001253026111682 Us Highway 1 Ste BSte 60North Palm Beach FL 33408Gender MaleNPI 1790089860License DN19084License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5290Accepts New Patients YHospital Affiliation NA

PODBIELSKI David PDr David Podbielski(561) 842-3331Prov No 000000019264429 Northlake BlvdNorth Palm Beach FL 33408Gender MaleNPI 1629245907License DN12386License Type DBP DentistBoard Certified Not ReportedEmail skifinbadaolcomFax (561) 844-0417Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Narda SGreat Expressions DentalCenters(248) 203-1119Prov No 00001270103711682 Us Highway 1 Ste BSte 60North Palm Beach FL 33408Gender FemaleNPI 1548570831License DN20013License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5691Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS

ALVAREZ Jose FJose F Alvarez Dds(561) 656-5250Prov No 00001210439511601 Kew Gardens Ave Ste107Palm Beach Gardens FL 33410Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmail appointmentsnaturalsmilegmailcomFaxAccepts New Patients YHospital Affiliation NA

BRAICH FlorianFlorian Braich Dds(561) 627-2399Prov No 0000000253979123 N Military Trl Ste 200Palm Beach Gardens FL 33410Gender MaleNPI 1457571580License DN11939License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 627-7680Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(561) 624-2047Prov No 00001312143311682 Us Highway 1 Ste 60BPalm Beach Gardens FL 33408Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5290Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)CHILDERS Carmen DDentists of Palm Beach Gardens(561) 323-7117Prov No 0000131557295380 Donald Ross Rd Ste 100Palm Beach Gardens FL 33418Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

COHEN Freyda BNorthlake Dental(561) 625-1991Prov No 0000020215774274 Northlake Blvd Palm Beach Gardens FL 33410Gender FemaleNPI 1073775334License DN19277License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 694-8162Accepts New Patients YHospital Affiliation NA

DOMINGUEZ Cristina CAspen Dental(561) 776-9984Prov No 0000124818483333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender FemaleNPI 1821159229License DN17518License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)GRIFFEE Justin PAspen Dental(561) 776-9984Prov No 0000124658613333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender MaleNPI 1639373830License DN18151License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

HACKBARTH Mallory JAspen Dental(561) 776-9984Prov No 0000128749053333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender FemaleNPI 1265880470License DN23245License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

KADIYALA SravanthiDental Health Group Pa(561) 624-2047Prov No 00001353786611682B Us Highway 1 Ste 60Palm Beach Gardens FL 33408Gender FemaleNPI 1952830879License DN22642License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5290Accepts New Patients YHospital Affiliation NA

322 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)KIJANKA GaryGary Kijanka Dds(561) 776-3116Prov No 00000015674110333 N Military Trl SteBPalm Beach Gardens FL 33410Gender MaleNPI 1770676645License DN14241License Type DBP DentistBoard Certified Not ReportedEmail garykijankadmdgmailcomFax (561) 776-3165Accepts New Patients YHospital Affiliation NA

MA WilliamWilliam Ma Dds(561) 622-8013Prov No 0000000182134397 Northlake Blvd Ste 2 02Palm Beach Gardens FL 33410Gender MaleNPI 1912033309License DN14330License Type DBP DentistBoard Certified Not ReportedEmail williammadmdyahoocomFax (561) 622-5874Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LDentists of Palm Beach Gardens(561) 323-7117Prov No 0000130559395380 Donald Ross Rd Ste 100Palm Beach Gardens FL 33418Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmailFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)NEWTON Emily TAspen Dental(561) 776-9984Prov No 0000127181233333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender FemaleNPI 1417331794License DN21425License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

QUASHA Michael DDr Michael D Quasha(561) 799-5558Prov No 0000003399864520 Donald Ross Rd Ste 105Palm Beach Gardens FL 33418Gender MaleNPI 1972674448License DN16005License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 799-9311Accepts New Patients YHospital Affiliation NA

RUDNICK AndrewNorthlake Dental(561) 625-1991Prov No 0000000334814274 Northlake Blvd Palm Beach Gardens FL 33410Gender MaleNPI 1154416626License DN14987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 694-8162Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)TRAN BrianAspen Dental(561) 776-9984Prov No 0000129204503333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

VARGAS AndresDr Andres Vargas Dds(561) 775-0373Prov No 00000071244111380 Prosperity Farms Rd Ste 115BPalm Beach Gardens FL 33410Gender MaleNPI 1861515025License DN17711License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 775-8631Accepts New Patients YHospital Affiliation NA

WESTCOTT Michael CHometown Dentistry(561) 366-7303Prov No 00000069590210625 N Military Trl Ste 201Palm Beach Gardens FL 33410Gender MaleNPI 1528196078License DN8636License Type DBP DentistBoard Certified Not ReportedEmail frontdeskhometownteethcomFax (561) 348-9474Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM SPRINGS

AKEL RasmiSoma Smiles Inc(561) 425-5090Prov No 0000122086703580 Lake Worth RdPalm Springs FL 33461Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail perfectsmiles32gmailcomFax (561) 360-3467Accepts New Patients YHospital Affiliation NA

LAGO-SANCHEZ IdelbisIdelbis Lago-Sanchez(561) 201-8078Prov No 0000126141523729 Lake Worth RdPalm Springs FL 33461Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MESA Tahimara CYusel Mesa Estevez(561) 429-4645Prov No 0000125975342763 S Congress AvePalm Springs FL 33461Gender FemaleNPI 1346596665License DN19855License Type DBP DentistBoard Certified Not ReportedEmail familydentalcarewpbgmailcomFax (561) 429-4699Accepts New Patients YHospital Affiliation NA

323GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

PALM SPRINGS (Cont)PEGUERO DanielSelective Dental(561) 357-4756Prov No 0000001401813401 S Congress Ave Ste 109Palm Springs FL 33461Gender MaleNPI 1952442097License DN14643License Type DBP DentistBoard Certified Not ReportedEmail selectivedentalgmailcomFax (561) 370-6074Accepts New Patients YHospital Affiliation NA

RAMOS-ABELENDA IdalmisCongress Cosmetic amp GeneralDentistry Inc(561) 434-6661Prov No A000000224881620 S Congress Ave Ste 102Palm Springs FL 33461Gender FemaleNPI 1447452958License DN17929License Type DBP DentistBoard Certified Not ReportedEmail congresscosmeticyahoocomFax (561) 434-6662Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSelective Dental(561) 357-4756Prov No 0000004666803401 S Congress Ave Ste 109Palm Springs FL 33461Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail selectivedentalgmailcomFax (561) 370-6074Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM SPRINGS (Cont)RODRIGUEZ Narda SNarda Rodriguez(561) 425-5090Prov No 0000124389933580 Lake Worth RdPalm Springs FL 33461Gender FemaleNPI 1548570831License DN20013License Type DBP DentistBoard Certified Not ReportedEmail ma2re2neaolcomFax (561) 275-7177Accepts New Patients YHospital Affiliation NA

SHANKARAIAH SreedeviPalm Springs Family Dentistry(561) 296-1010Prov No 0000002177373112 S Congress Ave Ste BPalm Springs FL 33461Gender FemaleNPI 1609854843License DN12551License Type DBP DentistBoard Certified Not ReportedEmail psfamilydentistrygmailcomFaxAccepts New Patients YHospital Affiliation NA

SUAREZ-TABARES LidiaSouth Congress Cosmetic ampGeneral Dentistry Inc(561) 434-6661Prov No 0000120465101620 S Congress Ave Ste 102Palm Springs FL 33461Gender FemaleNPI 1780976795License DN20107License Type DBP DentistBoard Certified Not ReportedEmail congresscosmeticyahoocomFax (561) 434-6662Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM SPRINGS (Cont)ZAWADZKY Javier MSelective Dental(561) 357-4756Prov No 0000127926623401 S Congress Ave Ste 109Palm Springs FL 33461Gender MaleNPI 1245541507License DN19098License Type DBP DentistBoard Certified NEmail selectivedentalgmailcomFax (561) 370-6074Accepts New Patients YHospital Affiliation NA

RIVIERA BEACH

PETERS EdwardEdward Peters Dds(561) 842-8911Prov No 00000001837951 E Blue Heron BlvdRiviera Beach FL 33404Language SpanishGender MaleNPI 1255463170License DN4384License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 842-6567Accepts New Patients YHospital Affiliation NA

ROYAL PALM BEACH

DEAN Gina DTransitional Smiles(561) 753-6633Prov No 0000004684001015 N State Road 7 Ste BRoyal Palm Beach FL 33411Gender FemaleNPI 1538355359License DN11243License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)DICKINSON Scott CGriffee Dental II Pa(561) 753-6963Prov No 000011996413440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1942432729License DN16315License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 784-1474Accepts New Patients YHospital Affiliation NA

DOMINGUEZ Cristina CAspen Dental(561) 753-6963Prov No 000012214739440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1821159229License DN17518License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

GALEANO Nubia ENubia Galeano Dmd(561) 204-1719Prov No 00000063024110399 Southern Blvd Royal Palm Beach FL 33411Language SpanishGender FemaleNPI 1447388202License DN15407License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 204-3996Accepts New Patients YHospital Affiliation NA

324 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)GRIFFEE Justin PAspen Dental(561) 753-6963Prov No 000012214186440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1639373830License DN18151License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

GUERRINO Danielle SGriffee Dental II Pa(561) 753-6963Prov No 000012471891440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1114301918License DN21783License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

HACKBARTH Mallory JAspen Dental(561) 753-6963Prov No 000012874906440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1265880470License DN23245License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)ISAZA EmiliaTransitional Smiles(561) 753-6633Prov No 0000006847941015 N State Road 7 Ste BRoyal Palm Beach FL 33411Language SpanishGender FemaleNPI 1629209630License DN18767License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

KANG Bo Young YTransitional Smiles(561) 753-6633Prov No 0000004642331015 N State Road 7 Ste BRoyal Palm Beach FL 33411Gender FemaleNPI 1952443327License DN15914License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

KANNIKAL Janice JTransitional Smiles(561) 753-6633Prov No 0000121759151015 N State Road 7 Ste BRoyal Palm Beach FL 33411Gender FemaleNPI 1811228679License DN18327License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)KHOSHROU BitaDent-All(561) 333-3556Prov No 00001257838811440 Okeechobee Blvd Ste 106Royal Palm Beach FL 33411Language HindiGender FemaleNPI 1790178820License DN22448License Type DBP DentistBoard Certified Not ReportedEmail dentall11440yahoocomFax (561) 333-3441Accepts New Patients YHospital Affiliation NA

NEWTON Emily TAspen Dental(561) 753-6963Prov No 000012704065440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1417331794License DN21425License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

NILES Summer NGriffee Dental II Pa(561) 753-6963Prov No 000012465921440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1669825113License DN22179License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 784-1474Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)PATEL Aditi KKa Dental Group Rpb Pa(561) 795-1404Prov No 0000124900791112 Royal Palm Beach Blv DRoyal Palm Beach FL 33411Gender FemaleNPI 1518212877License DN 19875License Type DBP DentistBoard Certified NEmail royalpalmbeachkadentalcomFax (561) 795-0991Accepts New Patients YHospital Affiliation NA

PATEL Krunal DKa Dental Group Rpb Pa(561) 795-1404Prov No 0000122528791112 Royal Palm Beach Blv DRoyal Palm Beach FL 33411Gender MaleNPI 1225384472License DN19874License Type DBP DentistBoard Certified NEmail royalpalmbeachkadentalcomFax (561) 795-0991Accepts New Patients YHospital Affiliation NA

RODRIGUEZ-TORRES Randall RGriffee Dental II Pa(561) 753-6963Prov No 000012104283440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1417394339License DN20396License Type DBP DentistBoard Certified NEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

325GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)SHRAITEH Jenan AJenan Shraiteh Dmd Pa(561) 753-6633Prov No 0000124549081015 N State Road 7 Ste BRoyal Palm Beach FL 33411Language ArabicGender FemaleNPI 1699115816License DN20252License Type DBP DentistBoard Certified NEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

TRAN BrianAspen Dental(561) 753-6963Prov No 000012920451440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

SOUTH BAY

BALDWIN Anthony MBaldwin Dentistry Pa(561) 996-0033Prov No 000012884165135 Us Highway 27 SSouth Bay FL 33493Language French SpanishGender MaleNPI 1073066551License DN21975License Type DBP DentistBoard Certified Not ReportedEmail dentalheavenlysmilesgmailcomFax (561) 996-0044Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

SOUTH BAY (Cont)MENENDEZ AlexanderDental Heaven Pa(561) 996-0033Prov No 000001193966135 Us Highway 27 SSouth Bay FL 33493Gender MaleNPI 1467722546License DN12108License Type DBP DentistBoard Certified Not ReportedEmail dentalheavenlysmilesgmailcomFax (561) 996-0044Accepts New Patients YHospital Affiliation NA

TEQUESTA

DICRESCENTO Donna LLighthouse Dental of SouthFlorida(561) 745-1174Prov No 000000308265542 N Us Highway 1 Tequesta FL 33469Gender FemaleNPI 1063531879License DN14562License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFax (561) 744-9713Accepts New Patients YHospital Affiliation NA

ENGELSBERG David JLighthouse Dental of SouthFlorida Pa(561) 745-1174Prov No 000012869100542 N Us Highway 1Tequesta FL 33469Gender MaleNPI 1134302458License DN 12684License Type DBP DentistBoard Certified NEmail teqdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

TEQUESTA (Cont)KONZELA Michael JLighthouse Dental of SouthFlorida Pa(561) 745-1174Prov No 000012929669542 N Us Highway 1Tequesta FL 33469Gender MaleNPI 1417394198License DN11296License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

SCALERCIO John JLighthouse Dental of SouthFlorida Pa(561) 745-1174Prov No 000001181592542 N Us Highway 1Tequesta FL 33469Language SpanishGender MaleNPI 1942378252License DN17830License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

SNIDER Erica MLighthouse Dental of SouthFlorida(561) 745-1174Prov No 000000360689542 N Us Highway 1 Tequesta FL 33469Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFax (561) 744-9713Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON

ABDEL-JABBAR Sana HSage Dental of Wellington Pa(561) 795-8900Prov No 00001245794313889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALLEN Melanie GMelanie G Allen-Kaplan Dds(561) 737-5530Prov No 00001269138912783 Forest Hill Blvd StE JWellington FL 33414Language SpanishGender FemaleNPI 1649291949License DN14817License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 737-5139Accepts New Patients YHospital Affiliation NA

APICELLA AnthonyAnthony J Apicella Dmd Pa(561) 839-1802Prov No 0000003168581037 S State Road 7 Ste 2 11Wellington FL 33414Gender MaleNPI 1700912169License DN16126License Type DBP DentistBoard Certified Not ReportedEmail aburkepgcdentalc omFax (561) 839-1803Accepts New Patients YHospital Affiliation NA

326 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)AZARI Scott JSage Dental of Wellington Pa(561) 795-8900Prov No 00000195617713889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011996996137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BALLY Kurt OKurt Bally(561) 791-4440Prov No 00000278287913860 Wellington Trce Ste14Wellington FL 33414Gender MaleNPI 1497870034License DN17659License Type DBP DentistBoard Certified Not ReportedEmail shawnhayesmoderndentalsmilesorgFax (561) 791-4684Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)BOCKIAN Joshua ASage Dental of Wellington Pa(561) 795-8900Prov No 00000402945313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997018137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997021137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)BRATMAN JerrySage Dental of Wellington Pa(561) 795-8900Prov No 00001212945713889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012151669137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Wellington Pa(561) 795-8900Prov No 00001215167113889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)CHILDERS Carmen DSage Dental of Wellington Pa(561) 795-8900Prov No 00001215299013889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012221623137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Wellington Pa(561) 795-8900Prov No 00000024214413889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

327GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)CORONADO EfrainSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997887137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Wellington Pa(561) 795-8900Prov No 00000391623813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997026137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)CRANE StevenSteven Crane Dmd Pa(561) 798-0825Prov No 00000182531110111 Forest Hill Blvd Rm331Wellington FL 33414Gender MaleNPI 1730383282License DN16245License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 795-9909Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Wellington Pa(561) 795-8900Prov No 00000177161813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000010405223137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DAROJAT Zuhdiyah MSage Dental of Wellington Pa(561) 795-8900Prov No 00000458996213889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997031137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012435538137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DOOLEY Jill CSage Dental of Wellington Pa(561) 795-8900Prov No 00001243639513889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Wellington Pa(561) 795-8900Prov No 00000195844013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012000798137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

328 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DUARTE BeatrizSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012110550137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Wellington Pa(561) 795-8900Prov No 00001211055213889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Wellington Pa(561) 795-8900Prov No 00000177226013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DURKAN Marcia ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997032137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Wellington Pa(561) 795-8900Prov No 00001258585313889 Wellington Trce SteA5Wellington FL 33414Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental Group of RoyalPalm Beach(561) 202-6880Prov No 000012585913137 S State Road 7 Ste 30 1Wellington FL 33414Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)FASO Vincent SVincent S Faso Dds(561) 792-8384Prov No 0000002805351035 S State Road 7 Ste 210Wellington FL 33414Gender MaleNPI 1962625665License DN6351License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 792-8306Accepts New Patients YHospital Affiliation NA

FEINER Jaymie BSachs Dental Center(561) 434-3055Prov No 0000002403069835 Lake Worth Rd Ste 8 Wellington FL 33467Gender FemaleNPI 1740404912License DN16837License Type DBP DentistBoard Certified Not ReportedEmail sachsdentalcenteroutlookcomFax (561) 434-7037Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997034137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Wellington Pa(561) 795-8900Prov No 00001217871013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Wellington Pa(561) 795-8900Prov No 00000042527413889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997890137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

329GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GARCIA-PORRAS MarcelaSage Dental of Wellington Pa(561) 795-8900Prov No 00000114639913889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997038137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997891137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GARRISON Harvey BSage Dental of Wellington Pa(561) 795-8900Prov No 00001211575313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GATTA Derek BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012624747137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1477880797License DN18725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012091353137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GHATTAS Maureen ASage Dental of Wellington Pa(561) 795-8900Prov No 00001209135513889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Wellington Pa(561) 795-8900Prov No 00001219520113889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012195244137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GORBATOV DmitryAdvanced Dentistry ofWellington(561) 721-9777Prov No 00000027245812012 S Shore Blvd Ste 211Wellington FL 33414Gender MaleNPI 1316025067License DN15160License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 721-9778Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012204660137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Wellington Pa(561) 795-8900Prov No 00001220466313889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

330 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GRILLO Miguel RMiguel R Grillo Dds Pa(561) 784-4670Prov No 0000003050469136 Forest Hill BlvdWellington FL 33411Gender MaleNPI 1801001425License DN 17351License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Wellington Pa(561) 795-8900Prov No 00000121610613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997892137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)HAGHIGHI AzinSage Dental of Wellington Pa(561) 795-8900Prov No 00001296570113889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012098981137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Wellington Pa(561) 795-8900Prov No 00001209911613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)IRAVANI Mina FSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012510192137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Wellington Pa(561) 795-8900Prov No 00001251019513889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JONES Kevin ASage Dental of Wellington Pa(561) 795-8900Prov No 00001304347813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1427568195License DN23052License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)JUMA ZaileenSage Dental of Wellington Pa(561) 795-8900Prov No 00001133178713889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997053137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KAPOOR KshitijPerfect Smile Dentistry Llc(561) 204-4494Prov No 00001246892012300 S Shore Blvd Ste 20 8Wellington FL 33414Gender MaleNPI 1215240478License DN20032License Type DBP DentistBoard Certified Not ReportedEmail psdbusiness456gmailcomFax (561) 204-2840Accepts New Patients YHospital Affiliation NA

331GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)LAMB NicoleSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012100532137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Wellington Pa(561) 795-8900Prov No 00001210053413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012444945137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)LEMINH Chau JSage Dental of Wellington Pa(561) 795-8900Prov No 00001244494813889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012176648137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Wellington Pa(561) 795-8900Prov No 00001217665013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)LONDONO Jennifer DSage Dental of Wellington Pa(561) 795-8900Prov No 00000024393613889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997054137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Wellington Pa(561) 795-8900Prov No 00001155113913889 Wellington Trce SteA5Wellington FL 33414Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)MA RobertSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997085137 S State Road 7 Ste 30 1Wellington FL 33414Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011552030137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Wellington Pa(561) 795-8900Prov No 00001155203313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

332 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)MONCRIEFFE Tiffany ISage Dental of Wellington Pa(561) 795-8900Prov No 00001281662813889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012819483137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Wellington Pa(561) 795-8900Prov No 00000127960413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)NAGUIB Michelle ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997373137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NGO Tuong TThe No Family Dental Pa(561) 721-2688Prov No 00001233620711924 Forest Hill Blvd StE 10BWellington FL 33414Gender FemaleNPI 1548421340License DN16583License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 721-2680Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012128414137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)PLANES Alex ASage Dental of Wellington Pa(561) 795-8900Prov No 00001212841613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Wellington Pa(561) 795-8900Prov No 00000202373213889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997899137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)RAPPAPORT David BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012172835137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Wellington Pa(561) 795-8900Prov No 00001217283713889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Wellington Pa(561) 795-8900Prov No 00001206669813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

333GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)RIEGER Eric RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012066736137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Wellington Pa(561) 795-8900Prov No 00000154914613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997901137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)RODRIGUEZ Margarita MSage Dental of Wellington Pa(561) 795-8900Prov No 00000045385413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997377137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012526046137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)ROQUE-RUANO MaikelSage Dental of Wellington Pa(561) 795-8900Prov No 00001252604813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SACHS David ASachs Dental Center(561) 434-3055Prov No 0000002127159835 Lake Worth Rd Ste 8 Wellington FL 33467Gender MaleNPI 1588790430License DN6123License Type DBP DentistBoard Certified Not ReportedEmail sachsdentalcenteroutlookcomFax (561) 434-7037Accepts New Patients YHospital Affiliation NA

SACHS Randy JSachs Dental Center(561) 434-3055Prov No 0000004143779835 Lake Worth Rd Ste 8 Wellington FL 33467Gender MaleNPI 1417080490License DN15737License Type DBP DentistBoard Certified Not ReportedEmail sachsdentalcenteroutlookcomFax (561) 434-7037Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)SCARFONE MelanieSage Dental of Wellington Pa(561) 795-8900Prov No 00001217529613889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012175317137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Wellington Pa(561) 795-8900Prov No 00000070468113889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

334 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)SNIDER Erica MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997907137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012163525137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Wellington Pa(561) 795-8900Prov No 00001216352713889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)STRONG Shanice De OnaSage Dental of Wellington Pa(561) 795-8900Prov No 00001245431413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012454323137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

TARAS Michael ADentaras Inc(561) 204-3337Prov No 000000266061123 S State Road 7 Ste 205Wellington FL 33414Gender MaleNPI 1427131325License DN15503License Type DBP DentistBoard Certified Not ReportedEmail garesdentistryyahoocomFax (561) 204-5321Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)URCUYO Jacqueline CSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012462630137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Wellington Pa(561) 795-8900Prov No 00001246263313889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012139744137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)VAZANA Todd ASage Dental of Wellington Pa(561) 795-8900Prov No 00001214612713889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Wellington Pa(561) 795-8900Prov No 00001209421513889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012094271137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

335GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)VIGNOLA Jennifer ASage Dental of Wellington Pa(561) 795-8900Prov No 00000215614913889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997383137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012019373137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)YU Cynthia WSage Dental of Wellington Pa(561) 795-8900Prov No 00001201937513889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012485423137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Wellington Pa(561) 795-8900Prov No 00001248565413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)ZACHAREWICZ Shane MAnthony J Apicella Dmd Pa(561) 839-1802Prov No 0000102137451037 S State Road 7 Ste 2 11Wellington FL 33414Gender MaleNPI 1417294612License DN18547License Type DBP DentistBoard Certified NEmail aburkepgcdentalc omFax (561) 839-1803Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Wellington Pa(561) 795-8900Prov No 00000119415313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997918137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH

ABDEL-JABBAR Sana HSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124579481937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALARCON MARIMON FrankMarianna Zadov Dds(561) 241-7656Prov No 0000126456664700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender MaleNPI 1710417837License DN22660License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

ALVAREZ Jose FDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121294723027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

336 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)ANTEZANA MauricioMarianna Zadov Dds(561) 241-7656Prov No 0000126595784700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

ANTEZANA MauricioCross Country Mall Dental Pa(561) 683-6247Prov No 0000129087054288 Okeechobee Blvd West Palm Beach FL 33409Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaCross Country Mall Dental Pa(561) 683-6247Prov No 0000125645334288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)ATKINSON William ACross Country Mall Dental Pa(561) 683-6247Prov No 0000122288194288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225371937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteCross Country Mall Dental Pa(561) 683-6247Prov No 0000122369914288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)BARRETT StevenGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130140564085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BENTSI ENCHILL FloraMarianna Zadov Dds(561) 241-7656Prov No 0000126191954700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

BERRY Wayne LCross Country Mall Dental Pa(561) 683-6247Prov No 0000128843444288 Okeechobee Blvd West Palm Beach FL 33409Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)BOCKIAN Joshua ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225091937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225331937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROGGI Edward PPolo Dental(561) 666-9691Prov No 0000126005094700 N Congress Ave Ste 302West Palm Beach FL 33407Gender MaleNPI 1215955190License DN10457License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

337GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)BROWN John PGroup Dental of the PalmBeaches Inc(561) 683-5525Prov No 0000000181962260 Palm Beach Lakes BlvD Ste 201West Palm Beach FL 33409Gender MaleNPI 1376638445License DN9365License Type DBP DentistBoard Certified Not ReportedEmail groupdentalpbyahoocomFax (561) 686-5795Accepts New Patients YHospital Affiliation NA

BROWN KevinShapiro Family Dentistry(561) 684-2282Prov No 0000133491792247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender MaleNPI 1851848295License DN16672License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

CABRERA Rene ECross Country Mall Dental Pa(561) 683-6247Prov No 0000127703084288 Okeechobee Blvd West Palm Beach FL 33409Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)CASTILLO Juan ISage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225581937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225511937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORE Enrico JGroup Dental of the PalmBeaches Inc(561) 683-5525Prov No 0000000181972260 Palm Beach Lakes BlvD Ste 201West Palm Beach FL 33409Gender MaleNPI 1679668743License DN9177License Type DBP DentistBoard Certified Not ReportedEmail groupdentalpbyahoocomFax (561) 686-5795Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)CORONADO EfrainSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225381937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORREA AliNona Diamond Dental Llc(561) 791-6494Prov No 0000130607441696 S Military Trail UniT BWest Palm Beach FL 33419Language Portuguese SpanishGender MaleNPI 1972815835License DN20957License Type DBP DentistBoard Certified Not ReportedEmail nonadiamonddentalgmailomFax (561) 791-6497Accepts New Patients YHospital Affiliation NA

CORTES Bayardo CLittle Smiles Dental of PalmBeach Llc(561) 682-9583Prov No 000012120562400 Executive Center DrWest Palm Beach FL 33401Gender MaleNPI 1174604896License DN15894License Type DBP DentistBoard Certified Not ReportedEmail littlesmilesdentalbbhotmailcomFax (561) 682-9585Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)COWAN Marc ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225701937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225641937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CULLEN William CCross Country Mall Dental Pa(561) 683-6247Prov No 0000121291094288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

338 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130140344085 N Haverhill Rd Ste C1West Palm Beach FL 33417Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225751937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DELGADO JudithTowncare Dental of Forest Hill(561) 433-4330Prov No 0000129264323027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1568983716License DN23194License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DI RE AnthonyPalm Beach Mall Dental Pa(561) 683-6247Prov No 0000129086204288 Okeechobee BlvdWest Palm Beach FL 33409Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmail bacevedostomatcarecomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

DONATELLI Paul RPaul R Donatelli Dmd(561) 586-7502Prov No 0000006918941441 Forest Hill Blvd Ste 300West Palm Beach FL 33406Gender MaleNPI 1699844357License DN16240License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 547-7661Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124363851937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DRISCOLL Allison RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225691937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225651937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225531937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DURVE AparnaCross Country Mall Dental Pa(561) 683-6247Prov No 0000124645764288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000125858341937 N Military Trl Ste UWest Palm Beach FL 33409Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000123362161937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

339GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)FERRERO Patricia FCross Country Mall Dental Pa(561) 683-6247Prov No 0000126136834288 Okeechobee Blvd West Palm Beach FL 33409Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130122304085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FORNOS Jorge ACross Country Mall Dental Pa(561) 683-6247Prov No 0000122477824288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)FOX Jeffrey MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225821937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GALINDO Olga MProfessional Dental Team Pa(561) 721-2525Prov No 0000004235935100 S Dixie Hwy Ste 2 West Palm Beach FL 33405Gender FemaleNPI 1396903746License DN18296License Type DBP DentistBoard Certified Not ReportedEmail ddsprofessionalyahoocomFax (561) 721-2531Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000123362561937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GARRISON Harvey BSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225411937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GELDRES Juana MJuana M Geldres Dds Pa(561) 439-7400Prov No 0000002577891911 Forest Hill Blvd West Palm Beach FL 33406Language SpanishGender FemaleNPI 1649212796License DN16169License Type DBP DentistBoard Certified Not ReportedEmail juanageldresddslivecomFax (561) 439-7443Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225831937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GOLDEN Joshua NDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121792333027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender MaleNPI 1669898573License DN21450License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225521937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyCross Country Mall Dental Pa(561) 683-6247Prov No 0000121303274288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

340 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GONZALEZ KeniaCross Country Mall Dental Pa(561) 683-6247Prov No 0000102162224288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225441937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN George DCross Country Mall Dental Pa(561) 683-6247Prov No 0000124907014288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130123114085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRA VannetteCross Country Mall Dental Pa(561) 683-6247Prov No 0000128236904288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225461937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)HAGHIGHI AzinSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000129656991937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HOGAN HelenaDental Center at Forest Hills Pa(561) 433-4330Prov No 0000014995683027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1851520456License DN18687License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

HUI Tin Wai WPremiere Dental Care Pc(561) 820-8898Prov No 000001229625600 S Dixie Hwy Ste 105West Palm Beach FL 33401Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcaregmailcomFax (561) 366-1788Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)IRAVANI Mina FSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000125102061937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JOHNS Jackie CJackie Johns Dmd(561) 683-4488Prov No 0000007235908136 Okeechobee Blvd SteBWest Palm Beach FL 33411Gender MaleNPI 1447473285License DN9243License Type DBP DentistBoard Certified Not ReportedEmail jjohnsdentalgmailcomFax (561) 683-4996Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225471937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

341GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)KALOGLIAN SILVA MichelleDental Center at Forest Hills Pa(561) 433-4330Prov No 0000129104923027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1245551217License DN23312License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MCross Country Mall Dental Pa(561) 683-6247Prov No 0000125968554288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VCross Country Mall Dental Pa(561) 683-6247Prov No 0000120755794288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)KOROL SergeySergey Korol Dmd(561) 833-1042Prov No 0000001216562315 S Dixie HwyWest Palm Beach FL 33401Gender MaleNPI 1174726921License DN15197License Type DBP DentistBoard Certified Not ReportedEmail koroldentalgmail comFaxAccepts New Patients YHospital Affiliation NA

KRASNOV RostislavCross Country Mall Dental Pa(561) 683-6247Prov No 0000018203664288 Okeechobee Blvd West Palm Beach FL 33409Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RCross Country Mall Dental Pa(561) 683-6247Prov No 0000121497184288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)LAGO-SANCHEZ IdelbisMarianna Zadov Dds(561) 241-7656Prov No 0000125688014700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225681937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124449541937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)LEMINH LoanFirst Care Dental of PalmBeacvh Pa(561) 582-5273Prov No 0000003970724911 S Dixie Hwy West Palm Beach FL 33405Gender FemaleNPI 1730303850License DN12630License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 582-5255Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225771937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOFTUS Shamus LCross Country Mall Dental Pa(561) 683-6247Prov No 0000130482554288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

342 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)LONDONO Jennifer DSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000122101411937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226181937 N Military Trl Ste UWest Palm Beach FL 33409Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DCross Country Mall Dental Pa(561) 683-6247Prov No 0000128980104288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)MCCOSH FernandaDental Center at Forest Hills Pa(561) 433-4330Prov No 0000120548323027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1427305150License DN19819License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMarianna Zadov Dds(561) 241-7656Prov No 0000124798694700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225721937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)MORELL OmarCross Country Mall Dental Pa(561) 683-6247Prov No 0000126076294288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225741937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NARVAEZ DE V VeronicaDental Center at Forest Hills Pa(561) 433-4330Prov No 0000126458953027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1366979270License DN22539License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)NGUYEN ChiMarianna Zadov Pa(561) 666-9691Prov No 0000130676414700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1811482656License DN23511License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN JosieMarianna Zadov Pa(561) 666-9691Prov No 0000127033274700 N Congress Ave Ste 302West Palm Beach FL 33407Language VietnameseGender FemaleNPI 1548790801License DN22692License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Dds(561) 241-7656Prov No 0000134916724700 N Congress Ave Ste 302West Palm Beach FL 33407Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

343GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)NICHOLLS BerkeleyParamount Dental Care Pa(561) 844-7735Prov No 0000002869522051 45th St Ste 100West Palm Beach FL 33407Gender MaleNPI 1396835724License DN16407License Type DBP DentistBoard Certified Not ReportedEmail paramountdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

NICHOLLS BerkeleyDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121380543027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1396835724License DN16407License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130121184085 N Haverhill Rd Ste C1West Palm Beach FL 33417Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)OSPINA CarolinaPalm Beach Mall Dental Pa(561) 683-6247Prov No 0000134916464288 Okeechobee BlvdWest Palm Beach FL 33409Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmail bacevedostomatcarecomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraCross Country Mall Dental Pa(561) 683-6247Prov No 0000125607874288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PECORA Jefferson MDental Center at Forest Hills Pa(561) 433-4330Prov No 0000124350013027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1831396282License DN13729License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)PEREZ ALAMO JenniferDental Center at Forest Hills Pa(561) 433-4330Prov No 0000126020003027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PHAM QuynhnhuPalm Beach Mall Dental Pa(561) 683-6247Prov No 0000128665014288 Okeechobee BlvdWest Palm Beach FL 33409Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmail bacevedostomatcarecomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226341937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)QUICK James RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226501937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAMOS-ABELENDA IdalmisIdalmis Ramos-Abelenda(561) 660-8101Prov No 000012486890951 Sansburys Way Ste 201West Palm Beach FL 33411Gender FemaleNPI 1447452958License DN17929License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226481937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

344 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)REED SamanthaCross Country Mall Dental Pa(561) 683-6247Prov No 0000125638524288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

REZAIE AzadehDental Center at Forest Hills Pa(561) 433-4330Prov No 0000122050463027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1740663848License DN21393License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineCross Country Mall Dental Pa(561) 683-6247Prov No 0000127857964288 Okeechobee Blvd West Palm Beach FL 33409Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)RIEGER Eric RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225951937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130298024085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124846811937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)RODRIGUEZ IvelissCross Country Mall Dental Pa(561) 683-6247Prov No 0000130474624288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226321937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000125260601937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SAINT AMAND LynnDental Center at Forest Hills Pa(561) 433-4330Prov No 0000124897463027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1972655587License DN17356License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

SANCHEZ Jairo AShapiro Family Dentistry(561) 684-2282Prov No 0000130294812247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender MaleNPI 1376994236License DN22032License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225631937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

345GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000131583464085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 284-8680Prov No 000013216596956 S Military TrlWest Palm Beach FL 33415Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmail kevinkatsurcomFax (561) 331-6008Accepts New Patients YHospital Affiliation NA

SEMEAH YvesFlorida Dental and DentureCenter II Inc(561) 433-1818Prov No 0000000484302596 Forest Hill Blvd West Palm Beach FL 33406Language SpanishGender MaleNPI 1326152463License DN13168License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0434Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SEMEAH YvesFlorida Dental amp DentureCenter III(561) 844-0033Prov No 0000003062442945 N Australian AveWest Palm Beach FL 33407Language SpanishGender MaleNPI 1326152463License DN13168License Type DBP DentistBoard Certified Not ReportedEmail inc1276bellsouth netFaxAccepts New Patients YHospital Affiliation NA

SHAPIRO Dari PShapiro Family Dentistry(561) 684-2282Prov No 0000003769732247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender FemaleNPI 1801099643License DN15490License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

SHAPIRO Seth AShapiro Family Dentistry(561) 684-2282Prov No 0000121378942247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender MaleNPI 1528285665License DN15327License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SHIFLET Jennifer LDental Center at Forest Hills Pa(561) 433-4330Prov No 0000130189393027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1043705205License DN23159License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HCross Country Mall Dental Pa(561) 683-6247Prov No 0000131427384288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226571937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SOARES Andrew NAndrew N Soares Dmd Pa(561) 689-4343Prov No 0000001681457750 Okeechobee Blvd Ste16West Palm Beach FL 33411Gender MaleNPI 1194836288License DN16449License Type DBP DentistBoard Certified Not ReportedEmail infosmilesyahooc omFax (561) 689-1646Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130370134085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225071937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

346 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)STRONG Shanice De OnaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124543191937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124626381937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

UZUNOVA-DIMOVA KalinaCross Country Mall Dental Pa(561) 683-6247Prov No 0000121724714288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)VALLDERUTEN-CASTANO AlmaAlma Vallderutten Dds(561) 642-6309Prov No 0000121301481217 S Military Trl Ste CWest Palm Beach FL 33415Gender FemaleNPI 1306278510License DN20273License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226331937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SCross Country Mall Dental Pa(561) 683-6247Prov No 0000127770914288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)VENTO YosvanyDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121517033027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226621937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226271937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)WESTCOTT Michael CFamily Dental Care(561) 687-0006Prov No 0000000193033111 45th St Ste 7 West Palm Beach FL 33407Gender MaleNPI 1528196078License DN8636License Type DBP DentistBoard Certified Not ReportedEmail familydentalcare561gmailcomFaxAccepts New Patients YHospital Affiliation NA

WOLFF Jeffrey HJ H Wolff Dmd Pa(561) 684-3505Prov No 0000000194315766 Okeechobee BlvdWest Palm Beach FL 33417Gender MaleNPI 1376607739License DN6519License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 684-9277Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226531937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

347GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)YU Joyce WSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124856591937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZADOV MariannaMarianna Zadov Pa(561) 666-9691Prov No 0000071926214700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1104903301License DN16481License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

ZAMANI AzinMarianna Zadov Pa(561) 666-9691Prov No 0000124991644700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1588046049License DN21707License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)ZASLAVSKY JuliaTowncare Dental of Forest Hill(561) 433-4330Prov No 0000130679483027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language RussianGender FemaleNPI 1225481302License DN21923License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

ZELAZEK Bruce STowncare Dental of Forest Hill(561) 433-4330Prov No 0000129856663027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1053433144License DN10210License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226521937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

348 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

ABDEL-JABBAR Sana H 1 611 12 30 35 52 75 90 101111 119 127 141 175 229 245257 262 274 286 287 299 311326 336ABDELMONEM Rafah75168 175ABOLSKY Norman I 175ABRAHAMS Howard N 149ABRAHAO Thalia M 175ACOSTA-ORTIZ Rodolfo65101ADELMAN David M245ADLER Robert M 175 243AGREDA Angel 175 311AGUDELO Monica A 52 7075 106AGUILAR Lina A 176AHMADI Ahmad K75AKEL Bassil66AKEL Rasmi 311 323AKPAKA Wisdom D12ALARCON MARIMON Frank262 274 336ALAWA Abdul A149ALBERTO Juan 51 127ALDAMA-ESPINOSA Evelyn176 243ALEMAN Alex E 75ALFONSO Jossue 176ALFONZO Fara A176ALLEN Melanie G326ALVAEREZ Nolyris K136ALVARADO Yailen 71 149ALVAREZ Ariam 176ALVAREZ Elibeth127 176ALVAREZ Eric I 12ALVAREZ Jose F90 299 322336ALVAREZ Maria J 176 241ALVAREZ Nimia R 168ALVAREZ Pablo R176ALVAREZ Rosa A149ALVAREZ-PENABAD Peggy 52ALVAREZTORRE Gloria243AMSELEM Shalom 176ANAND Payal M 12ANDERSON Marc311ANENBERG Kenneth D 111ANGULO Liliana M149ANTEZANA Mauricio 90106 136 141 149 262 274 337APICELLA Anthony 326APONTE-BARRIOS Secil 3575 149 177 236 257ARCINIEGAS Francy J 287ARDILA VELOSA Leonardo 236ARENAS Jorge A66AREVALO Oscar A 262ARGUELLES Lourdes 177ARGUELLO Vigarny A 68ARNEDO Johanna90 106136 141 149 337AROCHA Josefina177AROCHA Miguelina12ARON Robert S66 177ARRIOLA Antonio J150

ARZOLA Vanessa177ASINMAZ Armand A68ASKOWITZ Ronald L52ATKINSON William A 90106 136 141 150 337ATLURI Suneetha30AVILES Ana V150AYALA Rita C 150 177AZADI Anthony A28 75AZAR Diego M12AZARI Scott J1 6 12 30 3552 76 90 101 111 119 127141 150 177 229 245 258 262275 287 299 311 327 337BACCHELLI Lara 12 35 5268 112BADDALOO Reshma M 76BAEZ HENRY Carlianette90107 136 141 150 337BAGHAEI Anoushirvan A12BAGHDADI-GEGATI MarcelB91BAGHDASSARIAN Rosemary35 73 262 275BAILEY Michael W255BAKER Amira M 243 252BAKER Ronia M 91BALDWIN Anthony M326BALLY Kurt O 275 299 327BALMIR-THEVENIN Joelle177BARBER Janetxia 136BARCIA Antonio R 150 178252BARNARD Michael R35BARO Rosemarie178BARON-SNOW Deborah B53BARRERA Martha E 178BARRETT Steven 68 310 312337BARZAGA Lizette128BATES Barbara A299BATISTA Virginia D 178BAUER Richard C 287BAUTISTA Enrico91BECERRA Maria178BEDDALL Harold L178BEHAR Mark 101BELOTSERKOVSKY Daniel 12BENAVIDES-RODRIGUEZAlina C 150BENCHIMOL Jacques 66BENDA Natalia M50BENGOCHEA Armando299BENITO Juan C53 66BENJAMIN Reenu 28 101BENJAMIN Yehuda J 255BENTSI ENCHILL Flora 262275 300 337BERGLASS Michael E275BERKOWITZ Harry D53BERNKRANT Shanna243BERQUIST Michael R178BERRY Wayne L91 107 136141 150 167 168 178 337BETANCOR Anette 76 179BETANCOURT Arely M 179BETANCOURT Mayra G150BETANCUR Alvaro L 36 262

BEYDOUN Miriam M179BIDKAR Vibhor 300BIENES Lissette Maria179BIRNS Bradley M 6BLANCO Diana R 179BLANCO Farid 91 136 150151 168 179BLANCO Jorge L136 151168 179 180BLAND Giancarlo 262BLAY Marina M 180 236 237BLOCK Michael J300BLUM Mark D 107BOBADILLA Patricia M 53151 180 257BOCKIAN Joshua A1 6 1213 30 36 53 76 91 101 112119 128 141 180 229 245 258262 263 275 287 300 312 327337BOERAS GARCIA Suibel3676 151 180 235 237BOILLOT Kathy 112BORDA Miguel F 53 66BORGES Jorge F181BOSCIO Isabel C300BOTERO Alexandra 128 151168 181BOUCHARD Cynthia R 76BOUTSIKOS Maria91BRADY Tiffany91 287BRAICH Florian322BRATMAN Jerry 1 7 13 3036 53 76 91 101 112 119 128141 181 229 245 258 263 274275 287 300 312 327 337BRETON Luis F 7 101BRETOS Alexander L13 120141 237BRODY Robert A 1 13 50 7176 120 125 128 137 181 235275 287 321 322BROGGI Edward P 263 275337BROWN John P338BROWN Kevin237 263 338BUENO Rosa128 151BUITRAGO Juan C168 181BUNASSAR Jenevieve M 253BUSTILLO Cynthia 181 240CABANZON David J137CABEZA Iliana M 182CABRERA Ladys237CABRERA Moises 182 237CABRERA Rene E 91 107137 142 151 182 338CABRERA ROCA Hector182CALDERON Erik O 76 151182CALIFF Randall T71 76CALVO Jose R36 152 182CALVO Lourdes M 276CAMPBELL Lisa147 169 182241 253 255CANELA-PICHARDODalinda A53CANO Lourdes M36 76 152182 237CAPASSO Marco 183

CAPELLAN Jessica 263CARAVIA Amanda137 152169 183CARBALLO Mauro36 76152 183 237CARBALLO Rodolfo 77 128183 237CARBONERO Aicel 128CARDENAS Elio A 152CARDENAS SARRACINOAstrid H 235CARPIO Jesus 237CARRILLO Catalina 184CARRILLO GIRALDO Ricardo184CARVALHO Sandra E 13CASADO Candida M 13CASADO Jaime7CASAS Silvia B 245CASCANTE Oscar G 184CASTANEDA Ricardo184CASTELLANOS Alina238CASTELLANOS Madeleine152CASTELLANOS Nicholas3677 152 153 184 238CASTELLO POLO Blanca M 107CASTILLO Juan I 1 7 13 3036 53 77 91 101 112 120 128142 184 229 245 258 263 276288 300 312 327 338CASTILLO Sandra M54 184CASTRO Eileen J 128 153169 185CASTRO Oscar L142CAYON Alicia B185CEDENO Rene F 185CEPERO Enrique P 185CERRA Frank A37 276CERRUD Clinio C 185CERRUD Ginette H229 243CHAMI Mona 37CHANG Ricardo K276CHAVIANO Ibis128CHECA Ximena37 185 238CHENCIN Josef 50CHENG Xiaofang 13CHILDERS Carmen D 1 7 1431 37 54 77 91 101 112 120128 142 185 229 245 258 263276 288 300 312 322 327 338CHIN-THOMPSON Angella R147 169 185 242 253 256CHIRINO Carlos 185CHIU Gordon B169 186CHOKSHI Payal P276 301CHOKSI Rachana D14CHOURAQUI Jonathan 263CHRISTOPH Victor71 77CICORTAS Florin N14 37 5468 112CIPORKIN Peter D37CLAXTON John P 102COBA Richard 186COHEN Freyda B14 322COHEN Michael A125 276288COHEN Robert J125

349ALPHABETICAL INDEX

COLLAZO Ralph C14 120142 238CONTRERAS Marco A127186CORCHO MARTELL Dayne 37 77 186 238CORDOVA-PENA Noris C186CORE Enrico J 338CORONADO Efrain 1 7 1431 37 54 77 92 102 112 120129 142 186 229 245 258 263276 288 301 312 327 328 338CORPAS Alfredo D 28 137186CORRALES-IGLESIAS Luisa Y235CORREA Ali312 338CORREA Anelys153 186 238CORREA Jacqueline186CORREA PINTO Rafaella 37CORREDOR Angelica1 112120CORREIA Philip J50CORTES Astrid I66 313CORTES Bayardo C338CORTES MORALESGuillermo129 153 169 187CORUGEDO Ada129 153169 187COSTA Manuel E 153COSTOYA Taidy255COTELO-PARDO Yanepsi 129COUTRAS Elevteria14 27 3754 68 112COWAN Marc A1 7 14 3138 54 77 92 102 112 120 129142 187 229 245 258 264 276277 288 301 313 328 338CRANE Steven328CRISCUOLO Stephen14 92112 187CROWGEY Thomas 77CRUCES Manuel I1CRUZ Antonio R 1 7 15 3138 54 77 92 102 113 120 129142 153 175 187 230 246 255258 264 277 288 301 313 328338CRUZ ELIZUNDIA Delia 188CRUZ Karen G129 153 169187CRUZ Yarelie38 78 153 188238CUARTAS Sandra P 28CUARTERO Mercedes F 255CUENCA Annie154CULLEN William C 92 107137 142 154 338CUNHA Renata F15 125 277289CUTINO Javier A 188CUTINO Juan A188DAEE Armin C 129DAGAN Shachar 71 125 235DANESHPAJOUH Sara7 5466 68 71 73 92 113 289 310313 339DANESNGAR Mehrdad 15

DAROJAT Zuhdiyah M 2 715 31 38 55 78 92 102 113120 129 142 188 230 246 258264 277 289 301 313 328 339DAVIDSON Malaika R 188DAVIDSON Philip T 188DAVIS Deborah L51DE AGUIRRE Elizabeth M129 154DE LA CRUZ Alejandro I147189DE LA RUA Lissette 71 120189DE LIMA Anacaona C 189230DE PENA Laura51DE SOUSA Marvina E 78 154DEAN Gina D 324DEFELICE Janice R 51DEL VALLE Jesus E129DEL VALLE Jose M 154DELCASTILLO Daniel A 230DELGADO Angela L 264DELGADO Judith 301 339DELGADO REY Ivette 154DEVACK Justin66 113 189DEWITT David E154DEYAB Tim277DHAM Uttma S 92DI RE Anthony 92 107 137142 154 339DIAZ Farah A189DIAZ Gertrudis189DIAZ Jany71DIAZ Maria 189DIAZ Sandra 189DIAZ VALLE Orlando154DIAZ VASQUEZ Andrea c190DIAZ Vivian 154 189DIAZ Yanet2 28 235DICKINSON Scott C78 324DICRESCENTO Donna L3868 326DIEZ Federico 38 71DIFILIPPO Steven 107DOLPHIN Tyler C78 190DOMINGUEZ Cristina C322324DOMINGUEZ Jorge L 190DOMINGUEZ Jose78DOMINGUEZ REVERONIvelisse38 78 154 155 190238DONATELLI Paul R339DOOLEY Jill C 2 7 15 31 3839 55 78 92 102 113 120 125129 142 190 230 246 264 277289 301 313 328 339DOUGHERTY Cleydes 15DOUGLAS Richard C 92DRISCOLL Allison R 2 7 1531 39 55 78 92 102 113 190230 246 258 264 277 289 302313 328 339DROBES David 238Drubi Martin 246

DUARTE Beatriz2 8 16 3139 55 66 78 93 102 113 121125 130 143 190 230 246 258264 274 278 289 302 314 329339DUARTE Ivonne J 78 191DULCEY Monica A 16 55DURAN Felicia 16DURKAN Marcia A 2 8 1631 39 55 79 93 102 113 121130 143 191 230 246 258 265278 289 290 302 314 329 339DURVE Aparna 93 107 137143 155 339DVORKIN Boris 235EAGAN Jessica C 191ECHEMENDIA Arturo155ECHEZARRAGA Milaidis191EDDERAI Jean J246EDUARDO Jose F278EDWARDS Laura C 121ELEFANT Jacob I 16 39 290ELHOSARY Princess C 79 169ELLIOTT Michael B125ELPERIN Alexei 79 246 255ENG Martha C 155 191ENGELSBERG David J 326ERRO Juan C79 238ESCOBAR Carlos F 71 79107 155ESPINAL Licette F246ESPINET KUSNIER Elaine 216 31 39 51 56 79 93 102113 121 130 143 155 191 230246 247 259 265 278 290 302314 329 339ESPINOSA Celia I 79ESPINOSA Ricardo J191ESTRADA Javier147EUGENE David 66EXPOSITO Ariel 230FAGET David 79 238FAHEY Dana A 39FAINE Robert256FALLAH R L 66FANDINO Mayra 252FASO Vincent S 329FATMI Naved 56 137 191FEINER Jaymie B28 329FEIZ Maria T 155 191 192252FELIPE Veronica M 137 192FELIX Ericka192FELTON Tanya192FEOLI Carmen A 192FERNANDEZ Aurelio J192253FERNANDEZ Carlos F192FERNANDEZ DOMINGUEZGiselle193FERNANDEZ Edith192FERNANDEZ Ellys314FERNANDEZ Lazaro C192FERNANDEZ Malena 137148 169 170 193 242 254 256FERNANDEZ Maria C 130FERNANDEZ Yeny193FERNANDEZ-ABRIL Jorge C 170 193

FERNANDEZ-MARTINEZMariangel 2 8 16 31 39 5679 93 102 113 121 130 143193 230 247 259 265 278 290302 314 329 339FERRERO Patricia F93 107137 143 155 340FESTA Antonio 290FIFFE Eliseo298FIGUEREDO Joel193FIGUEREDO Maria H 143155FIGUEROA Celia C79 155156 193 238FIGUEROA Fernando Luis L 298FIGUEROA Juan A31 290FINE David314FISH Robert J113FLEITAS PERDOMO Yariela 193FLORES Joan M 193FLORES Juan C68 193FONSECA Jacqueline 107FONTECILLA Sofia 194FOREMAN Kathleen E8 5667 69 73 290 310 314 340FORERO William A16FORNOS Eva194FORNOS Jorge A93 108 138143 156 194 340FOTEK Ilona P 302FOX Jeffrey M 2 8 17 32 4056 79 93 102 113 121 130143 194 230 247 259 265 278290 302 303 314 315 329 340FRAGA-DAVIDSON Beatriz 194FRANCO Jaime F 194FRANCO TAVERAS Luz N 114FRAND Joel I 51FRANKLIN Tim A 17 40 5669 114 194FREDERICKSON Waynerd B 40FREEDMAN Saman M56FRIAS Bernarda I265FRIEDMAN Rene J156 194195FRIEND Michael J 93 247FUERTES RUFIN Liscary 156FUNDORA Yolaivys V 29156 195GABALDON Mariana 80 156GAINES David S 256GALBUT Kimberly A247GALEANO Nubia E324GALINDO Olga M340GALLO Don A80 93 195 239GANDUL CABRERA Jans 195GANGI Yudancy P 56GARCES Carolina 17 73 80121 130 195 240 253GARCIA Armando L 2GARCIA Cristina195 253GARCIA Delio 195GARCIA FERNANDEZAliuska 80 195 196

350 ALPHABETICAL INDEX (Continued)

GARCIA Idalmes130 156170 195GARCIA Juan M156GARCIA LOPEZ Dorgis 156GARCIA Luisa F126GARCIA Maria C 17GARCIA Ricardo51 195 235GARCIA SARRIA Maria C 196GARCIA-CASTELLANOSJacqueline196GARCIA-JAM Yailin 69 156GARCIA-PORRAS Marcela 28 17 32 40 56 57 80 94 103114 121 130 143 196 231 247259 265 278 279 290 303 315330 340GARMIZO Joshua 170 196GARRISON Harvey B2 8 1732 40 57 80 94 103 114 121130 143 196 231 247 259 265266 279 291 303 315 330 340GARROTE Rogelio130 156170 196GATTA Derek B 330GELDRES Juana M303 340GEORGE Deborah V156 196197 252GERBER Jeremy40GERENA Dorene M 57GHALLOUB Melad N 266GHATTAS Maureen A3 8 1732 40 57 80 94 103 114 197247 259 266 279 291 303 315330 340GHATTAS Maureen B17GHERBALI Alexandra D 239GIL ARAUJO Eduardo F 157197GIL Lester O170 197GILSON Seth A266GILSON Steven M94GITRON BEER Mariana 231GLICKSMAN Joel E80 197GOBER Franklyn L32GODOY Yami A 80 126 157GOLDBERG Douglas A18GOLDEN Joshua N73 108340GOLDSTEIN Emily 57GOMARA Luis A 131 157170 197GOMEZ PEREZ Nils157GONCALVES CORDEROJhezanuel C3 18 126GONZALES Angelica 3 8 1832 40 41 57 80 94 103 114121 131 143 197 231 247 259266 279 291 303 315 330 340GONZALES Nathaniel S240241GONZALEZ Ana D197GONZALEZ Ana I 131GONZALEZ CACERES Ana L199GONZALEZ Carlos80 157197 198GONZALEZ Carmen L 231243

GONZALEZ Darlen18 41 5769 114GONZALEZ Edek 157GONZALEZ Giovanni 41 80157 198 239GONZALEZ Hansel157 198GONZALEZ Jovani M231243GONZALEZ Juan C 198GONZALEZ Kelly51 94 108138 144 157 340GONZALEZ Kenia94 108138 144 157 341GONZALEZ Lilian81 158199GONZALEZ Maria F 255GONZALEZ Monica G29108 199GONZALEZ Susana 239GONZALEZ Sutnamis199GONZALEZ Yanela114GONZALEZ-RUBIO Eduardo148GOODWIN Sharon R247GORBATOV Dmitry57 330GORDON Alexandra 199GOYAL Lakshay41 73 121GRAFF Brad W 41GREEN Beverly 3 8 18 3241 58 81 94 103 114 131 144199 231 247 259 266 279 291303 315 330 341GREEN George D94 108 138144 158 341GREENBERG Andrew W69310 315 341GREENSPAN-BIRNS Robin L8GRIFFEE Justin P322 325GRIGOROPOULOS Marios 170 200GRILLO Miguel R 331GRUENBERG Alex248GUERRA CHICO Jose A 279GUERRA CRESPO Beatriz D158 200GUERRA Daniel A 71 81 122131GUERRA Natalie 200GUERRA Vannette 94 108138 144 158 200 341GUERRERO Luis A3 8 1832 41 58 81 94 103 114 122131 144 200 231 248 259 266274 279 291 304 316 331 341GUERRINO Danielle S 325GUEVARA Anaely 51GUILARTE Rhona E 41GUILLERMO Ivette 200GULTZ Jerrold P18 32 291GUTIERREZ Carlos A200243GUTIERREZ Victor R200GUZMAN Nestor E 81 201HACKBARTH Mallory J 81322 325HAGHIGHI Azin41 114 331341HALEM Merritt D 201

HALL Nicole L3HALLER Dustin 9 18 71HAMARNAH Sally 280HANDEL Michelle S266HARATZ Adela 126HARRIS Ana M280HARRIS Richard H 291 292HART Trevor H9HASAN VERRETT Hajar 201248HAYATE Jessica F 114HAYES Norys170 201HECHAVARRIA Mirta 201HEIDER Joseph M18HELFANT Jared19 27 42 5869 115HELMY James M 266HENDERSON Gilsa H158HENDOUS Khaled280HERDOCIA Filiberto J58 131201HEREDIA Abelardo 81 131201HERMAN Lee E 267HERMAN Mark A292HERNANDEZ ACOSTACristina M 202HERNANDEZ Daynet202HERNANDEZ Idalia 158HERNANDEZ Liliana J42HERNANDEZ Maria 202HERNANDEZ Norberto J202257HERNANDEZ RIVERARicardo N58 94 202 248HERNANDEZ Rutsie A 239HERNANDEZ Stephanie M 42 81 158 202 239HERNANDEZ-ABREU Luis235HERNANDEZ-BARCELOOdalis E32 108HERNANDEZ-JEREZ Gema 131 158 239HERRERA CASAS Sunilda158HERRERA Victoria81 202203HIDALGO-GONZALEZAllison M 203HILALI Manal108HODSON Shane 248HOGAN Helena 67 341HORESH-WEISSER Ettie 203HORWITZ Steven 3 9 19 3242 58 81 95 103 115 203 248259 267 274 280 292 304 316331HOSSAIN Marta C158 167203HOSSEINI Heather G 122HUI Tin Wai W 81 248 255341HURTADO Cesar F 203HUTCHINSON Paula248IDUATE BANOBRE Yolanda159 203

IRAVANI Mina F 3 9 19 3242 58 81 95 103 115 122 131144 159 203 204 231 248 259267 280 292 304 316 331 341IRVING Bizu N231 243 244ISAZA Emilia 325IURCOVICH Maximillian O19 126 280 292IZQUIERDO Yaneisy 204JACAS Sergio J 82JACINTO Santiago 204JACKSON David C 322JACOBS Leonard 267JACOBSOHN Henry D19 2742 58 69 115JAFFE Avery C 248JAMES Larry G 95JAMIS Juan 204JARQUIN-VALDIVIA Alvaro J204JAUREGUI RODRIGUEZGuillermo C257JEAN Hugues3 280JEAN Philippe72 82 108JOFFRE John A231 244JOHNS Jackie C 341JOHNSON Robert B138 148170 204 242 254 256JONES Kevin A331JOY Benjamin H 82JOY Jayleen M 82JUMA Zaileen 3 9 19 33 4259 82 95 103 108 115 122204 231 248 259 267 280 292304 316 331 341KACHAM Sharada 304KADIYALA Sravanthi 322KALAFATIC Frank K42KALOGLIAN SILVA Michelle304 342KAMRAN Kiani 204KANG Bo Young Y325KANNIKAL Janice J325KAPOOR Kshitij 331KAREDAN Jerry J 19KARIM Sara 19 108KARPEL Joel 67KASHLAN Rania 72 95KEANE Chris19 29 82 109115 204 241 253KELLNER Alan S20KELMAN Alan 257KHOSHROU Bita 325KIJANKA Gary 323KLEIN Lawrence M 267KLEIN Peter B95 115KLEIN Samuel L267KLOPENSTINE Geoffrey A 304KOCH Daniele 131KOCHER Jennifer29KOCHER Michael 29KODA NAKAMOTO INABACaroline M95 109 138 144159 342KONZELA Michael J 326KOPYNETS Viktor V 29 95109 115 138 144 159 342

351ALPHABETICAL INDEX (Continued)

KOREN Natalie 20 42 59 69115KOROL Sergey342KRAJEWSKI Helena J 232KRASNOV Rostislav 95 109138 144 159 342KRAVITZ Eugene 82 204KRAVITZ Lauren M159KRIKORIAN Charles R 43204KRYKHTIN Pavel267KUNSTMANN Vivian R 95109 138 144 159 342KUSHNER Bruce A59KUSNICK Steven J 205LABRADA Liudmila239LAGE Richard C 205LAGO-SANCHEZ Idelbis 267280 323 342LAMB Nicole 3 9 20 33 4359 72 82 95 103 115 122 205248 260 267 274 281 292 304316 332 342LANG Tomas 138 148 171205 242 254 256LANSTER Robert M205LANSTER Steven M205LANTIGUA Carlos A 205LANTIGUA Kelvin 59LARGEN John F 109LASKA Mario L29 43 59 96LASTRA PEREZ Annette 205LAU Vicente 138 148 171205 242 254 256LAUER Bradley 316LAURENCE Peter 232 244LAZCANO Maritza T82 103LEA PLAZA Rodolfo 171 205249LEBRON Vanessa E159 205206 252LEE Nancy V171 206LEIBOVICI Jacob 103 304LEIN Bruce N305LEIVA LOPEZ Karina 51 115LEMINH Chau J 3 9 20 3343 59 82 96 104 115 122 132144 206 232 249 260 268 281292 293 305 316 317 332 342LEMINH Loan 342LEMUS Isel G132LEONARD Thomas P20 4382LEPORE Krystina4 9 20 3343 59 60 82 96 104 116 122132 145 206 232 249 260 268281 293 305 317 332 342LEVIN Shelly206LEWIS Brad 206LEWKOWICZ Esther241LICINA Zeljka43LIENDO Fabiola 317LIZASO Susana159LLAPUR Carlos 60 126 206LLEO Pedro D159LOBAINA Karina M 206LOBAINA Yoan E27 171 206LOFTUS Shamus L96 109139 145 159 342

LONDONO Jennifer D 4 920 33 43 60 83 96 104 116122 132 145 206 232 249 260268 281 293 305 317 332 343LONDONO Laura E116LOOR Kleber A207LOPEZ Alexander O 232 249LOPEZ Anabelle 207 253LOPEZ DE VICTORIA Millied148 171 207 242 254 256LOPEZ Edgar 207 244LOPEZ Grace P44 160LOPEZ Manuel G122 132LOPEZ Maria E83LOPEZ PEREZ Victor 207LOPEZ Reinier 207LOPEZ Santiago 44LOZADA Katherine G73LUBIN Victor D 207Luis Deborah E 67LUIS Michelle E 139LUPU Matthew160LUSSIER Meghann20LY Danny T 268MA Lisa M104MA Robert4 9 21 33 44 6083 96 104 116 122 132 145207 232 249 260 268 281 293305 317 332 343MA William 323MACAGNO Jessica J 139 160MADERAL Martha E239MAHARAJ Vindra R 60 6796MANDEL Jonathan O51MANIGLIA Marielba D 8396 109 139 145 160 343MANTEL David B74MANZUR Lamya 207MARES Adolfo E 207MARINI Nohelia R 160MARQUES Nelson R 104MARQUEZ Jaime R 268MARQUEZ-IGLESIAS Felicita160 207MARRO Blanca R132 160171 207MARS Rick A 83 208Marti Bagdasarov Anjelika 2133 44 317MARTIN Ciro208MARTIN Sidney S67 96MARTINASEVIC Suncica 21MARTINEZ Amy M4 21 72MARTINEZ Claudia 132 160171 208MARTINEZ Ernesto239MARTINEZ Javier 126MARTINEZ Jeidy D208MARTINEZ Jose M 160 171235MARTINEZ Karen132MARTINEZ Miguel A132160 172 208MARTINEZ Milton F132 236MARTINEZ Tamara T160172 232MARTINEZ-MARINOAnelisse 67

MARTOS Grisel 208MASSRI Abir74MAUSKAR Sagar S 83 132241MAUTNER Steven G 69MAYA Alvaro139MAYA Martin232MAZZUCCO Maria O44MCCANN LEE Katie L 21 2944 83 109 122 208 253 323MCCOSH Fernanda 69 305343MCCOWN Michael G21 126281 293MCHUGH Allyson M29 44126 161 208MCLEAN Natoya C83 268281 343MEHLER Eric R 109MEHTA Ravindra S 44MENDEZ Antonio161 208MENDOZA Irenia 208MENENDEZ Alexander 326MENENDEZ Jorge 133MENENDEZ LLERA Vivian M9 96 116 209MENENDEZ Nancy109 167MENTRASTI-SANTANASylvia 21 167MESA Tahimara C323MESTRE Jairo F209MICHEL Raynald44 298MILANES Christian293MILANES Eliover209MIRANDA Alejandra 148172 209 242 254 256MIRANDA Nicol M83MIRANDA Pablo E83 209MODESTO Daniela O44MOHR Eric E 4 9 21 33 4445 60 84 96 104 116 209 249260 268 269 282 293 294 305317 332MOLINA ARIZA Yudisbel 210MOLINA Gustavo R 84 161MOLINA Mayling133 209MOLINA Rolando Jesus J 172257MOLINA Rosario G 161 209MOLINA-WASSERMANJacqueline M317MONCRIEFFE Tiffany I4 1021 33 45 60 84 96 104 116123 210 232 249 260 269 282294 306 318 333 343MONTANO Halina S269MONTERO Alexander 72 161MONTERO Ricardo 72 168MONTESINOS Alicia E 161MONTILLA Miguel A 269MORA Eddy A210MORA Eugenio A 210MORA Yosjany210MORALES Alexis O 294MORALES Enrique E161MORALES Maira133MORALES Ronald J22 45 6069 116 126 172 210 294MORELL Nayade 161 210

MORELL Omar97 109 139145 161 343MOSKOWITZ Harvey 116MOULINOS Sotirios S 45MOUSHATI John45MUJTABA Moneeze84MUNGUBA Bozena Z 148172 210 242 254 256MUNOZ LATORRE Sonja M133MUNOZ Numa F 22 126 282294NAGUIB Michelle A 22 8497 104 116 123 210 232 249269 294 306 318 333 343NAIERMAN Eric H45 211NARVAEZ DE V Veronica 84161 343NARVAEZ Jose A 249NAVARRETE Edgar E 123NAVARRO Jessica M 61 84NAVARRO Rebecca239NAVARRO SANCHEZMarianelys 84NAZARIO LUGO Beatriz T133 211NELSON John A 211NEWMAN Marcela P 97NEWTON Emily T 323 325NGO Tuong T294 333NGUYEN Binh T 72 84NGUYEN Chi269 282 306343NGUYEN Josie269 282 343NGUYEN Michelle P 269 282306 343NICHOLLS Berkeley344NIETO Gloria Y 61NIETO Marta211NILES Summer N325NIN Frederick J241NIROUMAND Farinaz318NOVAK Stephen P 269NOY Isabel C133NUDEL Marina45NUNES LEDOUX Joanne M211OCHOA German E 161OCHOA Luis22OJEDA JR Juan M 97 211OKLIN Richard84OLIVA Maidelys10 67 69 74310 318 344OLIVA PEREZ Anny 211OLIVA PEREZ Ilieg 162OLIVEIRA MODESTO Daniela84OLIVEIRA Paulo A 22 74 110ONGLEY Bettie Linda L 110ORAMAS Dania 162ORTA Ines A85 145ORTA Nicolas R51ORTEGA Laura O45 162 211ORTIZ Ana Maria269OSPINA Ana M211OSPINA Angela M 244OSPINA Carolina 97 116 139145 344

352 ALPHABETICAL INDEX (Continued)

OSSA GOMEZ Paola162 211212PALACIN Matilde A29PALACIOS Ana Y212PANDEY Anita212PANSURIYA Dharmendra 97110 139 145 162 344PAPIR Jessica B 85 212PARSLEY Gregory 123PASISNITCHENKO Igor85PATEL Aditi K306 325PATEL Jitendra L 116PATEL Krunal D 306 325PATEL Rohitkumar S 73PATINO Joelyz61 162PAUL Alexander D85 139PAYA Anabel 168 212PECORA Jefferson M306 344PEGUERO Daniel 324PELTON Ivan S45 61 85 212PENA Maria L232PENATE Ada L 212PERALTA Johnny L239PERDIGON-CANGAHUALANitza 162 213 252PEREIRA Ieshy 213PERELLO Rosanna B 72PEREZ ALAMO Jennifer214244 306 344PEREZ Alina J 172 213PEREZ Annabel 213PEREZ CARMONA Alba E 214PEREZ DIAZ Agueda 61PEREZ DIAZ Elizabeth 162PEREZ Diley213PEREZ Eunice 213PEREZ Idalmes 168PEREZ Laura E 133PEREZ Nelly R74 85 110 241PEREZ Reinaldo 104 294PEREZ Zaily 214PEREZ-BORROTORODRIGUEZ Daylis 85PEREZ-MURGUIA Omar 214PEREZ-SOLAR Juan E236PERKINS Lindsay B 117PERLSTEIN Robert 45PERROTTI Steven D 85 214PESATURO Ana H 214PETERS Edward 324PETRUK Mariel 22PETTIS Cyrus R 104PHAM Minh B22 30 45 7485 110 123 133 162 215 241PHAM Quynhnhu97 110139 145 162 344PINCHEVSKI Ermy 123PINE Philip A105PINNOCK Alyssa H 28PINO Raquel C 172 175 255PITA Reynaldo85 215PLANES Alex A4 10 22 3346 61 86 97 105 117 123 215233 249 260 269 270 282 294306 318 333 344PODBIELSKI David P322PORRAS Lori B233POULERIGUEN Alain294

PRADO Pablo R318PRIA Carlos215PRIETO Evelyn 86 133 162172 215PRIETO Julio 163PUENTE Katia 163 172 215PUIG Liana 215PUPO Yusimy163PYSER Douglas N 46 270QUASHA Michael D323QUESADA Pedro 86 163QUEVEDO Fernando52 61QUICK James R 4 10 22 3346 61 86 97 105 117 123 133145 215 233 249 260 270 282295 307 318 333 344QUILICHINI Carlos A46 216240QUINTANA Rafael J163QUINTANA Vilma216QUINTERO Juan M 127 173240RAJSCHMIR Silvina J 86 163RAMEAU Rejane173 242254 256RAMIREZ Carmen148 163RAMIREZ GONZALEZCarmen 133 139 148 163 173216 242 254 257RAMIREZ Mauricio 139 173216RAMIREZ Patricia H 105RAMOS Luis A 163RAMOS Yilian46 216RAMOS-ABELENDA Idalmis324 344RAND Matthew K23 28 70117 216RANGARAJAN Theyyar 233RANGEL Raul 4 72 283RAPPACCIOLI Coty 173RAPPAPORT David B4 1023 33 46 61 86 97 105 117123 133 145 216 233 250 260270 283 295 307 318 333 344REDDY Anitha 298 299REED Samantha97 110 140146 164 345REICH Alice F97 98 250REID Sharone V 98REUM Eric D295REY Tatiana S86 110REYES CANALS Osmil A134164 168 173 217REYES Christina M 46 86164 216 217 240REYES Miguel A46 86 164217 240REZAIE Azadeh 67 307 345REZAIE Yeganeh 62RIBAS Jose E217RIBOT Aliana217RIBOUL Sandrine 98 110 140146 164 345RIEGER Eric R 4 10 23 3446 47 62 86 98 105 117 123134 146 217 233 250 260 270274 283 295 307 319 333 334345

RIETTIE Lana C 98RINCON Karolina P 10 6267 74 295 311 319 345RING Stephen G4 10 23 3447 62 86 98 105 117 123 134146 217 233 250 260 270 283295 307 319 334 345RIOS KU HOP Milagritos C23 28 47 62 70 117 217 218RIVAS Miguel A 164 218RIVAS-PLATA Jessica 74RIVERA Lina N 47 218 240RIVERA-SOTOMAYORMarlene 52 117ROBINSON Sharon O98ROBISON Walter G 23ROCA-GODINEZ Lilian R4770RODRIGUEZ Alejandro 218RODRIGUEZ Amaury 134RODRIGUEZ BERNAL JesusD165RODRIGUEZ CASTRO Liliam219RODRIGUEZ Elvira 164RODRIGUEZ Esteban J 86 98173 218RODRIGUEZ Gretell218RODRIGUEZ Guillermo P 218RODRIGUEZ Hernan M 218233 244RODRIGUEZ Iveliss98 110140 146 164 345RODRIGUEZ Julieta 134RODRIGUEZ Lazaro 165 218219RODRIGUEZ Margarita M 510 23 34 47 62 87 98 105117 219 250 261 270 283 295307 319 324 334 345RODRIGUEZ Maria De LosAngeles134RODRIGUEZ Mayra L5 72236RODRIGUEZ Narda S 283322 324RODRIGUEZ Nohora I110RODRIGUEZ Nury E240RODRIGUEZ Ramon A219RODRIGUEZ Rene165RODRIGUEZ Roxana 165RODRIGUEZ Vicky165RODRIGUEZ-MARTIN HenryA74 296RODRIGUEZ-TORRESRandall R 325ROGOWSKA Kinga E62ROJAS Sandra 219ROMAY Ricardo219ROMERO Ingrid283 296ROMERO VAZQUEZ Ivet173219ROMERO-MELIS Mildred 165ROQUE-RUANO Maikel 510 23 24 34 47 62 87 98 105117 123 146 165 219 233 250270 271 283 284 296 307 308319 334 345ROSALES Salvador 219

ROSENBAUM Ronald E 87ROSENBERG Sarah L 134ROSENTHAL Allen H 110ROSS JR Charles L140ROSSEN Peter A5 220ROSTOCK Jennifer L 24 4770 117ROTHENBERG Stephen52ROTHFIELD Elizabeth A 63ROYZMAN Anna 311RUDNICK Andrew 308 323RUIZ Eliseo 165 173RUIZ FRONTARY Yarimar47RUIZ Milton 87RUIZ Saili 173RUIZ Sarabel M 148 254RUIZ-CESTERO Sarabel M174 220 242 257SABAN Jack 98SACHS David A 30 334SACHS Randy J 30 334SAENZ Manuel O 72 134220 236SAGUE Gustavo A 220SAHI Gurman K 5 72SAIDI Ardavan 233SAINT AMAND Lynn 345SALAMON Gary G271SALAZAR Cecilia I 87SALAZAR Manuel A220 261SALBO Fredericka74SALCINES Damaris G134165 174 220SALDARRIAGA Lisa74SALEHI Mojgan308SALGUEIRO Jose L220SALOMON Daniella 99SAN JORGE Alejandro 24118 127 284 296SAN JUAN Carlos M 174SANCHEZ Diego F 5 127SANCHEZ Jairo A271 345SANCHEZ Marlie 111SANCHEZ Mayra G 220SANCHEZ Pedro M134SANCHEZ Reinaldo 221SANCHEZ Zoraida T174SANTAMARINA Luis M 221SANTANA Dania 52 87 221SANTEIRO Alfredo233SANTIAGO-HERZOG TatianaE 48 63 87 221 271SANTIESTEBAN Aymara 87134 165 174 221 222SANTOS Nataly165SARDA Mariamilagros M134SARDUY Luis O135 222SARDUY Raynel 67 165SARMIENTO Jeffrey 140 148174 222 254 257SARMIENTO Jeffrey E174242SARRIA Paulo A24SAUER Mark J 233SCALERCIO John J 326SCARFONE Melanie5 10 2434 48 63 87 99 105 118 124135 146 234 250 261 271 284296 308 319 334 345

353ALPHABETICAL INDEX (Continued)

SCARLETT Francesca C 1063 67 70 74 296 319 346SCHMID HIDALGO FedericoJ48SCHOPLER Thomas A 27SCHUETZ Eric J63 127SCOTT Tessa F 222 236SEGAL Michelle A222SEGRERA Maria C48SEIDENFELD Alan 320SEIJAS Migdalia I 166SELZER Michael D271SEMEAH Yves284 346SEMPRUN-ARRIVLLAGAMaria A 24Sepulveda Isabel C87 222255SERRA-JOVENICH Manuel 222SEVEL Dennis S 48 111 118SHAFER Mindy G70SHANKARAIAH Sreedevi 324SHAPIRO Dari P 271 346SHAPIRO Seth A 271 346SHARMA Rohit 87SHATHER Meriam I 87 250SHAYAN Maria M70SHETH Bipin J 70SHIFLET Jennifer L 308 346SHIMANSKY Daniel A 111241SHIPPEE Rebecca H 99 111140 146 166 346SHKOLNIK Sean 284SHRAITEH Jenan A 5 326SHROFF Hitesh R 99SHULMAN Jared D 24SHVETS Ankita99 284SHVETS Gabriel 99SIDDIQUI Rasheed B222SIEGEL Tara L5 72 88 124236SIERRA-DUQUE Pablo J 7388 236SIGILLO Alessandra 75SILVA Sandra 222SILVER Richard M63 284SILVESTRY Ailyn223SILVESTRY Elvin J 174 223SIMBACO Walter 166 174223SIMMONDS Shirley F 253SIMON Gelsys 88 99SINGH ROY Anurupa24SINILO-KATZ Elena M 244SIPKIN Lloyd A48SIRAGE Katherine L 88 124SMITH Gordon J284SMITH Larysa K99 271SMITH Pierre-Michel M 250SNIDER Erica M 5 11 24 3448 63 88 99 105 118 124 135146 223 234 250 261 272 284296 308 320 326 334 335 346SNOW Darren B63SNYDER Brian H24SOARES Andrew N 346SOHEIL Michelle M223 244

SOLANO Jorge I 88SOLER Rosa M166SOLIS GONZALEZ Elena M 223SOROPOULOS George240SORROZA Jennifer 25 28 4863 70 118SOSA Roberto 223SOSA-ABELLA Nancy M140166 223SOTO Paola F 64 223SPINGARN Joseph H 25 284STEIN Ilya25 68 111 299STEIN Stacy A11 64 68 7075 296 311 320 346STEINER Samantha L 5 1125 34 48 49 64 88 99 105118 124 135 146 223 234 250261 272 285 296 308 320 335346STRAUSS William A 308STREETT Rosario88 166 240STRONG Shanice De Ona511 25 34 49 64 88 99 106118 124 135 146 224 234 250261 272 285 297 308 309 320335 347SUAREZ Alberto 251SUAREZ Elisa 99SUAREZ Renier 224SUAREZ Tatiana224SUAREZ-TABARES Lidia 324SUATE PEDROZA Isabel M 73 224SUDACK Peter A234 244SUTNICK Steven A297SWANSON Wendy E 73 88111 166 224 251 252SZPOGANICZ Tadeu 49TAHA Ahmed A25 127TARAS Michael A335TAVERAS Sonia D224TAYLOR Nathan M28 88TAYLOR Shelly 25TCHOU Luisa 25 88 272TELLEZ-ARMENTEROS AnaM 234TENDERO Alyne89THAKER Durgesh D118THOMAS Antony P 25 30 7589TOIRAC Maria D224TORRES Diana6 124 140TRAN Brian28 89 323 326TRAVIESAS Eladio166 224TRIANA CONCEPCIONNelcy M224TRIANA Lauren D 224TRUJILLO Madelene 30 140225TRUJILLO Zuzel225TRUONG Xen T285TYDIR Michelle 140 225UBIETA ARBESU Eduardo 225 234UCROS German272UCROS Maria J 166 225 240UMOREN Anne-Marie U285320

URBINO Rafael244URCUYO Jacqueline C 6 1125 26 34 49 64 89 100 106118 124 135 146 225 234 251261 272 285 297 309 320 335347UZUNOVA-DIMOVA Kalina 100 111 140 147 167 347VALDES CASTELLANOSLisset225VALDES Martha B118 135167 174 225VALDES Vivian225VALDMAN Vadim 30 118VALLDERUTEN-CASTANOAlma 347VALLS Sandor234VAN Jim26 174VANDENEDES William 225VARGAS Andres 309 323VASALLO Francisco 225VATHIELIL Jelena M 26VAZANA Raphael167VAZANA Todd A6 11 26 3449 64 89 100 106 118 147225 251 261 272 274 285 297309 320 321 335 347VAZQUEZ Humberto J 226VAZQUEZ Jorge E89 226VAZQUEZ Omar S 100 111140 147 167 347VEERAMACHANENIMamatha 124VEGA Ivan E273VELASCO Norka S 135VENTO Yosvany89 226 347VERA Anny B 6 11 26 34 4964 89 100 106 119 124 147226 234 251 261 273 285 297309 321 335 347VERA Rafael135VERDECCHIA Dana J 297VERMA Ganga119VICTOME Robert G 299VIDAL Maria C227VIEGO Rebeca 141 227VIGNOLA Jennifer A6 11 2634 49 65 89 100 106 119 124135 147 227 234 251 261 273286 297 309 321 336 347VILA Gabriela 65 119 124251VILLA Rodolfo 125VILLANUEVA Lourdes M227VILLAR Tania 135VILLAREAL Ruben D 68 100167 227VINUELA Larry 227 253VOLTAPETTI Clifford E 244VUELTA Floralba227VULTAGGIO Francesco P2635WATSON-HAMILTON Sheri S149 175 227 243 254 257WEBB Michelle 245WESTCOTT Michael C 323347

WILLIAMS Tosha R 89 149167 175 227 228 236 243 252255 257WILNER Jason M 65 298WILSON Dwight E228WOHLSTEIN Diana 111WOLFF Jeffrey H347WOODWARD Wyman R119YANES Marnie73 236YANEZ BRAVO Maria A251YANOVER Clifford J 273YEOSHOUA Oded70YOUNG Lisa B65 90 100 309YU Cynthia W6 11 27 35 5065 90 100 106 119 125 135147 228 234 251 261 273 286298 309 310 321 336 347YU Joyce W6 11 27 35 5065 90 100 106 119 125 136147 228 235 251 273 286 298310 321 336 348YUSMAN-WIRTH Linda 228ZACHAREWICZ Shane M 336ZADOV Marianna 273 286348ZAKI Fady A50 286ZAKKO Dalal50ZAMANI Azin 273 286 348ZAMORA Lyan T90 228 229ZARDON Ramon A 167ZASLAVSKY Julia310 348ZAWADZKY Javier M75 167324ZAYAS Francois 241ZEIG Dana A100 101 251ZELAZEK Bruce S310 348ZUNIGA Juan C 141 229 251ZUSSELMAN Arnold 27 127298ZYLBERING Jason M6 11 2735 50 65 90 101 106 119 125136 147 229 235 252 261 274286 298 310 321 336 348

354 ALPHABETICAL INDEX (Continued)

STSL700_access Printed in USA 092019

Page 2: Solstice Access+ D1033/D1031 · 2019. 10. 17. · wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card. ВНИМАНИЕ: бесплатные услуги

Welcome toSolstice

NetworkPlease take a moment to review this provider directoryIf you have any questions please contact the MemberServices Department

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

bull Namebull Locationbull Phone Number

This directory contains a listing of primary caredentists only Please refer to your enrollmentinformation for details on coverage for specialtycare

Should you have questions please call thetoll-free number listed in your enrollmentinformation

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

bull Dentist education training and experiencebull Licensure certification and other regulatory

considerationsbull Malpractice history

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

Continuing participation of dentists currentlylisted in this directory cannot be guaranteedThe network of dentists may occasionallychange We recommend that you call theMember Services Department to verify that adentist is currently participating in the networkprior to seeking care

The information contained in this document is accurate as of the first of the month You may also visitthe wwwmyuhccom for current information at any time

INTRO - 1

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US Department of Health and Human Services 200 Independence Avenue SW Room 509F HHH Building Washington DC 20201 1-800-868-1019 800-537-7697 (TDD)

Complaint forms are available at httpwwwhhsgovocrofficefileindexhtml

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 ATENCIOacuteN Si habla espantildeol (Spanish) hay servicios de asistencia de idiomas sin cargo a su disposicioacuten Llame al nuacutemero de teleacutefono gratuito que aparece en su tarjeta de identificacioacuten

(Chinese)

XIN LƯU Yacute Nếu quyacute vị noacutei tiếng Việt (Vietnamese) quyacute vị sẽ được cung cấp dịch vụ trợ giuacutep về ngocircn ngữ miễn phiacute Vui lograveng gọi số điện thoại miễn phiacute ở mặt sau thẻ hội viecircn của quyacute vị

(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 ВНИМАНИЕ бесплатные услуги перевода доступны для людей чей родной язык является русском (Russian) Позвоните по бесплатному номеру телефона указанному на вашей идентификационной карте

)Arabic (

ATANSYON Si w pale Kreyogravel ayisyen (Haitian Creole) ou kapab benefisye segravevis ki gratis pou ede w nan lang pa w Tanpri rele nimewo gratis ki sou kat idantifikasyon w ATTENTION Si vous parlez franccedilais (French) des services drsquoaide linguistique vous sont proposeacutes gratuitement Veuillez appeler le numeacutero de teacuteleacutephone gratuit figurant sur votre carte drsquoidentification UWAGA Jeżeli moacutewisz po polsku (Polish) udostępniliśmy darmowe usługi tłumacza Prosimy zadzwonić pod bezpłatny numer telefonu podany na karcie identyfikacyjnej ATENCcedilAtildeO Se vocecirc fala portuguecircs (Portuguese) contate o serviccedilo de assistecircncia de idiomas gratuito Ligue gratuitamente para o nuacutemero encontrado no seu cartatildeo de identificaccedilatildeo ATTENZIONE in caso la lingua parlata sia lrsquoitaliano (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 Verfuumlgung Bitte rufen Sie die gebuumlhrenfreie Rufnummer auf der Ruumlckseite Ihres Mitgliedsausweises an

(Japanese)

)Farsi(

कपा यान द यद आप हद (Hindi) भाषी ह तो आपक लए भाषा सहायता सवाए नशक उपलध ह कपा अपन पहचान प$ पर दए टाल-( फ़ोन नबर पर काल कर 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

ចបរមណៈ េបសនអកនយែខរ (Khmer) េសជនយេយឥតគតៃថ គ$នសបអក សមទរសព+េេលខឥតគតៃថ ែដល$នេ1េលអត2ស34 ណបណ5 របសអក 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 DIacuteIacute BAAAacuteKONIacuteNIacuteZIN Dineacute (Navajo) bizaad bee yaacuteniłtigo saad bee aacutekaaniacutedaawoiacutegiacuteiacute taacuteaacute jiacuteiacutekeh bee naacuteahoacuteoacuteti Taacuteaacute shǫǫdiacute ninaaltsoos nitłiziacute bee neacuteeacutehoziniacutegiacuteiacute binedęę taacuteaacute jiacuteiacutekehgo beacuteeacutesh bee haneiacute bikaacuteiacutegiacuteiacute bee hodiacuteilnih 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

FLORIDA

BROWARD COUNTY

COCONUT CREEK

ABDEL-JABBAR Sana HSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124579525463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350515463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000039200945463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)BRATMAN JerrySage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121122485463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 428-1803Prov No 0000002087934660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121516335463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)CHILDERS Carmen DSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121529855463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350595463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

CORREDOR AngelicaDental Health Group Pa(954) 428-1803Prov No 0000129619834660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1962930883License DN22537License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)COWAN Marc ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000039163625463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

CRUCES Manuel IHealthy Family Dentistry Pa(954) 708-2157Prov No 0000007077335350 W Hillsboro Blvd Ste 201Coconut Creek FL 33073Language SpanishGender MaleNPI 1750511762License DN18716License Type DBP DentistBoard Certified Not ReportedEmail healthyfamilydentistrygmailcomFax (954) 708-2159Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000017716295463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

1GENERAL DENTISTS

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)DAROJAT Zuhdiyah MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000045900165463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

DIAZ YanetDental Health Group Pa(954) 428-1803Prov No 0000083604024660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Language SpanishGender FemaleNPI 1215376934License DN20123License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124353665463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)DRISCOLL Allison RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000019584525463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120946715463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000017722685463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)ESPINET KUSNIER ElaineSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000125860755463 Lyons Rd Ste CCoconut Creek FL 33073Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000115515825463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004252795463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)GARCIA Armando LHealthy Family Dentistry Pa(954) 708-2157Prov No 0000007024605350 W Hillsboro Blvd Ste 201Coconut Creek FL 33073Gender MaleNPI 1760601264License DN17663License Type DBP DentistBoard Certified Not ReportedEmail healthyfamilydentistrygmailcomFax (954) 708-2159Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000011375535463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004271965463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

2 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)GHATTAS Maureen ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120913585463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

GONCALVES CORDERO Jhezanuel CDental Health Group Pa(954) 428-1803Prov No 0000130026244660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1477979557License DN23722License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121954135463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

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 DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000012161185463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

HALL Nicole LDental Health Group Pa(954) 428-1803Prov No 0000024501014660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1487916458License DN19772License Type DBP DentistBoard Certified NEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)HORWITZ StevenSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120989735463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000125101175463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

JEAN HuguesPrime Dentistry Pllc(954) 388-3738Prov No 0000128409934515 Wiles Rd Ste 104Coconut Creek FL 33073Language FrenchGender MaleNPI 1700329968License DN23067License Type DBP DentistBoard Certified Not ReportedEmail primedentistryflgmailcomFax (855) 823-3244Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)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 NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121005355463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124447945463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

3GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

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 DN20075License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350625463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000115511005463 Lyons Rd Ste CCoconut Creek FL 33073Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)MARTINEZ Amy MDental Health Group Pa(954) 428-1803Prov No 0000121048484660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1124382866License DN20973License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000115521245463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000128168995463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)PLANES Alex ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121285475463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000020237485463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RANGEL RaulDental Health Group Pa(954) 428-1803Prov No 0000002118564660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender MaleNPI 1629154216License DN13743License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)RAPPAPORT David BSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121728075463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120666745463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004350735463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

4 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)RODRIGUEZ Margarita MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000004538525463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Mayra LDental Health Group Pa(954) 428-1803Prov No 0000004398954660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1972703254License DN18010License Type DBP DentistBoard Certified NEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

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 ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)ROSSEN Peter APeter A Rossen Dds(954) 975-0123Prov No 0000000188534825 Coconut Creek PkwyCoconut Creek FL 33063Gender MaleNPI 1003224643License DN8066License Type DBP DentistBoard Certified Not ReportedEmail karencoconutcreekomscomFax (954) 975-0123Accepts New Patients YHospital Affiliation NA

SAHI Gurman KGurman K Sahi Dmdpa(954) 974-7778Prov No A000000236574400 W Sample Rd Ste 118Coconut Creek FL 33073Gender MaleNPI 1689711020License DN17509License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 974-7884Accepts New Patients YHospital Affiliation NA

SANCHEZ Diego FDental Health Group Pa(954) 428-1803Prov No 0000133457184660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender MaleNPI 1902329816License DN22938License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)SCARFONE MelanieSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121753265463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

SHRAITEH Jenan AGreat Expressions DentalCenters(248) 203-1119Prov No 0000120092424660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Language ArabicGender FemaleNPI 1699115816License DN20252License Type DBP DentistBoard Certified NEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

SIEGEL Tara LDental Health Group Pa(954) 428-1803Prov No 0000122491964660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)SNIDER Erica MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000007046825463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121635035463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124542915463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

5GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)TORRES DianaDental Health Group Pa(954) 428-1803Prov No 0000121101274660 W Hillsboro Blvd Ste7Coconut Creek FL 33073Language SpanishGender FemaleNPI 1083016257License DN20879License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-8105Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124626425463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000121402045463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)VERA Anny BSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120943545463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000021561795463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000120193585463 Lyons Rd Ste CCoconut Creek FL 33073Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COCONUT CREEK (Cont)YU Joyce WSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000124854105463 Lyons Rd Ste CCoconut Creek FL 33073Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Coconut CreekPllc(954) 571-7123Prov No 0000012634415463 Lyons Rd Ste CCoconut Creek FL 33073Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 571-7122Accepts New Patients YHospital Affiliation NA

COOPER CITY

ABDEL-JABBAR Sana HSage Dental of Davie Pllc(954) 432-2700Prov No 0000124579559870 Griffin RdCooper City FL 33328Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)AZARI Scott JSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979349870 Griffin RdCooper City FL 33328Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BIRNS Bradley MTravel-Dent-Birns and Birns Pa(954) 680-2237Prov No 0000000182285121 Sw 90th Ave Ste 7 Cooper City FL 33328Gender MaleNPI 1588788046License DN10450License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 680-4467Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979359870 Griffin RdCooper City FL 33328Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

6 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)BRATMAN JerrySage Dental of Davie Pllc(954) 432-2700Prov No 0000119979379870 Griffin RdCooper City FL 33328Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BRETON Luis FSanitas Dental of South Florida(954) 434-3229Prov No 0000012119725810 S Flamingo Rd Cooper City FL 33330Language SpanishGender MaleNPI 1538396791License DN18677License Type DBP DentistBoard Certified Not ReportedEmail wendy5810csdyahoocomFax (954) 680-6254Accepts New Patients YHospital Affiliation NA

CASADO JaimeSage Dental of Davie Pplc(954) 434-2700Prov No 0000130485369870 Griffin RdCooper City FL 33328Language SpanishGender MaleNPI 1750853446License DN23838License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)CASTILLO Juan ISage Dental of Davie Pllc(954) 432-2700Prov No 0000121516369870 Griffin RdCooper City FL 33328Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Davie Pllc(954) 432-2700Prov No 0000121529889870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979409870 Griffin RdCooper City FL 33328Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)COWAN Marc ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979439870 Griffin RdCooper City FL 33328Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Davie Pllc(954) 432-2700Prov No 0000109048849870 Griffin RdCooper City FL 33328Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000129109808688 Griffin RdCooper City FL 33328Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)DAROJAT Zuhdiyah MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979459870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Davie Pplc(954) 434-2700Prov No 0000124353809870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979489870 Griffin RdCooper City FL 33328Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

7GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)DUARTE BeatrizSage Dental of Davie Pllc(954) 432-2700Prov No 0000121105099870 Griffin RdCooper City FL 33328Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979499870 Griffin RdCooper City FL 33328Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Davie Pllc(954) 432-2700Prov No 0000119971599870 Griffin RdCooper City FL 33328Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000129218728688 Griffin RdCooper City FL 33328Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979569870 Griffin RdCooper City FL 33328Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979589870 Griffin RdCooper City FL 33328Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)GARRISON Harvey BSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979599870 Griffin RdCooper City FL 33328Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Davie Pllc(954) 432-2700Prov No 0000120913629870 Griffin RdCooper City FL 33328Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Davie Pllc(954) 432-2700Prov No 0000121953669870 Griffin RdCooper City FL 33328Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)GREEN BeverlySage Dental of Davie Pllc(954) 432-2700Prov No 0000122044189870 Griffin RdCooper City FL 33328Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

GREENSPAN-BIRNS Robin LTravel-Dent-Birns and Birns Pa(954) 680-2237Prov No 0000000182295121 Sw 90th Ave Ste 7 Cooper City FL 33328Gender FemaleNPI 1861516320License DN10512License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 680-4467Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119979649870 Griffin RdCooper City FL 33328Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

8 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)HALLER DustinSage Dental of Davie Pllc(954) 432-2700Prov No 0000132852509870 Griffin RdCooper City FL 33328Gender MaleNPI 1346502705License DN19767License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

HART Trevor HSage Dental of Davie Pllc(954) 432-2700Prov No 0000127740229870 Griffin RdCooper City FL 33328Gender MaleNPI 1033561907License DN21893License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Davie Pllc(954) 432-2700Prov No 0000120991129870 Griffin RdCooper City FL 33328Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)IRAVANI Mina FSage Dental of Davie Pllc(954) 432-2700Prov No 0000125101219870 Griffin RdCooper City FL 33328Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979759870 Griffin RdCooper City FL 33328Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Davie Pllc(954) 432-2700Prov No 0000121007049870 Griffin RdCooper City FL 33328Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)LEMINH Chau JSage Dental of Davie Pllc(954) 432-2700Prov No 0000124447979870 Griffin RdCooper City FL 33328Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Davie Pllc(954) 432-2700Prov No 0000121769339870 Griffin RdCooper City FL 33328Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979789870 Griffin RdCooper City FL 33328Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)MA RobertSage Dental of Davie Pllc(954) 432-2700Prov No 0000119979799870 Griffin RdCooper City FL 33328Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

MENENDEZ LLERA Vivian MArt Dental Studio Llc(954) 233-0707Prov No 00001260902510026 Griffin Rd Cooper City FL 33328Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail artdentalatcoopercitygmailcomFax (954) 252-4309Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Davie Pllc(954) 432-2700Prov No 0000002414489870 Griffin RdCooper City FL 33328Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

9GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)MONCRIEFFE Tiffany ISage Dental of Davie Pllc(954) 432-2700Prov No 0000128169009870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000128396418688 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Davie Pllc(954) 432-2700Prov No 0000121285499870 Griffin RdCooper City FL 33328Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)QUICK James RSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980019870 Griffin RdCooper City FL 33328Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Davie Pllc(954) 432-2700Prov No 0000121728219870 Griffin RdCooper City FL 33328Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Davie Pllc(954) 432-2700Prov No 0000120666779870 Griffin RdCooper City FL 33328Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000130367818688 Griffin RdCooper City FL 33328Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980049870 Griffin RdCooper City FL 33328Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980059870 Griffin RdCooper City FL 33328Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)ROQUE-RUANO MaikelSage Dental of Davie Pllc(954) 432-2700Prov No 0000125239239870 Griffin RdCooper City FL 33328Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Davie Pllc(954) 432-2700Prov No 0000121753249870 Griffin RdCooper City FL 33328Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000131582978688 Griffin RdCooper City FL 33328Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

10 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

COOPER CITY (Cont)SNIDER Erica MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980149870 Griffin RdCooper City FL 33328Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 399-2393Prov No 0000130370148688 Griffin RdCooper City FL 33328Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6048Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Davie Pllc(954) 432-2700Prov No 0000121635119870 Griffin RdCooper City FL 33328Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)STRONG Shanice De OnaSage Dental of Davie Pllc(954) 432-2700Prov No 0000124542949870 Griffin RdCooper City FL 33328Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Davie Pllc(954) 432-2700Prov No 0000124626459870 Griffin RdCooper City FL 33328Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Davie Pllc(954) 432-2700Prov No 0000121461839870 Griffin RdCooper City FL 33328Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)VERA Anny BSage Dental of Davie Pllc(954) 432-2700Prov No 0000120943579870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Davie Pllc(954) 432-2700Prov No 0000119980259870 Griffin RdCooper City FL 33328Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Davie Pllc(954) 432-2700Prov No 0000120193619870 Griffin RdCooper City FL 33328Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

COOPER CITY (Cont)YU Joyce WSage Dental of Davie Pllc(954) 432-2700Prov No 0000124854079870 Griffin RdCooper City FL 33328Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Davie Pllc(954) 432-2700Prov No 0000119980279870 Griffin RdCooper City FL 33328Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 461-8169Accepts New Patients YHospital Affiliation NA

CORAL SPRINGS

ABDEL-JABBAR Sana HSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124579155810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

11GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ABDEL-JABBAR Sana HSage Dental of Jupiter(954) 753-4005Prov No 000012457954987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

AKPAKA Wisdom DWisdom Akpaka Dds Pa(954) 346-0010Prov No 0000122314679750 Nw 33rd St Ste 217Coral Springs FL 33065Gender MaleNPI 1114338738License DN21551License Type DBP DentistBoard Certified Not ReportedEmail adminwisdomdentalcomFax (954) 346-1967Accepts New Patients YHospital Affiliation NA

ALVAREZ Eric IHeron Dentistry(954) 753-1160Prov No 0000003810496240 Coral Ridge Dr Ste 1 07Coral Springs FL 33076Gender MaleNPI 1326237454License DN15919License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 753-1161Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ANAND Payal MPayal M Anand Dds(954) 757-5353Prov No 0000124371382929 N University Dr Ste203Coral Springs FL 33065Gender FemaleNPI 1801088919License DN18901License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-5341Accepts New Patients YHospital Affiliation NA

AROCHA MiguelinaDental Health Group Pa(954) 755-1014Prov No 0000128501322365 N University DrCoral Springs FL 33065Gender FemaleNPI 1407081540License DN20006License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

AZAR Diego MCoral Springs Dental Associates(954) 575-9800Prov No 000000303700730 Riverside Dr Coral Springs FL 33071Gender MaleNPI 1841207065License DN17120License Type DBP DentistBoard Certified Not ReportedEmail coralspringssmiledesigndentalflcomFax (954) 575-1868Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)AZARI Scott JSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096455810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001956168987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BACCHELLI LaraTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000132443768214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BAGHAEI Anoushirvan ACoral Springs Dental Associates(954) 575-9800Prov No 000006365412730 Riverside Dr Coral Springs FL 33071Gender MaleNPI 1922385640License DN17121License Type DBP DentistBoard Certified Not ReportedEmail coralspringssmiledesigndentalflcomFax (954) 575-1868Accepts New Patients YHospital Affiliation NA

BELOTSERKOVSKY DanielDaniel Belotserkovsky(954) 227-8133Prov No 0000129981342801 N University DrCoral Springs FL 33065Gender MaleNPI 1912344904License DN21757License Type DBP DentistBoard Certified Not ReportedEmail infodanielcosmeticdentistrycomFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000004029476987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

12 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BOCKIAN Joshua ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000040294795810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Coral SpringsPllc(954) 753-4005Prov No 000000018930987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Parkland Pllc(954) 905-1290Prov No 0000121297505810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BRETOS Alexander LMagnolia Dental(954) 227-1417Prov No 0000000398799625 Westview Dr Coral Springs FL 33076Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmail magnoliadental1gmailcomFaxAccepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 755-1014Prov No 0000015512182365 N University DrCoral Springs FL 33065Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 753-7400Prov No 0000124405979601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)BRODY Robert ADana Busciglio(954) 393-0303Prov No 0000125546851881 N University Dr Ste208Coral Springs FL 33071Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmail infofamily-orthdontistcomFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

CARVALHO Sandra EDentist Art(954) 906-8177Prov No 0000122463459955 Nw 31st St Ste 201 Coral Springs FL 33065Language SpanishGender FemaleNPI 1578792552License DN18811License Type DBP DentistBoard Certified Not ReportedEmail infodentistartco mFax (954) 323-5474Accepts New Patients YHospital Affiliation NA

CASADO Candida MSagedental Ofparkland(561) 999-9650Prov No 0000130117435810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1053889105License DN23832License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CASADO Candida MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000013023536987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1053889105License DN23832License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Jupiter(954) 753-4005Prov No 000012151635987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

CHENG XiaofangLakeview Bright Smiles Pa(954) 341-1888Prov No 00000041943212434 W Atlantic Blvd Coral Springs FL 33071Gender MaleNPI 1104945807License DN15384License Type DBP DentistBoard Certified Not ReportedEmail lakeview1666attn etFax (954) 341-1666Accepts New Patients YHospital Affiliation NA

13GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CHILDERS Carmen DSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121529765810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746911987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHOKSI Rachana DRachana Arora Dmd Pa(954) 399-7000Prov No 0000120394575521 N University Dr Ste102Coral Springs FL 33067Gender FemaleNPI 1174774335License DN18505License Type DBP DentistBoard Certified Not ReportedEmail affordablefamilysmilesgmailcomFax (954) 251-4150Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CICORTAS Florin NTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000127190598214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

COHEN Freyda BDental Health Group Pa(954) 755-1014Prov No 0000012123572365 N University DrCoral Springs FL 33065Gender FemaleNPI 1073775334License DN19277License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

COLLAZO Ralph CMagnolia Dental(954) 227-1417Prov No 0000000398809625 Westview Dr Coral Springs FL 33076Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmail magnoliadental1gmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CORONADO EfrainSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096525810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001540176987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

COUTRAS ElevteriaTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000016571208214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)COWAN Marc ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000003916235987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000039163555810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CRISCUOLO StephenJampY Dental Llc(954) 344-8800Prov No 0000126052531700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

14 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)CRUZ Antonio RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000017716265810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001771638987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

CUNHA Renata FDental Health Group Pa(954) 753-7400Prov No 0000121049779601 W Atlantic BlvdCoral Springs FL 33071Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DANESNGAR MehrdadSylvia Mentrasti Pa(954) 755-3337Prov No 0000127673171314 N University DrCoral Springs FL 33071Gender MaleNPI 1720599152License DN23015License Type DBP DentistBoard Certified Not ReportedEmail prodentgroupofcoralspringsgmailcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000004589931987 N University Dr Ste 1 05Coral Springs FL 33071Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000045899505810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DOOLEY Jill CDental Health Group Pa(954) 753-7400Prov No 0000051788149601 W Atlantic BlvdCoral Springs FL 33071Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124364125810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CGentle Dental Group of CoralSprings Pllc(954) 753-4005Prov No 000012448060987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DOUGHERTY CleydesCima Dental Llc(954) 575-0880Prov No 0000012416652801 N University Dr Ste301Coral Springs FL 33065Gender FemaleNPI 1649587064License DN19155License Type DBP DentistBoard Certified Not ReportedEmail frontdeskdentalhealthandbeautycomFax (954) 575-0890Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000019584545810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001958465987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

15GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DUARTE BeatrizSage Dental of Jupiter(954) 753-4005Prov No 000012110508987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121105435810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DULCEY Monica AInnovation Dental(954) 227-2718Prov No 0000125433756180 W Sample RdCoral Springs FL 33067Language Portuguese SpanishGender FemaleNPI 1003195694License DN19480License Type DBP DentistBoard Certified Not ReportedEmail contactusinnovationdentalflcomFax (954) 227-7421Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)DURAN FeliciaFelicia Duran Dds Pa(954) 575-3433Prov No 0000020882269565 W Atlantic Blvd Coral Springs FL 33071Gender FemaleNPI 1881959211License DN19859License Type DBP DentistBoard Certified NEmail adminsmilesbydurancomFax (954) 575-1313Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000017722675810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001772288987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ELEFANT Jacob IJ + Y Dental Llc(954) 344-8800Prov No 0000122318761700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1154511376License DN12892License Type DBP DentistBoard Certified Not ReportedEmail nadiakk143gmailc omFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Jupiter(954) 753-4005Prov No 000012585925987 N University Dr Ste 1 05Coral Springs FL 33071Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Parkland Pllc(954) 905-1290Prov No 0000125859345810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011551567987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Parkland Pllc(954) 905-1290Prov No 0000115515695810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

FORERO William AWilliam A Forero Dmd Pa(954) 752-4900Prov No 0000002774363000 N University Dr Ste PCoral Springs FL 33065Gender MaleNPI 1104924521License DN16965License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 752-3490Accepts New Patients YHospital Affiliation NA

16 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)FOX Jeffrey MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004252785810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001593132987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental Coral Springs Llc(954) 344-1999Prov No 0000131178718214 Wiles Rd Coral Springs FL 33067Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GARCES CarolinaCoral Springs ModernDentistry(954) 314-8343Prov No 0000131557135810 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA Maria CDental Health Group Pa(954) 755-1014Prov No 0000126414012365 N University DrCoral Springs FL 33065Gender FemaleNPI 1295261774License DN22136License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000000197574987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GARCIA-PORRAS MarcelaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000011375485810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004175545810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Jupiter(954) 753-4005Prov No 000012104287987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GHATTAS Maureen ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000120913755810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Jupiter(954) 753-4005Prov No 000012112738987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen BSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746696987 N University Dr Ste 105Coral Springs FL 33071Gender FemaleNPI 1285915421License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

17GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GOLDBERG Douglas ADouglas A Goldberg Dmd(954) 346-1075Prov No 0000000215812706 N University DrCoral Springs FL 33065Gender MaleNPI 1275757452License DN11266License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 346-2200Accepts New Patients YHospital Affiliation NA

GONCALVES CORDERO Jhezanuel CDental Health Group Pa(954) 755-1014Prov No 0000133346482365 N University DrCoral Springs FL 33065Gender FemaleNPI 1477979557License DN23722License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121951605810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GONZALES AngelicaSage Dental of Jupiter(954) 753-4005Prov No 000012195365987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

GONZALEZ DarlenTlc Dental Coral Springs Llc(954) 344-1999Prov No 0000130479528214 Wiles Rd Coral Springs FL 33067Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Jupiter(954) 753-4005Prov No 000012204417987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GREEN BeverlySage Dental of Parkland Pllc(954) 905-1290Prov No 0000122044525810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000012161105810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Jupiter(954) 753-4005Prov No 000001216115987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)GULTZ Jerrold PSage Dental of Jupiter(954) 753-4005Prov No 000012435378987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1851326581License DN10295License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

HALLER DustinGreat Expressions DentalCenters(954) 755-1014Prov No 0000021563832365 N University DrCoral Springs FL 33065Gender MaleNPI 1346502705License DN19767License Type DBP DentistBoard Certified NEmailFax (954) 755-7428Accepts New Patients YHospital Affiliation NA

HEIDER Joseph MJ amp Y Dental Llc(954) 344-8800Prov No 0000127901061700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1609879667License DN9225License Type DBP DentistBoard Certified Not ReportedEmail nadiakk143gmailc omFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

18 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)HELFANT JaredTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000016571198214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012098975987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120989775810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)IRAVANI Mina FSage Dental of Jupiter(954) 753-4005Prov No 000012510120987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Parkland Pllc(954) 905-1290Prov No 0000125101515810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

IURCOVICH Maximillian ODental Health Group Pa(954) 753-7400Prov No 0000120317439601 W Atlantic BlvdCoral Springs FL 33071Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)JACOBSOHN Henry DTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000124260538214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011116480987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Parkland Pllc(954) 905-1290Prov No 0000113317605810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)KAREDAN Jerry JGentle Teeth of Coral Springs ampParkland Inc(954) 344-3932Prov No 0000131819315521 N University Dr Ste102Coral Springs FL 33067Language Other(Non-English) SpanishGender MaleNPI 1053835942License DN22939License Type DBP DentistBoard Certified Not ReportedEmail genteethcsgmailc omFax (844) 260-5713Accepts New Patients YHospital Affiliation NA

KARIM SaraCoral Springs ModernDentistry(954) 314-8343Prov No 0000129334755810 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1376038000License DN23520License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KEANE ChrisCoral Springs ModernDentistry Pa(954) 314-8343Prov No 0000129083345810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 314-8345Accepts New Patients YHospital Affiliation NA

19GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)KELLNER Alan SJampY Dental Llc(954) 344-8800Prov No 0000004636301700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1508984626License DN14054License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental Coral Springs Llc(954) 344-1999Prov No 0000125884518214 Wiles Rd Coral Springs FL 33067Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121007005810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)LAMB NicoleSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746385987 N University Dr Ste 105Coral Springs FL 33071Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Jupiter(954) 753-4005Prov No 000012444796987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124449595810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)LEONARD Thomas PDr Nilesh Dalal Pa(954) 341-1000Prov No 0000123128225521 N University Dr Ste101Coral Springs FL 33067Gender MaleNPI 1831468735License DN19469License Type DBP DentistBoard Certified NEmail smiledesignersmilesusFax (954) 341-0030Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121766525810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Jupiter(954) 753-4005Prov No 000012176932987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)LONDONO Jennifer DSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096635810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Jupiter(954) 753-4005Prov No 000012112739987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

LUSSIER MeghannCoral Dental Specialists Llc(954) 642-1013Prov No 00001327779211332 Wiles RdCoral Springs FL 33076Gender FemaleNPI 1083160345License DN23327License Type DBP DentistBoard Certified Not ReportedEmail coraldentalsgmailcomFax (754) 300-1484Accepts New Patients YHospital Affiliation NA

20 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MA RobertSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011551122987 N University Dr Ste 1 05Coral Springs FL 33071Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Parkland Pllc(954) 905-1290Prov No 0000115511305810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

Marti Bagdasarov AnjelikaSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000013020303987 N University Dr Ste 1 05Coral Springs FL 33071Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MARTINASEVIC SuncicaJampY Dental Llc(954) 344-8800Prov No 0000129920561700 N University Dr Ste101Coral Springs FL 33071Gender FemaleNPI 1720333636License DN19844License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

MARTINEZ Amy MDental Health Group Pa(954) 755-1014Prov No 0000120870712365 N University DrCoral Springs FL 33065Gender FemaleNPI 1124382866License DN20973License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LMiami Shores ModernDentistry(954) 314-8343Prov No 0000126405015810 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MCCOWN Michael GDental Health Group Pa(954) 753-7400Prov No 0000121049819601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

MENTRASTI-SANTANA SylviaSylvia Mentrasti Pa(954) 755-3337Prov No 0000128528681314 N University DrCoral Springs FL 33071Language SpanishGender FemaleNPI 1679820344License DN19864License Type DBP DentistBoard Certified NEmail prodentgroupofcoralspringsgmailcomFaxAccepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Parkland Pllc(954) 905-1290Prov No 0000117711335810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MOHR Eric ESage Dental of Coral SpringsPllc(954) 753-4005Prov No 000011771141987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746634987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Parkland Pllc(954) 905-1290Prov No 0000128194805810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

21GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)MORALES Ronald JDental Health Group Pa(954) 753-7400Prov No 0000124225869601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000125582508214 Wiles RdCoral Springs FL 33067Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(954) 753-7400Prov No 0000126837049601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)NAGUIB Michelle ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000012796095810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

OCHOA LuisDentist Art(954) 906-8177Prov No 0000121605449955 Nw 31st St Ste 201 Coral Springs FL 33065Gender MaleNPI 1528262052License DN17926License Type DBP DentistBoard Certified Not ReportedEmail infodentistartco mFax (954) 323-5474Accepts New Patients YHospital Affiliation NA

OLIVEIRA Paulo ACoral Springs ModernDentistry(954) 314-8343Prov No 0000127050695810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1285157826License DN22922License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)PETRUK MarielWisdom Dental(954) 346-0010Prov No 0000122354869750 Nw 33rd St Ste 217Coral Springs FL 33065Gender FemaleNPI 1518373018License DN20744License Type DBP DentistBoard Certified Not ReportedEmail adminwisdomdentalcomFax (954) 346-1967Accepts New Patients YHospital Affiliation NA

PHAM Minh BCoral Springs ModernDentistry(954) 314-8343Prov No 0000128515275810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000121285365810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)PLANES Alex ASaga Dental of Coral SpringsPllc(561) 999-9650Prov No 000012746967987 N University Dr Ste 105Coral Springs FL 33071Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000020237515810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000002023761987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

22 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RAND Matthew KJampY Dental Llc(954) 344-8800Prov No 0000122464031700 N University Dr Ste101Coral Springs FL 33071Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121616985810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Jupiter(954) 753-4005Prov No 000012172809987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RIEGER Eric RSage Dental of Jupiter(954) 753-4005Prov No 000012066676987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120667315810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004096665810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RING Stephen GSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001549136987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental Coral Springs Llc(954) 344-1999Prov No 0000122531388214 Wiles Rd Coral Springs FL 33067Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFax (954) 642-0762Accepts New Patients YHospital Affiliation NA

ROBISON Walter GAegean Dental of Coral SpringsLlc(954) 227-5921Prov No 00001217563610220 W Sample RdCoral Springs FL 33065Gender MaleNPI 1144492935License DN20424License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)RODRIGUEZ Margarita MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000004538535810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSaga Dental of Coral SpringsPllc(561) 999-9650Prov No 000012746691987 N University Dr Ste 105Coral Springs FL 33071Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Jupiter(954) 753-4005Prov No 000012523922987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

23GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ROQUE-RUANO MaikelSage Dental of Parkland Pllc(954) 905-1290Prov No 0000125239375810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

ROSTOCK Jennifer LTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000125305808214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(954) 753-7400Prov No 0000129659319601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SARRIA Paulo ASarria Dental Inc(954) 227-2718Prov No 0000095746886180 W Sample Rd 109Coral Springs FL 33067Language SpanishGender MaleNPI 1598067407License DN19057License Type DBP DentistBoard Certified NEmail contactusinnovationdentalflcomFax (954) 227-7421Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121753125810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Jupiter(954) 753-4005Prov No 000012175323987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SEMPRUN-ARRIVLLAGA Maria ACima Dental Llc(954) 575-0880Prov No 0000012416622801 N University Dr Ste301Coral Springs FL 33065Gender FemaleNPI 1124320718License DN19062License Type DBP DentistBoard Certified Not ReportedEmail frontdeskdentalhealthandbeautycomFax (954) 575-0890Accepts New Patients YHospital Affiliation NA

SHULMAN Jared DJampY Dental Llc(954) 344-8800Prov No 0000124344601700 N University Dr Ste101Coral Springs FL 33071Gender MaleNPI 1033537162License DN21818License Type DBP DentistBoard Certified Not ReportedEmail jbravocoralspringsdentalcentercomFax (954) 344-4489Accepts New Patients YHospital Affiliation NA

SINGH ROY AnurupaGentle Teeth of Coral Springs ampParkland Inc(954) 344-3932Prov No 0000125623195521 N University Dr Ste102Coral Springs FL 33067Gender FemaleNPI 1073956447License DN20537License Type DBP DentistBoard Certified Not ReportedEmail genteethcsgmailc omFax (844) 260-5713Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SNIDER Erica MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000007046885810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000001956226987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

SNYDER Brian HBrian H Snyder Dds Pa(954) 753-4101Prov No 00000002039010347 Royal Palm BlvdCoral Springs FL 33065Gender MaleNPI 1992854871License DN9733License Type DBP DentistBoard Certified Not ReportedEmail bhsnyderddsgmailcomFax (954) 753-7133Accepts New Patients YHospital Affiliation NA

24 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)SORROZA JenniferTlc Dental Coral Springs Llc(954) 720-5511Prov No 0000016571228214 Wiles RdCoral Springs FL 33067Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail cstlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

SPINGARN Joseph HDental Health Group Pa(954) 753-7400Prov No 0000109031699601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1508886136License DN5044License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

STEIN IlyaIlya Stein(954) 341-4766Prov No 0000002099216267 W Sample RdCoral Springs FL 33067Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 255-8131Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)STEINER Samantha LSage Dental of Jupiter(954) 753-4005Prov No 000012163505987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Parkland Pllc(954) 905-1290Prov No 0000121635105810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Jupiter(954) 753-4005Prov No 000012454293987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)STRONG Shanice De OnaSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124543115810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

TAHA Ahmed ADental Health Group Pa(954) 753-7400Prov No 0000127611189601 W Atlantic BlvdCoral Springs FL 33071Language SpanishGender MaleNPI 1225411069License DN21380License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

TAYLOR ShellyDental Health Group Pa(954) 753-7400Prov No 0000125099109601 W Atlantic BlvdCoral Springs FL 33071Gender FemaleNPI 1508224155License DN22291License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)TCHOU LuisaSegelnick Specialists Llc(954) 575-5488Prov No 0000032746305481 N University Dr Ste102Coral Springs FL 33067Language SpanishGender FemaleNPI 1124315270License DN19419License Type DBP DentistBoard Certified Not ReportedEmail managermini-mouthcomFax (954) 575-1859Accepts New Patients YHospital Affiliation NA

THOMAS Antony PCoral Springs ModernDentistry Pa(954) 314-8343Prov No 0000135023535810 Wiles RdCoral Springs FL 33067Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 314-8345Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Jupiter(954) 753-4005Prov No 000012462644987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

25GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)URCUYO Jacqueline CSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124626605810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VAN JimCoral Springs ModernDentistry(954) 314-8343Prov No 0000128801005810 Wiles RdCoral Springs FL 33067Gender MaleNPI 1649796293License DN23005License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

VATHIELIL Jelena MGentle Teeth of Coral Springs ampParkland Inc(954) 344-3932Prov No 0000126554315521 N University Dr Ste102Coral Springs FL 33067Gender FemaleNPI 1699184150License DN20854License Type DBP DentistBoard Certified Not ReportedEmail genteethcsgmailc omFax (844) 260-5713Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)VAZANA Todd ADental Health Group Pa(954) 755-1014Prov No 0000120687972365 N University DrCoral Springs FL 33065Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000121461305810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASaga Dental of Coral SpringsPllc(561) 999-9650Prov No 000012747271987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)VERA Anny BSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120942665810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012746450987 N University Dr Ste 105Coral Springs FL 33071Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ADental Health Group Pa(954) 755-1014Prov No 0000015388592365 N University DrCoral Springs FL 33065Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 755-1028Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)VIGNOLA Jennifer ASage Dental of Parkland Pllc(954) 905-1290Prov No 0000021561815810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Coral SpringsPllc(954) 753-4005Prov No 000002156187987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

VULTAGGIO Francesco PVultaggio Dentistry of CoralSprings Llc(954) 840-1940Prov No 00000113417110339 W Sample Rd Coral Springs FL 33065Gender MaleNPI 1861645038License DN18316License Type DBP DentistBoard Certified Not ReportedEmail vultaggiodentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

26 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)YU Cynthia WSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000012019360987 N University Dr Ste 1 05Coral Springs FL 33071Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Parkland Pllc(954) 905-1290Prov No 0000120193685810 Coral Ridge Dr Ste 130Coral Springs FL 33076Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Parkland Pllc(954) 905-1290Prov No 0000124854045810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)YU Joyce WSage Dental of Jupiter(954) 753-4005Prov No 000012485412987 N University Dr Ste 1 05Coral Springs FL 33071Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

ZUSSELMAN ArnoldDental Health Group Pa(954) 753-7400Prov No 0000121049839601 W Atlantic BlvdCoral Springs FL 33071Gender MaleNPI 1134347172License DN13888License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 757-0978Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Coral SpringsPllc(954) 753-4005Prov No 000000723587987 N University Dr Ste 1 05Coral Springs FL 33071Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 753-7191Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

CORAL SPRINGS (Cont)ZYLBERING Jason MSage Dental of Parkland Pllc(954) 905-1290Prov No 0000011941595810 Coral Ridge Dr Ste 130Coral Springs FL 33076Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 345-8606Accepts New Patients YHospital Affiliation NA

DANIA

SCHOPLER Thomas AAtlantic Florida Dental Inc(954) 922-1947Prov No 000000019066250 E Dania Beach BlvdDania FL 33004Gender MaleNPI 1982807012License DN5316License Type DBP DentistBoard Certified Not ReportedEmail 445thorper5attne tFax (954) 920-2042Accepts New Patients YHospital Affiliation NA

DANIA BEACH

COUTRAS ElevteriaTlc Dental Dania Llc(954) 926-5888Prov No 000000306536435 E Sheridan St Dania Beach FL 33004Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DANIA BEACH (Cont)HELFANT JaredTlc Dental - Dania(954) 926-5888Prov No 000001657128435 E Sheridan StDania Beach FL 33004Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

JACOBSOHN Henry DTlc Dental Dania Llc(954) 926-5888Prov No 000012426233435 E Sheridan St Dania Beach FL 33004Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

LOBAINA Yoan ELobaina Dental Corp(954) 925-2977Prov No 000012508817801 S Federal Hwy Ste 829Dania Beach FL 33004Gender MaleNPI 1245468131License DN18774License Type DBP DentistBoard Certified NEmailFax (754) 263-3982Accepts New Patients YHospital Affiliation NA

27GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DANIA BEACH (Cont)PINNOCK Alyssa HSunheart Dental Pa(954) 925-2977Prov No 000012504096801 S Federal Hwy Ste 829Dania Beach FL 33004Gender FemaleNPI 1003987157License DN17610License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

RAND Matthew KTlc Dental - Dania(954) 926-5888Prov No 000012251620435 E Sheridan StDania Beach FL 33004Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental Dania Llc(954) 926-5888Prov No 000012253146435 E Sheridan St Dania Beach FL 33004Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DANIA BEACH (Cont)SORROZA JenniferTlc Dental Dania Llc(954) 926-5888Prov No 000000417493435 E Sheridan St Dania Beach FL 33004Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

TAYLOR Nathan MAspen Dental(954) 364-0402Prov No 0000129603341704 Stirling RdDania Beach FL 33004Gender MaleNPI 1295183945License DN21825License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

TRAN BrianAspen Dental(954) 364-0402Prov No 0000129561051704 Stirling RdDania Beach FL 33004Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE

AZADI Anthony ADavie Modern Dentistry(954) 248-2742Prov No 0000127331235796 S University Dr Ste102Davie FL 33328Gender MaleNPI 1326491853License DN22177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BENJAMIN ReenuPristine Dental Care Inc(954) 680-2047Prov No 0000121504178218 Griffin RdDavie FL 33328Gender MaleNPI 1992832653License DN15371License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 212-2846Accepts New Patients YHospital Affiliation NA

CORPAS Alfredo DDental Associates of Davie Inc(954) 474-2422Prov No 0000013240502879 S University DrDavie FL 33328Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-1966Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)CUARTAS Sandra PCuartas Advanced Dentistry(954) 424-3220Prov No 00000358919910650 W State Road 84 Ste 213Davie FL 33324Language SpanishGender FemaleNPI 1003008418License DN18113License Type DBP DentistBoard Certified Not ReportedEmail frontdeskcuartasadcomFax (954) 424-3223Accepts New Patients YHospital Affiliation NA

DIAZ YanetDiaz Dental Group Llc(954) 474-2422Prov No 0000124844672879 S University DrDavie FL 33328Language SpanishGender FemaleNPI 1215376934License DN20123License Type DBP DentistBoard Certified Not ReportedEmail diazdentalgroupgmailcomFax (954) 474-1966Accepts New Patients YHospital Affiliation NA

FEINER Jaymie BDavid A Sachs Dds Pa(954) 475-0700Prov No 0000002306592263 S University Dr Davie FL 33324Gender FemaleNPI 1740404912License DN16837License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

28 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DAVIE (Cont)FUNDORA Yolaivys VWhole Dental Design Llc(954) 320-9555Prov No 0000129958961875 S University DrDavie FL 33324Gender FemaleNPI 1285074112License DN20186License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ Monica GDavie Modern Dentistry(954) 248-2742Prov No 0000124601245796 S University Dr Ste102Davie FL 33328Gender FemaleNPI 1699115741License DN20163License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KEANE ChrisPreferred Dental Care Pa(954) 475-0700Prov No 0000128130582263 S University Dr Davie FL 33324Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail preferreddentaldaviegmailcomFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)KOCHER JenniferKocher amp Kocher Dentistry Pa(954) 434-0600Prov No 0000004528364801 S University Dr Ste 112Davie FL 33328Gender FemaleNPI 1942478953License DN17970License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

KOCHER JenniferKocher amp Kocher Dentistry(954) 434-0600Prov No 0000004528364801 S University Dr Ste 112Davie FL 33328Gender FemaleNPI 1942478953License DN17970License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

KOCHER MichaelKocher amp Kocher Dentistry Pa(954) 434-0600Prov No 0000004565334801 S University Dr Ste 112Davie FL 33328Gender MaleNPI 1336302587License DN18328License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)KOCHER MichaelKocher amp Kocher Dentistry(954) 434-0600Prov No 0000004565334801 S University Dr Ste 112Davie FL 33328Gender MaleNPI 1336302587License DN18328License Type DBP DentistBoard Certified Not ReportedEmail kocherandkochergmailcomFax (954) 424-0143Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VPreferred Dental Care Pa(954) 475-0700Prov No 0000127831132263 S University Dr Davie FL 33324Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail preferreddentaldaviegmailcomFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

LASKA Mario LDavie Modern Dentistry(954) 248-2742Prov No 0000124340295796 S University Dr Ste102Davie FL 33328Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)MCCANN LEE Katie LDavie Modern Dentistry(954) 248-2742Prov No 0000123381145796 S University Dr Ste102Davie FL 33328Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MCHUGH Allyson MDavie Modern Dentistry(954) 248-2742Prov No 0000129783285796 S University Dr Ste102Davie FL 33328Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PALACIN Matilde AMatilde Palacin(954) 472-4656Prov No 00000030888213728 W State Road 84 Ste 84Davie FL 33325Language SpanishGender FemaleNPI 1962586164License DN17070License Type DBP DentistBoard Certified Not ReportedEmail smilepalacindentalcomFax (866) 401-0408Accepts New Patients YHospital Affiliation NA

29GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DAVIE (Cont)PHAM Minh BDavie Modern Dentistry(954) 248-2742Prov No 0000128426535796 S University Dr Ste102Davie FL 33328Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SACHS David ADavid A Sachs Dds Pa(954) 475-0700Prov No 0000000189022263 S University Dr Davie FL 33324Gender MaleNPI 1588790430License DN6123License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

SACHS Randy JDavid A Sachs Dds Pa(954) 475-0700Prov No 0000000610102263 S University Dr Davie FL 33324Gender MaleNPI 1417080490License DN15737License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DAVIE (Cont)THOMAS Antony PDavie Modern Dentistry(954) 248-2742Prov No 0000130425685796 S University Dr Ste102Davie FL 33328Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

TRUJILLO MadeleneFortune Smiles Inc(954) 474-2499Prov No 0000123143862879 S University DrDavie FL 33328Gender FemaleNPI 1881835767License DN18770License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VALDMAN VadimPreferred Dental Care Pa(954) 475-0700Prov No 0000127267972263 S University Dr Davie FL 33324Language RussianGender MaleNPI 1184860413License DN17761License Type DBP DentistBoard Certified Not ReportedEmail preferreddentaldaviegmailcomFax (954) 475-1201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH

ABDEL-JABBAR Sana HSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124579562265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

ATLURI SuneethaAtluri Suneetha(754) 264-7264Prov No 000012280919700 W Hillsboro Blvd Ste 1-109Deerfield Beach FL 33441Gender FemaleNPI 1063525731License DN15925License Type DBP DentistBoard Certified Not ReportedEmail dratlurismilesdentalnetFax (954) 248-2484Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000019561692265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)BOCKIAN Joshua ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000039200982265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000008590652265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121516372265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

30 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)CHILDERS Carmen DSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121529892265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015401742265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000039163682265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)CRUZ Antonio RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000017716352265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000045899322265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124353842265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)DRISCOLL Allison RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000019584492265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121105102265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000017722722265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)ESPINET KUSNIER ElaineSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000125859272265 W Hillsboro BlvdDeerfield Beach FL 33442Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000115515722265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

FIGUEROA Juan ADental Care of Deerfield Beach(954) 666-0403Prov No 0000125625561809 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1841419447License DN16545License Type DBP DentistBoard Certified Not ReportedEmail dentalcareofdeerfieldgmailcomFax (954) 666-0408Accepts New Patients YHospital Affiliation NA

31GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)FOX Jeffrey MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015931332265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000008590842265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121042862265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)GHATTAS Maureen ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120913602265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GOBER Franklyn LFrank L Gober Dds Pa(954) 427-4287Prov No 0000000186461800 W Hillsboro Blvd Ste 210Deerfield Beach FL 33442Language HebrewGender MaleNPI 1356690127License DN8433License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 427-2385Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121953672265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)GREEN BeverlySage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000122044192265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000012161122265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

GULTZ Jerrold PSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124353862265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1851326581License DN10295License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)HERNANDEZ-BARCELO Odalis EDeerfield Dental Llc(954) 428-4575Prov No 0000102162121874 W Hillsboro Blvd Ste ADeerfield Beach FL 33442Gender FemaleNPI 1568553816License DN17753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 428-3708Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120989762265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000125101222265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

32 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)JUMA ZaileenSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000113316602265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121007052265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124447982265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)LEPORE KrystinaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121769342265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121129292265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000115511232265 W Hillsboro BlvdDeerfield Beach FL 33442Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)Marti Bagdasarov AnjelikaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000130203532265 W Hillsboro BlvdDeerfield Beach FL 33442Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000115520532265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000128166302265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)PLANES Alex ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121285502265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000020237402265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121728222265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

33GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)RIEGER Eric RSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120666782265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015491432265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000015566232265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

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 credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121752922265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000019562582265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)STEINER Samantha LSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121635122265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124542952265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124626462265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)VAZANA Todd ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000121461352265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120943582265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000021561762265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

34 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)VULTAGGIO Francesco PFrancesco P Vultaggio Dmd Llc(954) 421-2122Prov No 000000459739841 Se 8th AveDeerfield Beach FL 33441Gender MaleNPI 1861645038License DN18316License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000120193622265 W Hillsboro BlvdDeerfield Beach FL 33442Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000124854132265 W Hillsboro BlvdDeerfield Beach FL 33442Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

DEERFIELD BEACH (Cont)ZYLBERING Jason MSage Dental of Deerfield BeachPllc(954) 427-2436Prov No 0000004319792265 W Hillsboro BlvdDeerfield Beach FL 33442Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 429-0900Accepts New Patients YHospital Affiliation NA

FORT LAUDERDALE

ABDEL-JABBAR Sana HSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012457921551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124579246171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(954) 776-3320Prov No 0000129777344358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300286171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130492551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)BACCHELLI LaraTlc Dental Ft Lauderdale(954) 491-7100Prov No 0000132443773001 E Commercial Blvd Fort Lauderdale FL 33308Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BAGHDASSARIAN RosemaryHab Dental Inc(954) 489-2517Prov No 0000003304112500 E Commercial Blvd StE GFort Lauderdale FL 33308Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail doreenhabdentalflacomFax (954) 489-2514Accepts New Patients YHospital Affiliation NA

BARNARD Michael RDr Michael Bernard Dds Pa(954) 763-3358Prov No 0000000192841209 W Broward Blvd Fort Lauderdale FL 33312Gender MaleNPI 1487752861License DN9973License Type DBP DentistBoard Certified Not ReportedEmail browardddsgmailcomFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

35GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)BETANCUR Alvaro LTowncare Dental of FortLauderdale Pllc(954) 563-1362Prov No 0000124727393343 Ne 33rd St Fort Lauderdale FL 33308Language SpanishGender MaleNPI 1750586079License DN12267License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300296171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130488551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)BOERAS GARCIA SuibelDental Excellence Partners Llc(954) 776-3320Prov No 0000128372904358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120470976171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130489551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CALVO Jose REast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000125182734358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1831100452License DN11226License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(954) 776-3320Prov No 0000129735284358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(954) 776-3320Prov No 0000132580904358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(954) 776-3320Prov No 0000131580044358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121516216171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012151638551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

36 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CERRA Frank ACoast Florida Pa(954) 584-5031Prov No 0000126182533937 W Broward BlvdFort Lauderdale FL 33312Gender MaleNPI 1598876435License DN8482License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 584-5303Accepts New Patients YHospital Affiliation NA

CHAMI MonaChaden Inc(954) 581-3644Prov No 0000000200333190 Davie Blvd Fort Lauderdale FL 33312Language Arabic SpanishGender FemaleNPI 1922178607License DN13046License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000128902764358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CHILDERS Carmen DSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152960551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121530036171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CICORTAS Florin NTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000127189633001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CIPORKIN Peter DDental Team of Bayview(954) 776-4720Prov No 0000121756622826 E Oakland Park Blvd Ste 300Fort Lauderdale FL 33306Language Arabic FrenchHebrew SpanishGender MaleNPI 1295898278License DN8036License Type DBP DentistBoard Certified Not ReportedEmail dentalteamofbayviewgmailcomFax (954) 489-0004Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000128665674358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120470986171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CORONADO EfrainSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130500551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORREA PINTO Rafaella1500 Dental Llc(954) 715-1000Prov No 0000129346671500 N Federal Hwy Ste 25 0Fort Lauderdale FL 33304Gender FemaleNPI 1629238407License DN 18323License Type DBP DentistBoard Certified NEmail info1500dentalco mFaxAccepts New Patients YHospital Affiliation NA

COUTRAS ElevteriaTlc Dental Ft Lauderdale(954) 491-7100Prov No 0000003065393001 E Commercial Blvd Fort Lauderdale FL 33308Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

37GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)COWAN Marc ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300316171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130501551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300326171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)CRUZ Antonio RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012181423551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(954) 776-3320Prov No 0000125343804358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120301026171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DAROJAT Zuhdiyah MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152159551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DICRESCENTO Donna LDonna L Dicrescento Dds(954) 565-3353Prov No 0000004270934144 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1063531879License DN14562License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 567-4547Accepts New Patients YHospital Affiliation NA

DIEZ Federico1500 Dental Llc(954) 715-1000Prov No 0000128968371500 N Federal Hwy Ste 25 0Fort Lauderdale FL 33304Gender MaleNPI 1043392111License DN14284License Type DBP DentistBoard Certified Not ReportedEmail info1500dentalco mFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(954) 776-3320Prov No 0000129735304358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Downtown FortLauderdale(954) 358-2772Prov No 000012436434551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124364466171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

38 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DOOLEY Jill CSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012448048551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120301056171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130504551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DUARTE BeatrizSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121105376171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130505551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120470996171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)DURKAN Marcia ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130506551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ELEFANT Jacob IJacob Elefant(954) 566-1281Prov No 0000130412492300 Ne 9th StFort Lauderdale FL 33304Gender MaleNPI 1154511376License DN12892License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000125860656171 N Federal HwyFort Lauderdale FL 33308Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)FAHEY Dana AJacob Elefant(954) 566-1281Prov No 0000131576092300 Ne 9th StFort Lauderdale FL 33304Gender FemaleNPI 1265617617License DN12687License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300826171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130547551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

39GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)FOX Jeffrey MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300836171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130548551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000131178723001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)FREDERICKSON Waynerd BDr Michael Barnard Dds Pa(954) 763-3358Prov No 0000128528241209 W Broward Blvd Fort Lauderdale FL 33312Gender MaleNPI 1750669420License DN23167License Type DBP DentistBoard Certified Not ReportedEmail browarddsgmailco mFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300846171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130549551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GARRISON Harvey BSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120435256171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130550551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GERBER JeremyJeremy Gerber Dds(954) 763-4403Prov No 0000012430561332 Se 17th St Fort Lauderdale FL 33316Gender MaleNPI 1568588580License DN16721License Type DBP DentistBoard Certified Not ReportedEmail jeremygerberdmdgmailcomFax (954) 763-0989Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GHATTAS Maureen ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120913696171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130553551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121951956171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

40 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GONZALES AngelicaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012195368551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ DarlenDr Michael Barnard Dds Pa(954) 763-3358Prov No 0000125397201209 W Broward Blvd Fort Lauderdale FL 33312Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail browarddsgmailco mFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

GONZALEZ DarlenTlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000130114483001 E Commercial BlvdFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GONZALEZ GiovanniDental Excellence Partners Llc(954) 776-3320Prov No 0000129735294358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GOYAL LakshayDentists of Fort Lauderdale(954) 947-1458Prov No 0000133711011865 Cordova RdFort Lauderdale FL 33316Gender MaleNPI 1609364876License DN23757License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 914-7811Accepts New Patients YHospital Affiliation NA

GRAFF Brad WDr Brad W Graff(954) 963-3706Prov No 0000000190673107 Stirling Rd Ste 108 Fort Lauderdale FL 33312Gender MaleNPI 1992099550License DN11270License Type DBP DentistBoard Certified Not ReportedEmail bgraffgraffdental comFax (954) 963-1223Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GREEN BeverlySage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012204420551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000122044456171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300886171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)GUERRERO Luis ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130512551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUILARTE Rhona EGuilco Family Dental(954) 771-7007Prov No 0000004458036550 N Federal Hwy Ste 55 0Fort Lauderdale FL 33308Gender FemaleNPI 1619956323License DN17335License Type DBP DentistBoard Certified Not ReportedEmail infoguilcofamilydentalcomFax (954) 771-7008Accepts New Patients YHospital Affiliation NA

HAGHIGHI AzinSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000128724926171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

41GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)HELFANT JaredTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000121572193001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

HERNANDEZ Liliana JLiliana J Hernandez Dds Pa(954) 523-0566Prov No 0000000188581330 Se 4th Ave Ste K Fort Lauderdale FL 33316Language SpanishGender FemaleNPI 1902927452License DN12715License Type DBP DentistBoard Certified Not ReportedEmail drlhernandezofficesmileflorida954comFax (954) 532-3013Accepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(954) 776-3320Prov No 0000129777334358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)HORWITZ StevenSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120989866171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130516551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012510124551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)IRAVANI Mina FSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000125101986171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JACOBSOHN Henry DTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000124259393001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300926171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)JUMA ZaileenSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130524551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KALAFATIC Frank KSmile Now Dental Care(954) 916-7646Prov No 0000121276466230 N Federal Hwy Fort Lauderdale FL 33308Gender MaleNPI 1932262581License DN16754License Type DBP DentistBoard Certified Not ReportedEmail fkddssmilenowdentalcarecomFaxAccepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000125890323001 E Commercial BlvdFort Lauderdale FL 33308Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

42 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)KRIKORIAN Charles RDental Specialists of BrowardGroup Co(954) 588-4671Prov No 0000053005699 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1720272081License DN15836License Type DBP DentistBoard Certified YEmail dspayroll1gmailc omFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121007156171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130526551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LASKA Mario LMiguel Fernando Borda Pa(954) 938-2447Prov No 0000024617642740 E Commercial Blvd Fort Lauderdale FL 33308Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail drbordaassociatesdmcomFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012444748551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124447516171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LEONARD Thomas PMiguel Fernando Borda Pa(954) 938-2447Prov No 0000121302132740 E Commercial Blvd Fort Lauderdale FL 33308Gender MaleNPI 1831468735License DN19469License Type DBP DentistBoard Certified NEmail drbordaassociatesdmcomFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121769376171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012202222551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LICINA ZeljkaMichael R Barnard Dds(954) 763-3358Prov No 0000089782761209 W Broward Blvd Fort Lauderdale FL 33312Gender FemaleNPI 1013263292License DN20101License Type DBP DentistBoard Certified NEmail browardddsgmailcomFax (954) 728-9999Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300946171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130528551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

43GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)LOPEZ Grace PGrace Lopez Dmd Pa(954) 565-3353Prov No 0000126533564144 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1407101462License DN19810License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LOPEZ Santiago1500 Dental(954) 715-1000Prov No 0000128882271500 N Federal Hwy Ste 250Fort Lauderdale FL 33304Gender MaleNPI 1548616360License DN23317License Type DBP DentistBoard Certified Not ReportedEmail info1500dentalco mFax (954) 372-1000Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300956171 N Federal HwyFort Lauderdale FL 33308Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MA RobertSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130529551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

Marti Bagdasarov AnjelikaSage Dental of Ft Lauderdale(561) 641-5610Prov No 0000129901826171 N Federal HwyFort Lauderdale FL 33308Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MAZZUCCO Maria ONorth Broward HospitalDistrict(954) 459-6600Prov No 000012199601200 Nw 7th AveFort Lauderdale FL 33311Gender FemaleNPI 1003941022License DN15711License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 759-6665Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MCCANN LEE Katie LDentists of Fort Lauderdale Pa(954) 947-1458Prov No 0000133716301865 Cordova RdFort Lauderdale FL 33316Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 914-7811Accepts New Patients YHospital Affiliation NA

MCHUGH Allyson MTowncare Dental of FortLauderdale(954) 563-1362Prov No 0000131813703343 Ne 33rd St Fort Lauderdale FL 33308Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

MEHTA Ravindra SRavin Mehta Dds(954) 739-1430Prov No 0000001269123796 Nw 19th StFort Lauderdale FL 33311Gender MaleNPI 1609055532License DN10114License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MICHEL RaynaldRaynald Michel Dds(954) 563-5800Prov No 0000126108323051 N Federal HwyFort Lauderdale FL 33306Language FrenchGender MaleNPI 1376859306License DN19473License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MODESTO Daniela ODaniela Modesto Dds(954) 990-6278Prov No 0000061052992626 E Commercial BlvdFort Lauderdale FL 33308Language Portuguese SpanishGender FemaleNPI 1659426369License DN17097License Type DBP DentistBoard Certified Not ReportedEmail infobellasmilefl comFax (954) 990-6293Accepts New Patients NHospital Affiliation NA

MOHR Eric ESage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300986171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

44 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MOHR Eric ESage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130531551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012816907551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000128194786171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)MORALES Ronald JTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000125581353001 E Commercial BlvdFort Lauderdale FL 33308Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

MOULINOS Sotirios SDr Brad W Graff(954) 963-3706Prov No 0000000190683107 Stirling Rd Ste 108 Fort Lauderdale FL 33312Gender MaleNPI 1760601520License DN14630License Type DBP DentistBoard Certified Not ReportedEmail bgraffgraffdental comFax (954) 963-1223Accepts New Patients YHospital Affiliation NA

MOUSHATI JohnComplete Family Dentistry(954) 564-3244Prov No 0000000333553015 Bayview Dr Ste BFort Lauderdale FL 33306Gender MaleNPI 1679993992License DN13133License Type DBP DentistBoard Certified Not ReportedEmail frontdeskcosmeticsolutionnetFax (954) 564-3245Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)NAIERMAN Eric HDental Specialists of BrowardGroup Co(954) 588-4671Prov No 0000069624169 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1982981643License DN19906License Type DBP DentistBoard Certified NEmail dspayroll1gmailc omFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

NUDEL MarinaCoast Florida Pa(954) 584-5031Prov No 0000016596153937 W Broward BlvdFort Lauderdale FL 33312Language RussianGender FemaleNPI 1821088741License DN19619License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 584-5303Accepts New Patients YHospital Affiliation NA

ORTEGA Laura OEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000125183184358 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558742528License DN21243License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)PELTON Ivan SDental Specialists of BrowardGroup Co(954) 588-4671Prov No 0000127065229 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail dspayroll1gmailc omFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

PERLSTEIN RobertSage Dental of Ft Lauderdale(561) 641-5610Prov No 0000130313996171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1104258813License DN20317License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PHAM Minh BDentists of Fort Lauderdale Pa(954) 947-1458Prov No 0000131557381865 Cordova RdFort Lauderdale FL 33316Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 914-7811Accepts New Patients YHospital Affiliation NA

45GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)PLANES Alex ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121285526171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152160551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PYSER Douglas NTowncare Dental of FortLauderdale Pllc(954) 563-1362Prov No 0000000201213343 Ne 33rd St Fort Lauderdale FL 33308Gender MaleNPI 1194728162License DN9139License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)QUICK James RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300426171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152477551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUILICHINI Carlos ADental Specialists of BrowardGroup(954) 588-4671Prov No 0000097554469 Sw 17th StFort Lauderdale FL 33315Gender MaleNPI 1700079399License DN11673License Type DBP DentistBoard Certified Not ReportedEmailFax (754) 206-4284Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RAMOS YilianDental Specialists of BrowardGroup(786) 355-4401Prov No 0000121526269 Sw 17th StFort Lauderdale FL 33315Gender FemaleNPI 1699030205License DN19848License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012172823551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121853096171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)REYES Christina MDental Excellence Partners Llc(954) 776-3320Prov No 0000128955904358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(954) 776-3320Prov No 0000125003554358 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120666506171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

46 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RIEGER Eric RSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152480551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300456171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012152481551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RIOS KU HOP Milagritos CTlc Dental Ft Lauderdale Lc(954) 491-7100Prov No 0000122531413001 E Commercial BlvdFort Lauderdale FL 33308Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family DentalLauderdale Pa(954) 776-3308Prov No 0000128665984358 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 776-4536Accepts New Patients YHospital Affiliation NA

ROCA-GODINEZ Lilian RGrace Lopez Dmd Pa(954) 565-3353Prov No 0000022982574144 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1639261563License DN12949License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)RODRIGUEZ Margarita MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300466171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130999551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012523925551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)ROQUE-RUANO MaikelSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000125239286171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROSTOCK Jennifer LTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000125305903001 E Commercial BlvdFort Lauderdale FL 33308Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

RUIZ FRONTARY YarimarBella Family Dental(954) 621-7959Prov No 00000585519019551 Sheridan StFort Lauderdale FL 33332Language SpanishGender FemaleNPI 1134429251License DN19939License Type DBP DentistBoard Certified Not ReportedEmail mybellafamilydentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

47GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SANTIAGO-HERZOG Tatiana ETowncare Dental of FortLauderdale Pllc(954) 563-1362Prov No 0000033797393343 Ne 33rd St Fort Lauderdale FL 33308Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121752886171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012175293551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SCHMID HIDALGO Federico JTango Dental Pa(954) 563-9722Prov No 0000022291343015 Bayview Dr Ste A Fort Lauderdale FL 33306Gender MaleNPI 1407178247License DN18919License Type DBP DentistBoard Certified Not ReportedEmail tangodentalpagmailcomFax (954) 563-1912Accepts New Patients YHospital Affiliation NA

SEGRERA Maria CMaria Claudia Sgrera Pa DbaDental Clinique(954) 228-6661Prov No 00001261907616636 Sheridan StFort Lauderdale FL 33331Gender FemaleNPI 1295046662License DN19055License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SEVEL Dennis SFort Lauderdale Galleria DentalImplant and Orthod(954) 566-1281Prov No 0000128957062300 Ne 9th StFort Lauderdale FL 33304Gender MaleNPI 1568665966License DN11695License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 699-0417Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SIPKIN Lloyd ALloyd Sipkin Dds(954) 565-7555Prov No 0000123113282655 E Oakland Park BlvdSte EFort Lauderdale FL 33306Gender MaleNPI 1104046176License DN5053License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 565-7555Accepts New Patients YHospital Affiliation NA

SIPKIN Lloyd ADr Lloyd Sipkin Dds(954) 565-7555Prov No 0000129603332655 E Oakland Park BlvdSte 3Fort Lauderdale FL 33306Gender MaleNPI 1104046176License DN5053License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 565-7555Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300516171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SNIDER Erica MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131160551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental Ft Lauderdale Llc(954) 491-7100Prov No 0000121753753001 E Commercial BlvdFort Lauderdale FL 33308Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 771-6434Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012163513551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

48 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)STEINER Samantha LSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121635156171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012454297551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124543006171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)SZPOGANICZ TadeuAmerican Dental of Florida FortLauderdale(954) 938-2447Prov No 0000121155452740 E Commercial BlvdFort Lauderdale FL 33308Language Portuguese SpanishGender MaleNPI 1871870659License DN20043License Type DBP DentistBoard Certified NEmail hallendalesmiledesigndentalflcomFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012462648551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124626516171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)VAZANA Todd ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131165551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000121461786171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120942086171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)VERA Anny BSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131166551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300186171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012131167551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

49GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)YU Cynthia WSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300206171 N Federal HwyFort Lauderdale FL 33308Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130462551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012485415551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)YU Joyce WSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000124854306171 N Federal HwyFort Lauderdale FL 33308Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZAKI Fady AHab Dental Inc(954) 489-2517Prov No 0000130294182500 E Commercial Blvd StE GFort Lauderdale FL 33308Gender MaleNPI 1831322304License DN20041License Type DBP DentistBoard Certified NEmail doreenhabdentalflacomFax (954) 489-2514Accepts New Patients YHospital Affiliation NA

ZAKKO DalalShmuel Stern(954) 776-4720Prov No 0000121756662826 E Oakland Park BlvdSte 300Fort Lauderdale FL 33306Language Arabic FrenchHebrew SpanishGender FemaleNPI 1851454821License DN15524License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 489-0004Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FORT LAUDERDALE (Cont)ZYLBERING Jason MSage Dental of Ft LauderdalePllc(954) 641-5610Prov No 0000120300226171 N Federal HwyFort Lauderdale FL 33308Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Downtown FortLauderdale Pllc(954) 358-2772Prov No 000012130460551 N Federal Hwy Ste 900 Fort Lauderdale FL 33301Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FT LAUDERDALE

BENDA Natalia MNatalia M Benda Dds(954) 491-8812Prov No 0000003311226361 N Andrews AveFt Lauderdale FL 33309Gender FemaleNPI 1063514131License DN15626License Type DBP DentistBoard Certified Not ReportedEmail drpearlwhitedentistrycomFax (954) 491-8813Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FT LAUDERDALE (Cont)BRODY Robert AJessica B Papir Dmd(954) 566-4167Prov No 0000003494011201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHENCIN JosefJosef Chencin Dds(954) 561-4730Prov No 0000000223753015 Bayview Dr Ste DFt Lauderdale FL 33306Gender MaleNPI 1245393222License DN9414License Type DBP DentistBoard Certified Not ReportedEmail josefchencinddsgmailcomFaxAccepts New Patients NHospital Affiliation NA

CORREIA Philip JDental Health Group Pa(954) 566-4167Prov No 0000127676501201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1871538751License DN20255License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

50 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

FT LAUDERDALE (Cont)DAVIS Deborah LAids Healthcare Foundation Inc(954) 761-2230Prov No 000012093899700 Se 3rd Ave Ste 206Ft Lauderdale FL 33316Gender FemaleNPI 1881847739License DN12301License Type DBP DentistBoard Certified Not ReportedEmail amachucapracticeworxcomFax (954) 761-2231Accepts New Patients YHospital Affiliation NA

FRAND Joel IDental Health Group Pa(954) 566-4167Prov No 0000020229671201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1568675866License DN19603License Type DBP DentistBoard Certified NEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

GARCIA RicardoDental Health Group Pa(954) 566-4167Prov No 0000002452781201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender MaleNPI 1184700783License DN14737License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

FT LAUDERDALE (Cont)LEIVA LOPEZ KarinaGreat Expressions DentalCenters(954) 566-4167Prov No 0000130479501201 N Federal Hwy Ste 2DFt Lauderdale FL 33304Gender FemaleNPI 1669997565License DN22764License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 566-4237Accepts New Patients YHospital Affiliation NA

HALLANDALE BEACH

ALBERTO JuanSage Dental of HallandaleBeach Pllc(954) 779-3000Prov No 0000021575051701 E Hallandale Beach BLvdHallandale Beach FL 33009Gender MaleNPI 1932112828License DN17637License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE PENA LauraLaura De Pena(954) 454-3883Prov No 000012709601226 S Dixie HwyHallandale Beach FL 33009Language SpanishGender FemaleNPI 1710328141License DN20244License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)DEFELICE Janice RHallandale Family Dental Care(954) 454-3883Prov No 000000309693226 S Dixie Hwy Hallandale Beach FL 33009Gender FemaleNPI 1386702827License DN17618License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of HallandaleBeach Pllc(954) 779-3000Prov No 0000125860661701 E Hallandale Beach BLvdHallandale Beach FL 33009Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyHallandale Family Dental Care(954) 454-3883Prov No 000012130326226 S Dixie Hwy Hallandale Beach FL 33009Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)GUEVARA AnaelyDs Dental Care Llc(954) 456-2100Prov No 0000128788962100 E Hallandale Beach BLvd Ste 304Hallandale Beach FL 33009Language SpanishGender FemaleNPI 1184007932License DN21384License Type DBP DentistBoard Certified Not ReportedEmail officedsdentalcareflcomFaxAccepts New Patients YHospital Affiliation NA

MANDEL Jonathan OSage Dental of HallandaleBeach Pllc(954) 779-3000Prov No 0000128900471701 E Hallandale Beach BLvdHallandale Beach FL 33009Gender MaleNPI 1689088148License DN21469License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ORTA Nicolas RNicolas Orta Dmd Pa(954) 454-2504Prov No 0000012482832518 E Hallandale Beach BLvdHallandale Beach FL 33009Gender MaleNPI 1346456175License DN 17823License Type DBP DentistBoard Certified Not ReportedEmail ortadmdpagmailco mFaxAccepts New Patients YHospital Affiliation NA

51GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)QUEVEDO FernandoHallandale Family Dental Care(954) 454-3883Prov No 000012313985226 S Dixie Hwy Hallandale Beach FL 33009Gender MaleNPI 1699157800License DN21354License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

RIVERA-SOTOMAYOR MarleneHallandale Family Dental Care(954) 454-3883Prov No 000012494901226 S Dixie Hwy Hallandale Beach FL 33009Language SpanishGender FemaleNPI 1033477229License DN21562License Type DBP DentistBoard Certified Not ReportedEmail hallandaledentalgmailcomFax (954) 454-1901Accepts New Patients YHospital Affiliation NA

ROTHENBERG StephenStephen Rothenberg Dds(954) 457-8288Prov No 000000018095416 E Hallandale Beach Bl VdHallandale Beach FL 33009Gender MaleNPI 1083802052License DN7410License Type DBP DentistBoard Certified Not ReportedEmail rothenbergdds416gmailcomFax (954) 457-8819Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HALLANDALE BEACH (Cont)SANTANA DaniaDs Dental Care Llc(954) 456-2100Prov No 0000127386032100 E Hallandale Beach BLvd Ste 304Hallandale Beach FL 33009Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail officedsdentalcareflcomFaxAccepts New Patients YHospital Affiliation NA

HOLLYWOOD

ABDEL-JABBAR Sana HSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124579264461 Sheridan StHollywood FL 33021Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001245795312129 Sheridan StHollywood FL 33026Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)AGUDELO Monica AHollywood Perfect Smile Pa(954) 987-3309Prov No 0000122304946720 Taft StHollywood FL 33024Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 986-6838Accepts New Patients YHospital Affiliation NA

ALVAREZ-PENABAD PeggyHollywood Dental Care(954) 367-5671Prov No 0000128339742303 Hollywood Blvd Ste 14Hollywood FL 33020Language SpanishGender FemaleNPI 1205260601License DN20378License Type DBP DentistBoard Certified Not ReportedEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

ASKOWITZ Ronald LHollywood Dental Care(954) 367-5671Prov No 0000047057522303 Hollywood Blvd Ste 14Hollywood FL 33020Language Hebrew SpanishGender MaleNPI 1134372410License DN3884License Type DBP DentistBoard Certified NEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)AZARI Scott JSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068916312129 Sheridan StHollywood FL 33026Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157984461 Sheridan StHollywood FL 33021Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BACCHELLI LaraTlc Dental-Hollywood Llc(954) 926-5888Prov No 0000132443751718 Sheridan St Hollywood FL 33020Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

52 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)BARON-SNOW Deborah BEmerald Hills Dntl Center(954) 983-2450Prov No 0000000184623856 Sheridan St Hollywood FL 33021Gender FemaleNPI 1902023856License DN10640License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 963-3338Accepts New Patients YHospital Affiliation NA

BENITO Juan CDental Associates of Hollywood(954) 921-7339Prov No 0000126836963801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1871619304License DN14807License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

BERKOWITZ Harry DDental Associates of HollywoodPa(954) 921-7339Prov No 0000003545193801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1427243807License DN6292License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)BOBADILLA Patricia MSheridan Dental Care(954) 964-4229Prov No 0000051788864350 Sheridan St Ste 201EHollywood FL 33021Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmail sheridandentalcare4350gmailcomFax (954) 653-0886Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000392009512129 Sheridan StHollywood FL 33026Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158004461 Sheridan StHollywood FL 33021Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)BORDA Miguel FMiguel Fernando Borda Pa(954) 923-7348Prov No 0000126295411876 Radius DrHollywood FL 33020Gender MaleNPI 1518254051License DN 19392License Type DBP DentistBoard Certified NEmail smileonusyahooco mFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Cooper City Pllc(954) 433-1888Prov No 00001211276312129 Sheridan StHollywood FL 33026Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158014461 Sheridan StHollywood FL 33021Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CANELA-PICHARDO Dalinda ADalinda Canela-Pichardo DdsPa(954) 920-6616Prov No 000000124501603 N Federal HwyHollywood FL 33020Gender FemaleNPI 1831312040License DN14834License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 920-2401Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121516224461 Sheridan StHollywood FL 33021Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Cooper City Pllc(954) 433-1888Prov No 00001215163412129 Sheridan StHollywood FL 33026Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

53GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CASTILLO Sandra MSoto and Castillo Dental CareInc(954) 987-3344Prov No 0000126022713911 Hollywood Blvd Ste 102Hollywood FL 33021Language SpanishGender FemaleNPI 1245636133License DN20757License Type DBP DentistBoard Certified Not ReportedEmail scdentalhollywoodgmailcomFax (954) 987-7224Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001215298612129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121530044461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CICORTAS Florin NTlc Dental Hollywood Llc(954) 926-5888Prov No 0000127190611718 Sheridan StHollywood FL 33020Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068914912129 Sheridan StHollywood FL 33026Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158054461 Sheridan StHollywood FL 33021Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)COUTRAS ElevteriaTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865251718 Sheridan StHollywood FL 33020Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000391636612129 Sheridan StHollywood FL 33026Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158064461 Sheridan StHollywood FL 33021Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)CRUZ Antonio RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000177163112129 Sheridan StHollywood FL 33026Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121158074461 Sheridan StHollywood FL 33021Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000129217286821 Taft StHollywood FL 33024Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

54 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DAROJAT Zuhdiyah MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000459001912129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121155954461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001243537212129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DOOLEY Jill CSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124355634461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000195843712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121155984461 Sheridan StHollywood FL 33021Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DUARTE BeatrizDental Associates of Hollywood(954) 921-7339Prov No 0000119977163801 Hollywood Blvd Ste 225Hollywood FL 33021Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001211050712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121155994461 Sheridan StHollywood FL 33021Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)DULCEY Monica AHollywood Dental Care(954) 367-5671Prov No 0000132546122303 Hollywood Blvd Ste 14Hollywood FL 33020Language Portuguese SpanishGender FemaleNPI 1003195694License DN19480License Type DBP DentistBoard Certified Not ReportedEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000177226912129 Sheridan StHollywood FL 33026Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156004461 Sheridan StHollywood FL 33021Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

55GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ESPINET KUSNIER ElaineSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000125860674461 Sheridan StHollywood FL 33021Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001258607612129 Sheridan StHollywood FL 33026Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

FATMI NavedDental Associates of Hollywood(954) 921-7339Prov No 0000011361533801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1558690974License DN18878License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001155158112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156024461 Sheridan StHollywood FL 33021Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000129218736821 Taft StHollywood FL 33024Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)FOX Jeffrey MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915512129 Sheridan StHollywood FL 33026Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156034461 Sheridan StHollywood FL 33021Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental-Hollywood Llc(954) 926-5888Prov No 0000131178731718 Sheridan St Hollywood FL 33020Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail hollywoodtlcdentalbizFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)FREEDMAN Saman MDental Associates of SouthBroward(954) 432-7539Prov No 0000111148999900 Stirling Rd Ste 100Hollywood FL 33024Language PersianGender FemaleNPI 1629269923License DN17906License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 432-8106Accepts New Patients YHospital Affiliation NA

GANGI Yudancy PHollywood Dental Care(954) 367-5671Prov No 0000129818382303 Hollywood Blvd Ste 14Hollywood FL 33020Language SpanishGender FemaleNPI 1821579459License DN23785License Type DBP DentistBoard Certified Not ReportedEmail infohollywooddentalcareusacomFax (954) 653-1326Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000113765312129 Sheridan StHollywood FL 33026Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

56 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GARCIA-PORRAS MarcelaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156044461 Sheridan StHollywood FL 33021Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915112129 Sheridan StHollywood FL 33026Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156054461 Sheridan StHollywood FL 33021Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GERENA Dorene M4350 Dental P A(954) 964-4229Prov No 0000133728214350 Sheridan St Ste 201EHollywood FL 33021Gender FemaleNPI 1508282252License DN20460License Type DBP DentistBoard Certified Not ReportedEmail sheridandentalcare4350gmailcomFax (954) 239-8705Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00001209135912129 Sheridan StHollywood FL 33026Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157074461 Sheridan StHollywood FL 33021Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GOLDSTEIN EmilyEmerald Hills Dntl Center(954) 983-2450Prov No 0000000184633856 Sheridan St Hollywood FL 33021Gender FemaleNPI 1104043033License DN11983License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 963-3338Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121951964461 Sheridan StHollywood FL 33021Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001219541412129 Sheridan StHollywood FL 33026Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GONZALEZ DarlenTlc Dental - Hollywood Llc(954) 926-5888Prov No 0000130115191718 Sheridan StHollywood FL 33020Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

GORBATOV DmitryAbc Dental(954) 342-8315Prov No 000000715675650 S Federal Hwy Ste 2 Hollywood FL 33020Gender MaleNPI 1316025067License DN15160License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 342-8317Accepts New Patients YHospital Affiliation NA

GORBATOV DmitryDg Dentistry(954) 458-9999Prov No 0000124206583800 S Ocean Dr Ste 210Hollywood FL 33019Gender MaleNPI 1316025067License DN15160License Type DBP DentistBoard Certified Not ReportedEmail dmitrygorbatovyahoocomFax (954) 639-7262Accepts New Patients YHospital Affiliation NA

57GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GREEN BeverlySage Dental of Cooper City Pllc(954) 433-1888Prov No 00001220441612129 Sheridan StHollywood FL 33026Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Hollywood Pllc(954) 966-6352Prov No 0000122044464461 Sheridan StHollywood FL 33021Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000121611112129 Sheridan StHollywood FL 33026Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)GUERRERO Luis ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157124461 Sheridan StHollywood FL 33021Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HELFANT JaredTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865261718 Sheridan StHollywood FL 33020Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JHollywood Perfect Smile Pa(954) 987-3309Prov No 0000123145606720 Taft StHollywood FL 33024Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmailFax (954) 986-6838Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)HERNANDEZ RIVERA Ricardo NNicolas Hernandez Rivera DdsPa(954) 399-7839Prov No 0000119980376517 Taft St Ste 201Hollywood FL 33024Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmail pdchollywood1primarydentalcareflcomFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001209897412129 Sheridan StHollywood FL 33026Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157214461 Sheridan StHollywood FL 33021Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)IRAVANI Mina FSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001251011812129 Sheridan StHollywood FL 33026Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000125102004461 Sheridan StHollywood FL 33021Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

JACOBSOHN Henry DTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865321718 Sheridan StHollywood FL 33020Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

58 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)JUMA ZaileenSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001111647812129 Sheridan StHollywood FL 33026Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157154461 Sheridan StHollywood FL 33021Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental - Hollywood Llc(954) 926-5888Prov No 0000125890311718 Sheridan StHollywood FL 33020Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)KUSHNER Bruce ADental Associates of Hollywood(954) 921-7339Prov No 0000003714513801 Hollywood Blvd Ste 225Hollywood FL 33021Gender MaleNPI 1164623641License DN9257License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001210053612129 Sheridan StHollywood FL 33026Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157164461 Sheridan StHollywood FL 33021Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LANTIGUA KelvinTotal Dental amp Denture Care(954) 964-1494Prov No 0000001633097076 Taft St Hollywood FL 33024Gender MaleNPI 1215944368License DN16003License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LASKA Mario LMiguel Fernando Borda Pa(954) 923-7348Prov No 0000126450511876 Radius DrHollywood FL 33020Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail smileonusyahooco mFax (954) 938-3527Accepts New Patients YHospital Affiliation NA

LASKA Mario L4350 Dental Pa(954) 964-4229Prov No 0000133449734350 Sheridan St Ste 201EHollywood FL 33021Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail sheridandentalcare4350gmailcomFax (954) 239-8705Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LEMINH Chau JSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124447534461 Sheridan StHollywood FL 33021Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001244479512129 Sheridan StHollywood FL 33026Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001217693112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

59GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LEPORE KrystinaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121769384461 Sheridan StHollywood FL 33021Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LLAPUR CarlosDental Associates of Hollywood(954) 921-7339Prov No 0000120870913801 Hollywood Blvd Ste 225Hollywood FL 33021Language SpanishGender MaleNPI 1275947913License DN20712License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915612129 Sheridan StHollywood FL 33026Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)LONDONO Jennifer DSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157184461 Sheridan StHollywood FL 33021Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001155110412129 Sheridan StHollywood FL 33026Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157754461 Sheridan StHollywood FL 33021Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)MAHARAJ Vindra RDental Associates of SouthBroward(954) 432-7539Prov No 0000121289639900 Stirling Rd Ste 100Hollywood FL 33024Gender FemaleNPI 1720176969License DN11308License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 432-8106Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Cooper City Pllc(954) 433-1888Prov No 00001155202812129 Sheridan StHollywood FL 33026Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157794461 Sheridan StHollywood FL 33021Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)MONCRIEFFE Tiffany ISage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121790114461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Cooper City Pllc(954) 433-1888Prov No 00001281662912129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental Hollywood Llc(954) 926-5888Prov No 0000125582531718 Sheridan StHollywood FL 33020Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

60 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)NAVARRO Jessica MPembroke Pines Dental HealthCenter(954) 437-2040Prov No 0000121093351806 N Flamingo RdHollywood FL 33028Language SpanishGender FemaleNPI 1932250685License DN17047License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

NIETO Gloria YCngy Dental Inc(954) 589-0750Prov No 0000121275505937 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1124233648License DN16408License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 639-7143Accepts New Patients YHospital Affiliation NA

PATINO JoelyzChoice Dental Care Llc(954) 983-8844Prov No 0000126182652536 N State Road 7Hollywood FL 33021Gender FemaleNPI 1962630103License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmailFax (954) 983-8855Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)PELTON Ivan SElite Dental Center(954) 589-2176Prov No 0000013997042219 Hollywood Blvd Ste 104Hollywood FL 33020Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail sheridan4000gmailcomFax (954) 589-2179Accepts New Patients YHospital Affiliation NA

PEREZ DIAZ AguedaAffordable Dentistry of SouthFlorida(954) 534-9181Prov No 0000128675604000 Sheridan St Ste BHollywood FL 33021Gender FemaleNPI 1598033540License DN19248License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFax (954) 404-7256Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00001212854812129 Sheridan StHollywood FL 33026Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)PLANES Alex ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121285534461 Sheridan StHollywood FL 33021Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUEVEDO FernandoSheridan Dental Care(954) 964-4229Prov No 0000125017144350 Sheridan St Ste 201EHollywood FL 33021Gender MaleNPI 1699157800License DN21354License Type DBP DentistBoard Certified Not ReportedEmail sheridandentalcare4350gmailcomFax (954) 653-0886Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000202373012129 Sheridan StHollywood FL 33026Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)QUICK James RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157904461 Sheridan StHollywood FL 33021Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121616994461 Sheridan StHollywood FL 33021Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001217280812129 Sheridan StHollywood FL 33026Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

61GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)REZAIE YeganehDental Associates of Hollywood(954) 921-7339Prov No 0000012485623801 Hollywood Blvd Ste 225Hollywood FL 33021Gender FemaleNPI 1043506041License DN19415License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001206667512129 Sheridan StHollywood FL 33026Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157284461 Sheridan StHollywood FL 33021Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000130370066821 Taft StHollywood FL 33024Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068916412129 Sheridan StHollywood FL 33026Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157294461 Sheridan StHollywood FL 33021Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)RIOS KU HOP Milagritos CTlc Dental - Hollywood Llc(954) 926-5888Prov No 0000124865341718 Sheridan StHollywood FL 33020Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 926-7913Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000068915712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157304461 Sheridan StHollywood FL 33021Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ROGOWSKA Kinga EKinga E Rogowska Dds Pa(954) 961-4300Prov No 0000003862303872 Sheridan St Ste A Hollywood FL 33021Language PolishGender FemaleNPI 1144325382License DN14932License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000125239294461 Sheridan StHollywood FL 33021Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001252605312129 Sheridan StHollywood FL 33026Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

62 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ROTHFIELD Elizabeth ARothfield Dental Assoc(954) 989-8800Prov No 0000000217494601 Hollywood Blvd Hollywood FL 33021Gender FemaleNPI 1922179704License DN12846License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SANTIAGO-HERZOG Tatiana EDental Associates of Hollywood(954) 921-7339Prov No 0000020192793801 Hollywood Blvd Ste 225Hollywood FL 33021Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 923-1206Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121752894461 Sheridan StHollywood FL 33021Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SCARFONE MelanieSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001217532512129 Sheridan StHollywood FL 33026Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000131582866821 Taft StHollywood FL 33024Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

SCHUETZ Eric JDental Smiles of Hollywood(954) 589-2176Prov No 0000126622752219 Hollywood Blvd Ste 104Hollywood FL 33020Gender MaleNPI 1720277320License DN14786License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SCHUETZ Eric JDental Smiles of Hollywood(954) 534-9181Prov No 0000126642424000 Sheridan St Ste BHollywood FL 33021Gender MaleNPI 1720277320License DN14786License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFaxAccepts New Patients YHospital Affiliation NA

SILVER Richard MRichard Silver(954) 589-2176Prov No 0000121276882219 Hollywood Blvd Ste 104Hollywood FL 33020Gender MaleNPI 1013017599License DN7158License Type DBP DentistBoard Certified Not ReportedEmail sheridan4000gmailcomFax (954) 589-2179Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000070469112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SNIDER Erica MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121157374461 Sheridan StHollywood FL 33021Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SNOW Darren BEmerald Hills Dntl Center(954) 983-2450Prov No 0000000184643856 Sheridan St Hollywood FL 33021Gender MaleNPI 1275757544License DN10639License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 963-3338Accepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental Hollywood Llc(954) 926-5888Prov No 0000124865231718 Sheridan StHollywood FL 33020Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail lauritlcdentalbi zFax (954) 720-5518Accepts New Patients YHospital Affiliation NA

63GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)SOTO Paola FSoto and Castillo Dental CareInc(954) 987-3344Prov No 0000126217833911 Hollywood Blvd Ste 102Hollywood FL 33021Language Portuguese SpanishGender FemaleNPI 1336572007License DN20370License Type DBP DentistBoard Certified Not ReportedEmail scdentalhollywoodgmailcomFax (954) 987-7224Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 399-3826Prov No 0000130370106821 Taft StHollywood FL 33024Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001216350412129 Sheridan StHollywood FL 33026Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)STEINER Samantha LSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121635164461 Sheridan StHollywood FL 33021Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001245429212129 Sheridan StHollywood FL 33026Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124543024461 Sheridan StHollywood FL 33021Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)URCUYO Jacqueline CSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001246264312129 Sheridan StHollywood FL 33026Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124626534461 Sheridan StHollywood FL 33021Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156894461 Sheridan StHollywood FL 33021Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)VAZANA Todd ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00001214618412129 Sheridan StHollywood FL 33026Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001209435512129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156904461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

64 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)VIGNOLA Jennifer ASage Dental of Cooper City Pllc(954) 433-1888Prov No 00000215614712129 Sheridan StHollywood FL 33026Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156914461 Sheridan StHollywood FL 33021Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VILA GabrielaSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000130429694461 Sheridan StHollywood FL 33021Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)WILNER Jason MFlorida Dental Solutions(954) 362-4102Prov No 0000129661356902 Stirling RdHollywood FL 33024Gender MaleNPI 1790210201License DN22956License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 252-3883Accepts New Patients YHospital Affiliation NA

YOUNG Lisa BDental Associates of SouthBroward(954) 432-7539Prov No 0000102152019900 Stirling Rd Ste 100Hollywood FL 33024Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 432-8106Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001201935912129 Sheridan StHollywood FL 33026Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)YU Cynthia WSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156944461 Sheridan StHollywood FL 33021Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Cooper City Pllc(954) 433-1888Prov No 00001248541112129 Sheridan StHollywood FL 33026Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000124854184461 Sheridan StHollywood FL 33021Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

HOLLYWOOD (Cont)ZYLBERING Jason MSage Dental of Cooper City Pllc(954) 433-1888Prov No 00000119416312129 Sheridan StHollywood FL 33026Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 438-3560Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Hollywood Pllc(954) 966-6352Prov No 0000121156954461 Sheridan StHollywood FL 33021Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LAUDERDALE LAKES

ACOSTA-ORTIZ RodolfoAcosta Dental Services ofLauderhill Pa(954) 486-6989Prov No 0000004353212331 N State Road 7 Ste 109Lauderdale Lakes FL 33313Language SpanishGender MaleNPI 1689782435License DN16118License Type DBP DentistBoard Certified Not ReportedEmail contactdentist4c omFax (954) 486-6992Accepts New Patients YHospital Affiliation NA

65GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

LAUDERDALE LAKES (Cont)ARON Robert SOakland Dental Llc(954) 486-0101Prov No 0000004366554416 W Oakland Park Blvd Lauderdale Lakes FL 33313Gender MaleNPI 1811160641License DN11026License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 486-0588Accepts New Patients YHospital Affiliation NA

BORDA Miguel FMiguel Fernando Borda Pa(954) 533-8080Prov No 0000126830443500 N State Road 7Lauderdale Lakes FL 33319Gender MaleNPI 1518254051License DN 19392License Type DBP DentistBoard Certified NEmailFax (954) 923-9272Accepts New Patients YHospital Affiliation NA

CORTES Astrid IAcosta Dental Services ofLauderhill Pa(954) 486-6989Prov No 0000123128092331 N State Road 7 Ste 109Lauderdale Lakes FL 33313Language SpanishGender FemaleNPI 1346689155License DN20122License Type DBP DentistBoard Certified Not ReportedEmail contactdentist4c omFax (954) 486-6992Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERDALE LAKES (Cont)DEVACK JustinOakland Dental Llc(954) 486-0101Prov No 0000016558554416 W Oakland Park Blvd Lauderdale Lakes FL 33313Gender MaleNPI 1346411428License DN18210License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 486-0588Accepts New Patients YHospital Affiliation NA

EUGENE DavidDavid Eugene Dds Pllc(954) 733-9971Prov No 0000006867502447 N State Road 7Lauderdale Lakes FL 33313Gender MaleNPI 1306080304License DN18594License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 733-5521Accepts New Patients YHospital Affiliation NA

LAUDERHILL

AKEL BassilBassil Akel Dmd Pllc(954) 581-9228Prov No 0000121277231600 N State Road 7 Ste 400Lauderhill FL 33313Gender MaleNPI 1700040557License DN18305License Type DBP DentistBoard Certified NEmailFax (954) 367-5671Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)ARENAS Jorge AGampG Dental Associates(954) 722-1082Prov No 0000006972517030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1528151131License DN17629License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BENCHIMOL JacquesGampG Dental Associates(954) 722-1082Prov No 0000121383227030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1780841940License DN18114License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BENITO Juan CGampG Dental Associates(954) 722-1082Prov No 0000126836697030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1871619304License DN14807License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000128956547165 W Oakland Park BlvdLauderhill FL 33313Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizGampG Dental Associates(954) 722-1082Prov No 0000011064867030 Nw 57th StLauderhill FL 33319Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

FALLAH R LDeborah E Luis Dmd Pa(954) 741-6556Prov No 0000000187457100 W Commercial Blvd St E 108Lauderhill FL 33319Gender MaleNPI 1295855500License DN9938License Type DBP DentistBoard Certified Not ReportedEmail fdscomtactusgmailcomFax (954) 741-1715Accepts New Patients YHospital Affiliation NA

66 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000129218527165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

HOGAN HelenaGampG Dental Associates(954) 722-1082Prov No 0000016600807030 Nw 57th StLauderhill FL 33319Gender FemaleNPI 1851520456License DN18687License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

KARPEL JoelJoel Karpel Dds(954) 741-0102Prov No 0000000192377193 W Oakland Park BlvdLauderhill FL 33313Gender MaleNPI 1639216286License DN10772License Type DBP DentistBoard Certified Not ReportedEmail joelkarpelddsatt netFax (954) 741-0102Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)Luis Deborah EDeborah E Luis Dmd Pa(954) 741-6556Prov No 0000120725297100 W Commercial Blvd St E 108Lauderhill FL 33319Gender FemaleNPI 1114277357License DN19798License Type DBP DentistBoard Certified Not ReportedEmail fdscomtactusgmailcomFax (954) 741-1715Accepts New Patients YHospital Affiliation NA

MAHARAJ Vindra RG amp G Dental Associates Pa(954) 722-1082Prov No 0000121378527030 Nw 57th StLauderhill FL 33319Gender FemaleNPI 1720176969License DN11308License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 720-7973Accepts New Patients YHospital Affiliation NA

MARTIN Sidney SGampG Dental Associates(954) 722-1082Prov No 0000125263227030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1346250941License DN8913License Type DBP DentistBoard Certified NEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)MARTINEZ-MARINO AnelisseMarino Family Dental Inc(954) 368-7500Prov No 0000127240264506 N University DrLauderhill FL 33351Language SpanishGender FemaleNPI 1487085668License DN20192License Type DBP DentistBoard Certified Not ReportedEmail managermarinofamilydentalcomFax (954) 368-7501Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000128895367165 W Oakland Park BlvdLauderhill FL 33313Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

REZAIE AzadehGampG Dental Associates(954) 722-1082Prov No 0000121620887030 Nw 57th StLauderhill FL 33319Language SpanishGender FemaleNPI 1740663848License DN21393License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000130297797165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

SARDUY RaynelDeborah E Luis Dmd Pa(954) 741-6556Prov No 0000124614617100 W Commercial Blvd St E 108Lauderhill FL 33319Language Portuguese SpanishGender MaleNPI 1790161693License DN21374License Type DBP DentistBoard Certified Not ReportedEmail fdscomtactusgmailcomFax (954) 741-1715Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000131583037165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

67GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

LAUDERHILL (Cont)STEIN IlyaIlya Stein(954) 584-2214Prov No 0000000228221249 N State Road 7 Lauderhill FL 33313Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 584-2254Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(407) 772-5124Prov No 0000130370197165 W Oakland Park BlvdLauderhill FL 33313Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 526-6033Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DGampG Dental Associates(954) 722-1082Prov No 0000126459617030 Nw 57th StLauderhill FL 33319Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (951) 722-7973Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE

ARGUELLO Vigarny AVigarny A Arguello Dmd(954) 532-1274Prov No 000010403122100 N State Road 7 Ste 300Margate FL 33063Gender MaleNPI 1710275235License DN19421License Type DBP DentistBoard Certified NEmail infoarguellodentistrycomFax (954) 532-1797Accepts New Patients YHospital Affiliation NA

ASINMAZ Armand AMargate Dental Associates Pa(954) 975-7900Prov No 0000124922097608 Margate BlvdMargate FL 33063Gender MaleNPI 1245680289License DN21919License Type DBP DentistBoard Certified Not ReportedEmail officewbsmilesco mFax (954) 975-4074Accepts New Patients YHospital Affiliation NA

BACCHELLI LaraTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000132443787110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)BARRETT StevenGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128191015443 W Atlantic BlvdMargate FL 33063Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

CICORTAS Florin NTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000127190607110 Southgate BlvdMargate FL 33068Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

COUTRAS ElevteriaTlc Dental-North LauderdaleLlc(954) 724-8949Prov No 0000003065377110 Southgate Blvd Margate FL 33068Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128782995443 W Atlantic BlvdMargate FL 33063Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

DICRESCENTO Donna LCrecent Dental Pa(954) 968-4466Prov No 0000006308475522 W Sample Rd Margate FL 33073Gender FemaleNPI 1063531879License DN14562License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 968-4473Accepts New Patients YHospital Affiliation NA

FLORES Juan CJuan Carlos Flores Dmd Pa(954) 971-6115Prov No 0000122458285644 W Atlantic Blvd Ste4Margate FL 33063Language SpanishGender MaleNPI 1548459803License DN17732License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-6246Accepts New Patients YHospital Affiliation NA

68 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MARGATE (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000129218715443 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ATlc Dental-North LauderdaleLlc(954) 724-8949Prov No 0000131178747110 Southgate Blvd Margate FL 33068Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

GARCIA-JAM YailinSmiles On Us Dental Care(954) 973-6161Prov No 0000129246732526 N State Road 7Margate FL 33063Gender FemaleNPI 1104239235License DN22294License Type DBP DentistBoard Certified Not ReportedEmail smileonusdentalcaregmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)GONZALEZ DarlenTlc Dental-Oral Surgery Pllc(954) 724-8949Prov No 0000130115927110 Southgate BlvdMargate FL 33068Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail fltlcdentalbizFaxAccepts New Patients YHospital Affiliation NA

GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128192905443 W Atlantic BlvdMargate FL 33063Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

HELFANT JaredTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000016571307110 Southgate BlvdMargate FL 33068Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)JACOBSOHN Henry DTlc Dental-North LauderdaleLlc(954) 724-8949Prov No 0000124259297110 Southgate Blvd Margate FL 33068Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental North Lauderdale Lc(954) 724-8949Prov No 0000125884587110 Southgate BlvdMargate FL 33068Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

MAUTNER Steven GSteven G Mautner Dds Pa(954) 978-8866Prov No 0000121426445609 Nw 29th StMargate FL 33063Gender MaleNPI 1124076195License DN12748License Type DBP DentistBoard Certified Not ReportedEmail sgmddsgmailcomFax (954) 978-0618Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)MCCOSH FernandaSouthern Cross FamilyDentistry Llc(954) 971-8800Prov No 0000121488885800 Colonial Dr Ste 406Margate FL 33063Language SpanishGender FemaleNPI 1427305150License DN19819License Type DBP DentistBoard Certified Not ReportedEmail fmccoshdmdgmailcomFax (954) 979-8498Accepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000125581377110 Southgate BlvdMargate FL 33068Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000128170745443 W Atlantic BlvdMargate FL 33063Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

69GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MARGATE (Cont)RAND Matthew KTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000122516197110 Southgate BlvdMargate FL 33068Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental North Lauderdale Lc(954) 724-8949Prov No 0000122531437110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

ROCA-GODINEZ Lilian RCrescent Dental(954) 968-4466Prov No 0000022982585522 W Sample Rd Margate FL 33073Gender FemaleNPI 1639261563License DN12949License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 968-4473Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)ROSTOCK Jennifer LTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000125305797110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000131582945443 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

SHAFER Mindy GCrescent Dental(954) 968-4466Prov No 0000003810375522 W Sample Rd Margate FL 33073Gender FemaleNPI 1306069885License DN13577License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 968-4473Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)SHAYAN Maria MM Shayan Dmd Pa(954) 974-4400Prov No 0000124965915404 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1700172673License DN19381License Type DBP DentistBoard Certified NEmail mariashayangmailcomFax (954) 974-4402Accepts New Patients YHospital Affiliation NA

SHETH Bipin JBipin Sheth Dds Pa(954) 979-8631Prov No 0000007237255239 Coconut Creek PkwyMargate FL 33063Gender MaleNPI 1871703504License DN10633License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 979-8651Accepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental North Lauderdal Llc(954) 724-8949Prov No 0000004234327110 Southgate BlvdMargate FL 33068Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail northtlcdentalbi zFax (954) 233-2124Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MARGATE (Cont)STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 947-8765Prov No 0000130370095443 W Atlantic BlvdMargate FL 33063Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 256-8142Accepts New Patients YHospital Affiliation NA

YEOSHOUA OdedAll Care Dental(954) 979-1357Prov No 0000003550463207 N State Road 7 Margate FL 33063Gender MaleNPI 1396969507License DN16620License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIRAMAR

AGUDELO Monica ARandall T Califf Dds Pa(954) 987-4435Prov No 0000120189956890 Miramar Pkwy Miramar FL 33023Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

70 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MIRAMAR (Cont)ALVARADO YailenMercy Dental Corp(954) 404-6877Prov No 0000127746693172 S University DrMiramar FL 33025Language SpanishGender FemaleNPI 1700235363License DN21842License Type DBP DentistBoard Certified Not ReportedEmail mercydentalcorpgmailcomFax (954) 639-7645Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 392-7051Prov No 0000003203812905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

CALIFF Randall TRandall T Califf Dds Pa(954) 987-4435Prov No 0000000203886890 Miramar Pkwy Miramar FL 33023Gender MaleNPI 1124244470License DN9027License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)CHRISTOPH VictorDental Health Group Pa(954) 392-7051Prov No 0000007143882905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1235209594License DN6745License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

DAGAN ShacharDental Health Group Pa(954) 392-7051Prov No 0000121752822905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1447632542License DN21396License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraDental Health Group Pa(954) 392-7051Prov No 0000007143832905 Sw 160th AveMiramar FL 33027Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)DE LA RUA LissetteDental Health Group Pa(954) 392-7051Prov No 0000011249432905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

DIAZ JanyMercy Dental Corp(954) 404-6877Prov No 0000127746673172 S University DrMiramar FL 33025Gender FemaleNPI 1659729598License DN21847License Type DBP DentistBoard Certified Not ReportedEmail mercydentalcorpgmailcomFax (954) 639-7645Accepts New Patients YHospital Affiliation NA

DIEZ FedericoDentalmed Associates Llc(954) 505-7631Prov No 00001212763612600 Pembroke Rd Ste 314Miramar FL 33027Gender MaleNPI 1043392111License DN14284License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 505-7633Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)ESCOBAR Carlos FRandall T Califf Dds Pa(954) 987-1935Prov No 0000121303536890 Miramar Pkwy Ste EMiramar FL 33023Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 987-4435Accepts New Patients YHospital Affiliation NA

GUERRA Daniel ADental Health Group Pa(954) 392-7051Prov No 0000120580192905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

HALLER DustinDental Health Group Pa(954) 392-7051Prov No 0000120429302905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1346502705License DN19767License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

71GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MIRAMAR (Cont)JEAN PhilippeHorizon Dental Care(954) 987-4435Prov No 0000130195886890 Miramar Pkwy Miramar FL 33023Language SpanishGender MaleNPI 1538402128License DN22521License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

KASHLAN RaniaDental Health Group Pa(954) 392-7051Prov No 0000121788452905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1932260403License DN18607License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

LAMB NicoleLamb Dental Services Llc(954) 283-7085Prov No 0000078030602700 S University Dr Ste 208Miramar FL 33025Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail officesiennadentalflcomFax (954) 301-0703Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)MARTINEZ Amy MGreat Expressions DentalCenters(954) 392-7051Prov No 0000121044862905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1124382866License DN20973License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

MONTERO AlexanderAlexander Montero Dds(954) 671-1388Prov No 0000011734163600 Red Rd Ste 404Miramar FL 33025Gender MaleNPI 1427105998License DN15053License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 450-4454Accepts New Patients YHospital Affiliation NA

MONTERO RicardoRicardo Montero Dmd(954) 671-1388Prov No 0000004280333600 Red Rd Ste N404Miramar FL 33025Language SpanishGender MaleNPI 1164579066License DN14128License Type DBP DentistBoard Certified NEmailFax (954) 450-4454Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)NGUYEN Binh TPremier Dental(954) 987-6977Prov No 0000000373927160 Pembroke Rd Miramar FL 33023Gender MaleNPI 1427153410License DN15460License Type DBP DentistBoard Certified Not ReportedEmail dentalcaregmailc omFaxAccepts New Patients YHospital Affiliation NA

PERELLO Rosanna BR amp F Dental Clinic(954) 986-9351Prov No 0000000223716917 Miramar Pkwy Miramar FL 33023Gender FemaleNPI 1134280258License DN12945License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RANGEL RaulGreat Expressions DentalCenters(954) 392-7051Prov No 0000132216152905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1629154216License DN13743License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)RODRIGUEZ Mayra LDental Health Group Pa(954) 392-7051Prov No 0000004432612905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1972703254License DN18010License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SAENZ Manuel ODental Health Group Pa(954) 392-7051Prov No 0000003490572905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SAHI Gurman KDental Health Group Pa(954) 392-7051Prov No 0000011071132905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1689711020License DN17509License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SIEGEL Tara LDental Health Group Pa(954) 392-7051Prov No 0000120067472905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

72 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

MIRAMAR (Cont)SIERRA-DUQUE Pablo JDental Health Group Pa(954) 392-7051Prov No 0000003207132905 Sw 160th AveMiramar FL 33027Gender MaleNPI 1841356847License DN17835License Type DBP DentistBoard Certified NEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

SUATE PEDROZA Isabel MIsabel Suate Pedroza Dds Pa(754) 500-1050Prov No 00001263177414601 Sw 29th St Ste 201Miramar FL 33027Language Italian SpanishGender FemaleNPI 1972858751License DN19876License Type DBP DentistBoard Certified NEmail infomyfloridadentistnetFax (754) 212-0434Accepts New Patients YHospital Affiliation NA

SWANSON Wendy ERandall T Califf Pa(954) 987-4435Prov No 0000128297076890 Miramar Pkwy Miramar FL 33023Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail sunsetdentalservicesgmailcomFax (954) 987-4460Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

MIRAMAR (Cont)YANES MarnieGreat Expressions DentalCenters(954) 392-7051Prov No 0000132216162905 Sw 160th AveMiramar FL 33027Gender FemaleNPI 1407236052License DN21238License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 237-2066Accepts New Patients YHospital Affiliation NA

NORTH LAUDERDALE

PATEL Rohitkumar SRohitkumar Patel(954) 979-2511Prov No 0000123362701401 S State Road 7North Lauderdale FL 33068Gender MaleNPI 1295911246License DN9776License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 979-2511Accepts New Patients YHospital Affiliation NA

OAKLAND PARK

BAGHDASSARIAN RosemaryHab Dental Inc(954) 489-2517Prov No 0000128606271608 E Commercial BlvdOakland Park FL 33334Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail drsaucedoaolcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000128663991739 E Commercial BlvdOakland Park FL 33334Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000128629761739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

GARCES CarolinaOakland Park ModernDentistry(954) 261-5665Prov No 0000126856221005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)GOLDEN Joshua NOakland Park ModernDentistry(954) 261-5665Prov No 0000125596331005 E Commercial BlvdOakland Park FL 33334Language SpanishGender MaleNPI 1669898573License DN21450License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GOYAL LakshayOakland Park ModernDentistry(954) 261-5665Prov No 0000133716521005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1609364876License DN23757License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

LOZADA Katherine GOakland Park ModernDentistry(954) 261-5665Prov No 0000123966931005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1568801306License DN20137License Type DBP DentistBoard Certified NEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

73GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)MANTEL David BOakland Park ModernDentistry(954) 261-5665Prov No 0000127601481005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1972910073License DN21500License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MASSRI AbirConfident Smile Pa(954) 530-5674Prov No 000006963219916 Ne 62nd St Oakland Park FL 33334Gender FemaleNPI 1750579686License DN17850License Type DBP DentistBoard Certified NEmail contactusconfidentsmileflcomFax (954) 530-5912Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000128895381739 E Commercial BlvdOakland Park FL 33334Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)OLIVEIRA Paulo AOakland Park ModernDentistry Pa(954) 261-5665Prov No 0000127959161005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1285157826License DN22922License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

PEREZ Nelly ROakland Park ModernDentistry(954) 261-5665Prov No 0000125277891005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

PHAM Minh BOakland Park ModernDentistry(954) 261-5665Prov No 0000122820301005 E Commercial BlvdOakland Park FL 33334Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 776-6001Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000130370121739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

RIVAS-PLATA JessicaThe Dental Group(954) 485-1170Prov No 0000003561092609 W Oakland Park BlvdOakland Park FL 33311Gender FemaleNPI 1285751503License DN17759License Type DBP DentistBoard Certified Not ReportedEmail infothedentalgroupfllcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ-MARTIN Henry AThe Dental Group(954) 485-1170Prov No 0000003029882609 W Oakland Park BlvdOakland Park FL 33311Gender MaleNPI 1467549444License DN15860License Type DBP DentistBoard Certified Not ReportedEmail infothedentalgroupfllcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)SALBO FrederickaOakland Park ModernDentistry(954) 261-5665Prov No 0000130693961005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1639560543License DN21036License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SALDARRIAGA LisaHenry Rodriguez-Martin Dmd(954) 485-1170Prov No 0000130137682609 W Oakland Park BlvdOakland Park FL 33311Gender FemaleNPI 1588979710License DN18616License Type DBP DentistBoard Certified NEmail dentalgroup2609yahoocomFax (954) 485-5820Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000131583301739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

74 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)SIGILLO AlessandraOakland Park ModernDentistry(714) 845-8890Prov No 0000131332981005 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1497199103License DN21555License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(954) 368-9891Prov No 0000130370161739 E Commercial BlvdOakland Park FL 33334Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmail daynafkatsurcomFax (954) 368-9891Accepts New Patients YHospital Affiliation NA

THOMAS Antony POakland Park ModernDentistry(954) 261-5665Prov No 0000130613691005 E Commercial BlvdOakland Park FL 33334Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

OAKLAND PARK (Cont)ZAWADZKY Javier MHenry A Rodriguez-MartinDmd Pa(954) 485-1170Prov No 0000023003842609 W Oakland Park BlvdOakland Park FL 33311Gender MaleNPI 1245541507License DN19098License Type DBP DentistBoard Certified NEmailFax (954) 485-5820Accepts New Patients YHospital Affiliation NA

PARKLAND

AHMADI Ahmad KAhmad K Ahmadi Dmd Pa(954) 752-8283Prov No 0000011223466656 Parkside Dr Parkland FL 33067Gender MaleNPI 1538275292License DN16261License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 753-9462Accepts New Patients YHospital Affiliation NA

PEMBROKE PINES

ABDEL-JABBAR Sana HSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001245791617027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ABDELMONEM RafahPembroke Square Dental(954) 437-6400Prov No 0000122074799001 Pembroke Rd Ste APembroke Pines FL 33025Gender MaleNPI 1194736959License DN16642License Type DBP DentistBoard Certified Not ReportedEmail msantanadentalcentermiamicomFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

AGUDELO Monica ARandall T Califf Dds Pa(954) 437-0900Prov No 0000127957139033 Taft StPembroke Pines FL 33024Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

AHMADI Ahmad KAhmad Ahmadi Dmd Pa(954) 430-5700Prov No 00000034253612311 Taft St Ste 2Pembroke Pines FL 33026Gender MaleNPI 1538275292License DN16261License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ALEMAN Alex EAlex E Aleman Dmd(954) 499-1599Prov No 00000027038810796 Pines Blvd Ste 203 Pembroke Pines FL 33026Gender MaleNPI 1639252208License DN14247License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 499-5799Accepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(954) 982-7645Prov No 000012977712680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

AZADI Anthony APembroke Square Dental(954) 437-6400Prov No 0000125238279001 Pembroke Rd Ste APembroke Pines FL 33025Gender MaleNPI 1326491853License DN22177License Type DBP DentistBoard Certified Not ReportedEmail msantanadentalcentermiamicomFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

75GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)AZARI Scott JSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000391883717027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BADDALOO Reshma MGentle Teeth of Pembroke PinesInc(954) 437-7077Prov No 00001301114712251 Taft St Ste 301Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1043704026License DN23446License Type DBP DentistBoard Certified Not ReportedEmail genteethgmailcomFax (786) 496-3122Accepts New Patients YHospital Affiliation NA

BETANCOR AnetteDental Smile Llc(954) 442-1884Prov No 00001090463417525 Pines BlvdPembroke Pines FL 33029Language SpanishGender FemaleNPI 1508139064License DN19584License Type DBP DentistBoard Certified NEmail infodentalsmilellccomFax (954) 432-3368Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)BOCKIAN Joshua ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000017333817027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(954) 982-7645Prov No 000012970318680 N University DrPembroke Pines FL 33024Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOUCHARD Cynthia RAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000122359521601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender FemaleNPI 1235442997License DN19051License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)BRATMAN JerrySage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579301517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(954) 431-0004Prov No 000000018511140 S University DrPembroke Pines FL 33025Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

CALDERON Erik OLakes Mall Dental Center Pa(954) 432-5515Prov No 00000327464711401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender MaleNPI 1942596416License DN19377License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CALIFF Randall THorizon Dental Care(954) 437-0900Prov No 0000122040049033 Taft StPembroke Pines FL 33024Gender MaleNPI 1124244470License DN9027License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(954) 982-7645Prov No 000000020951680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(954) 982-7645Prov No 000013148570680 N University DrPembroke Pines FL 33024Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

76 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CARBALLO RodolfoPembroke Pines Dental HealthCenter Inc(954) 437-2040Prov No 0000003496161806 N Flamingo Rd Ste 170Pembroke Pines FL 33028Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail pembrokedhccomFax (954) 437-4573Accepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(954) 541-9796Prov No 0000124489786720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(954) 982-7645Prov No 000013157995680 N University DrPembroke Pines FL 33024Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CASTILLO Juan ISage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001215162817027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ICastillo Dental Studio Llc(954) 391-8309Prov No 00001279197017913 Nw 7th St Ste 103Pembroke Pines FL 33029Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001215297717027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CHRISTOPH VictorDental Health Group Pa(954) 431-0004Prov No 000000018512140 S University DrPembroke Pines FL 33025Gender MaleNPI 1235209594License DN6745License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneCelia Figueroa(954) 432-8000Prov No 0000126181371724 N University DrPembroke Pines FL 33024Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219948617027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)COWAN Marc ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001251827517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CROWGEY ThomasDental Health Group PembrokePines(954) 431-0004Prov No 000013073363140 S University DrPembroke Pines FL 33025Gender MaleNPI 1598147563License DN21343License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000390905117027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

77GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)CRUZ YarelieDental Excellence Partners Llc(954) 982-7645Prov No 000012969891680 N University DrPembroke Pines FL 33024Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000517941317027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE SOUSA Marvina ECounty Dental Corp(954) 447-0400Prov No 00000144858910271 Pines BlvdPembroke Pines FL 33026Language SpanishGender FemaleNPI 1841572963License DN19465License Type DBP DentistBoard Certified NEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DE SOUSA Marvina ESmile Solutions Dental Group(954) 432-3655Prov No 000012127335294 Nw 172nd Ave Pembroke Pines FL 33029Language SpanishGender FemaleNPI 1841572963License DN19465License Type DBP DentistBoard Certified NEmail contactsmilesolutionsdgcomFax (954) 438-0334Accepts New Patients YHospital Affiliation NA

DICKINSON Scott CAspen Dental(954) 364-0410Prov No 00001295614711061 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1942432729License DN16315License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOLPHIN Tyler CAri Socher Dds(954) 430-2300Prov No 00001308973012634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1699298547License DN22525License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DOMINGUEZ JoseJose D Dominguez Dds(954) 450-6447Prov No 0000000425443 Sw 129th Ave Ste 210Pembroke Pines FL 33027Gender MaleNPI 1992838304License DN13058License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 450-6270Accepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(954) 982-7645Prov No 000012969892680 N University DrPembroke Pines FL 33024Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001243641617027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DRISCOLL Allison RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219942817027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001211054517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE Ivonne JDental American Group(954) 447-0400Prov No 00001299879010271 Pines Blvd Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1952888752License DN23696License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFax (954) 447-0450Accepts New Patients YHospital Affiliation NA

78 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)DURKAN Marcia ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579307417027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ELHOSARY Princess CAmonem Inc(954) 437-6400Prov No 0000129905239001A Pembroke RdPembroke Pines FL 33025Gender FemaleNPI 1144677501License DN22761License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 613-5372Accepts New Patients YHospital Affiliation NA

ELPERIN AlexeiPremiere Dental Care Cntr(954) 940-9888Prov No A0000001836417901 Nw 5th St Ste 206Pembroke Pines FL 33029Gender MaleNPI 1295930063License DN15966License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ERRO Juan CPembroke Pines Dental HealthCenter Inc(954) 437-2040Prov No 0000004130781806 N Flamingo Rd Ste 170Pembroke Pines FL 33028Gender MaleNPI 1205161742License DN9599License Type DBP DentistBoard Certified Not ReportedEmail pembrokedhccomFax (954) 437-4573Accepts New Patients YHospital Affiliation NA

ESCOBAR Carlos FTowncare Dental of PembrokePines(954) 430-2580Prov No 000011009266600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001258591417027 Pines BlvdPembroke Pines FL 33027Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ESPINOSA Celia IDental Health Group Pa(954) 431-0004Prov No 000001619240140 S University DrPembroke Pines FL 33025Language SpanishGender FemaleNPI 1942402185License DN19636License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

FAGET DavidDental Studio of PembrokePines Llc(954) 526-1228Prov No 00001351786712251 Taft St Ste 400Pembroke Pines FL 33026Gender MaleNPI 1811224397License DN16328License Type DBP DentistBoard Certified Not ReportedEmail hellosmileandmotioncomFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001155158717027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)FIGUEROA Celia CAll About Teeth Lcc(954) 894-2121Prov No 0000010894142301 N University Dr Ste209Pembroke Pines FL 33024Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmail allabouteeth209gmailcomFax (954) 894-2120Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CCelia Figueroa(954) 432-8000Prov No 0000124485971724 N University DrPembroke Pines FL 33024Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219942917027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

79GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GABALDON MarianaJoy Family Dentistry Pa(954) 437-0033Prov No 000012209893240 S Flamingo RdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1316112436License DN19159License Type DBP DentistBoard Certified NEmail dentalboostpinesgmailcomFaxAccepts New Patients YHospital Affiliation NA

GALLO Don AAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000124304701601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

GARCES CarolinaDental Health Group Pa(954) 431-0004Prov No 000000406286140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GARCIA FERNANDEZ AliuskaGateway Dental Inc(954) 541-9796Prov No 0000123136016720 Pines Blvd Pembroke Pines FL 33024Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579307317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219944817027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GHATTAS Maureen ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001209137617027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GLICKSMAN Joel EDental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00000006114612634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1669537981License DN8869License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

GODOY Yami ATowncare Dental of PembrokePines(954) 430-2580Prov No 000012926460600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1831248004License DN19836License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GONZALES AngelicaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219524017027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosCounty Dental Corp(954) 447-0400Prov No 00001253009010271 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(954) 982-7645Prov No 000012971526680 N University DrPembroke Pines FL 33024Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

80 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GONZALEZ LilianCounty Dental Corp(954) 447-0400Prov No 00000026359810271 Pines BlvdPembroke Pines FL 33026Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001220465517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRA Daniel ADental Health Group Pa(954) 431-0004Prov No 000012072443140 S University DrPembroke Pines FL 33025Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)GUERRERO Luis ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579306517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUZMAN Nestor ETowncare Dental of PembrokePines(954) 430-2580Prov No 000011994836600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender MaleNPI 1558477919License DN16737License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

HACKBARTH Mallory JAspen Dental(954) 364-0410Prov No 00001296776111061 Pines BlvdPembroke Pines FL 33026Gender FemaleNPI 1265880470License DN23245License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)HEREDIA AbelardoGateway Dental Inc(954) 541-9796Prov No 0000125181776720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(954) 982-7645Prov No 000011550963680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(954) 541-9796Prov No 0000121394186720 Pines Blvd Pembroke Pines FL 33024Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)HORWITZ StevenSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001209911517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HUI Tin Wai WPremiere Dental Care Cntr(954) 940-9888Prov No 00000001813117901 Nw 5th St Ste 206Pembroke Pines FL 33029Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001251015217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

81GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)JACAS Sergio JIgor Pasisnitchenko Dds Pa(954) 431-0450Prov No 00001244801510450 Taft StPembroke Pines FL 33026Gender MaleNPI 1184004228License DN21198License Type DBP DentistBoard Certified Not ReportedEmail ipasisnitchenkoyahoocomFax (954) 435-0700Accepts New Patients YHospital Affiliation NA

JEAN PhilippeRandall T Califf Dds Pa(954) 437-0900Prov No 0000130195869033 Taft StPembroke Pines FL 33024Language SpanishGender MaleNPI 1538402128License DN22521License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

JOY Benjamin HJoy Family Dentistry Pa(954) 437-0033Prov No 000012587834240 S Flamingo RdPembroke Pines FL 33027Language SpanishGender MaleNPI 1255885885License DN22239License Type DBP DentistBoard Certified Not ReportedEmail infojoydentalpinescomFax (954) 437-7796Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)JOY Jayleen MJoy Family Dentistry Pa(954) 437-0033Prov No 000012587832240 S Flamingo RdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1194279737License DN22240License Type DBP DentistBoard Certified Not ReportedEmail infojoydentalpinescomFax (954) 437-7796Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001133176317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KEANE ChrisDentists of Pines(714) 845-8890Prov No 00001294312710430 Pines Blvd Ste C103Pembroke Pines FL 33026Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)KRAVITZ EugeneKravitz Dental(954) 430-4334Prov No 00000001922917767 Sw 2nd StPembroke Pines FL 33029Gender MaleNPI 1043496490License DN10328License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001210070117027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAZCANO Maritza TLozcano Family Dental Pa(954) 589-1261Prov No 0000125891421000 N Hiatus Rd Ste 150Pembroke Pines FL 33026Gender FemaleNPI 1942470422License DN18205License Type DBP DentistBoard Certified Not ReportedEmail infoyanowitzdentistrycomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)LEMINH Chau JSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001244496017027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEONARD Thomas PDental Health Group Pa(954) 431-0004Prov No 000012549036140 S University DrPembroke Pines FL 33025Gender MaleNPI 1831468735License DN19469License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217665317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

82 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)LONDONO Jennifer DSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579300717027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOPEZ Maria ELakes Mall Dental Center Pa(954) 432-5515Prov No 00001245122811401 Pines Blvd Ste 220Pembroke Pines FL 33026Gender FemaleNPI 1205852993License 21166License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001155113117027 Pines BlvdPembroke Pines FL 33027Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MANIGLIA Marielba DSmile Solutions Dental Group(954) 432-3655Prov No 000011116460294 Nw 172nd Ave Pembroke Pines FL 33029Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail contactsmilesolutionsdgcomFax (954) 438-0334Accepts New Patients YHospital Affiliation NA

MARS Rick ADental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00000001941012634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1316002637License DN11641License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

MAUSKAR Sagar SDental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00001242035312634 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1477800985License DN19913License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MCCANN LEE Katie LWest Pines Modern Dentistry(786) 204-0713Prov No 00001263373318312 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMcLean amp Associates of SouthFl Pa(954) 437-6400Prov No 0000003426409001 Pembroke Rd Ste A Pembroke Pines FL 33025Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail msantanadentalcentermiamicomFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CNatoya C Mclean amp Associates(954) 437-6400Prov No 0000130518889001A Pembroke RdPembroke Pines FL 33025Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmailFax (954) 433-4665Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MIRANDA Nicol MWest Pines Modern Dentistry(786) 204-0713Prov No 00001304455118312 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1780112607License DN22538License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIRANDA Nicol MDentists of Pines(954) 251-0238Prov No 00001305826410430 Pines Blvd Ste C103Pembroke Pines FL 33026Gender FemaleNPI 1780112607License DN22538License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(954) 541-9796Prov No 0000121394196720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

83GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MOHR Eric ESage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001155204017027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOLINA Gustavo RDental Care Inc(954) 538-0047Prov No 00001212755617868 Nw 2nd St Pembroke Pines FL 33029Language SpanishGender MaleNPI 1679859847License DN19559License Type DBP DentistBoard Certified NEmail pinesdentalcaregmailcomFax (954) 538-0924Accepts New Patients YHospital Affiliation NA

MOLINA Gustavo RAtria Dental Health Center(954) 499-0033Prov No 00001242296018503 Pines Blvd Ste 208 Pembroke Pines FL 33029Language SpanishGender MaleNPI 1679859847License DN19559License Type DBP DentistBoard Certified NEmail atriadentalattne tFax (954) 499-0355Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)MONCRIEFFE Tiffany ISage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001281632917027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MUJTABA MoneezeLaguna Isles Dental Dba FamilySmile Dental(954) 272-9250Prov No 000001399368701 Promenade Dr Ste 102Pembroke Pines FL 33026Gender FemaleNPI 1609926310License DN17384License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 680-1808Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579309417027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)NARVAEZ DE V VeronicaAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000126969451601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender FemaleNPI 1366979270License DN22539License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

NAVARRO Jessica MPembroke Pines Dental HealthCenter Inc(954) 437-2040Prov No 0000121323741806 N Flamingo Rd Ste 170Pembroke Pines FL 33028Language SpanishGender FemaleNPI 1932250685License DN17047License Type DBP DentistBoard Certified Not ReportedEmail pembrokedhccomFax (954) 437-4573Accepts New Patients YHospital Affiliation NA

NAVARRO SANCHEZ MarianelysCounty Dental Corp(954) 447-0400Prov No 00001245693610271 Pines BlvdPembroke Pines FL 33026Language SpanishGender FemaleNPI 1811348337License DN21940License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)NGUYEN Binh TBinh T Nguyen Dds(954) 544-5132Prov No 0000120086742472 N University DrPembroke Pines FL 33024Gender MaleNPI 1427153410License DN15460License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 987-1638Accepts New Patients YHospital Affiliation NA

OKLIN RichardRichard Oklin(954) 989-6950Prov No 0000000491166805 Pembroke Rd Pembroke Pines FL 33023Gender MaleNPI 1679699615License DN16012License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 989-6962Accepts New Patients YHospital Affiliation NA

OLIVEIRA MODESTO DanielaDental Care Group ofPembroke Pines Pl(954) 430-2300Prov No 00000027775412634 Pines BlvdPembroke Pines FL 33027Language Portuguese SpanishGender FemaleNPI 1659426369License DN17097License Type DBP DentistBoard Certified Not ReportedEmail caroldentalcaregroupnetFax (954) 430-3119Accepts New Patients YHospital Affiliation NA

84 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ORTA Ines ADental Smile Llc(954) 442-1884Prov No 00001213004817525 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1881836963License DN20345License Type DBP DentistBoard Certified Not ReportedEmail spdentalsmilellc comFax (954) 432-3368Accepts New Patients YHospital Affiliation NA

ORTA Ines ATowncare Dental of PembrokePines(954) 430-2580Prov No 000012151934600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1881836963License DN20345License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

PAPIR Jessica BDental Health Group Pa(954) 431-0004Prov No 000012137492140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PASISNITCHENKO IgorIgor Pasisnitchenko Dds(954) 431-0450Prov No 00000003855110450 Taft St Pembroke Pines FL 33026Gender MaleNPI 1659486488License DN15470License Type DBP DentistBoard Certified Not ReportedEmail ipasisnitchenkoyahoocomFax (954) 435-0700Accepts New Patients YHospital Affiliation NA

PAUL Alexander DAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000124938931601 N Palm Ave Ste 104 Pembroke Pines FL 33026Language SpanishGender MaleNPI 1255611596License DN21752License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

PELTON Ivan SDental Specialist of PembrokePines Group(954) 369-6998Prov No 00001288953912558 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail mevelynymailcomFax (305) 220-8911Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PEREZ Nelly RWest Pines Modern Dentistry(786) 204-0713Prov No 00001268658418312 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PEREZ-BORROTO RODRIGUEZ DaylisGentle Teeth of Pembroke Pines(954) 437-7077Prov No 00001346912212251 Taft St Ste 301Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1790215309License DN22685License Type DBP DentistBoard Certified Not ReportedEmail genteethgmailcomFax (954) 437-7466Accepts New Patients YHospital Affiliation NA

PERROTTI Steven DGateway Dental Inc(954) 541-9796Prov No 0000121394216720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PHAM Minh BWest Pines Modern Dentistry(786) 204-0713Prov No 00001261416418312 Pines BlvdPembroke Pines FL 33029Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PHAM Minh BDentists of Pines(954) 251-0238Prov No 00001289217910430 Pines Blvd Ste C103Pembroke Pines FL 33026Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(954) 541-9796Prov No 0000123145626720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

85GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)PLANES Alex ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001212853717027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PRIETO EvelynLakes Mall Dental Center Pa(954) 432-5515Prov No 00001245123011401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

QUESADA PedroCounty Dental Corp(954) 447-0400Prov No 00001218912710271 Pines BlvdPembroke Pines FL 33026Language SpanishGender MaleNPI 1164898177License DN21528License Type DBP DentistBoard Certified Not ReportedEmail dagpines2dentalamericannetFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)QUICK James RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219943017027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAJSCHMIR Silvina JLakes Mall Dental Center Pa(954) 432-5515Prov No 00001255463611401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1679977896License DN22255License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217281617027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)REY Tatiana SRandall T Califf Dds Pa(954) 437-0900Prov No 0000126985599033 Taft StPembroke Pines FL 33024Gender FemaleNPI 1710378641License DN21164License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(954) 982-7645Prov No 000012896805680 N University DrPembroke Pines FL 33024Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(954) 982-7645Prov No 000012965662680 N University DrPembroke Pines FL 33024Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)RIEGER Eric RSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001206673217027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219945117027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JTowncare Dental of PembrokePines(954) 430-2580Prov No 000004940285600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

86 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)RODRIGUEZ Margarita MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000391952317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001252605517027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROSENBAUM Ronald EJerome A Soloman Dds(954) 981-5600Prov No 0000003956752231 N University Dr SteAPembroke Pines FL 33024Gender MaleNPI 1336313063License DN 16060License Type DBP DentistBoard Certified Not ReportedEmail frontdeskrosenbaumdentalgroupcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)RUIZ MiltonPines Dental Assocs(954) 432-6133Prov No 0000120460851541 N Palm Ave Pembroke Pines FL 33026Gender MaleNPI 1033288063License DN13346License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SALAZAR Cecilia IDental Smile Llc(954) 442-1884Prov No 00001206687617525 Pines BlvdPembroke Pines FL 33029Gender FemaleNPI 1003193285License DN19356License Type DBP DentistBoard Certified Not ReportedEmail spdentalsmilellc comFax (954) 432-3368Accepts New Patients YHospital Affiliation NA

SANTANA DaniaGateway Dental Inc(954) 541-9796Prov No 0000122615446720 Pines Blvd Pembroke Pines FL 33024Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SANTIAGO-HERZOG Tatiana ETowncare Dental of PembrokePines(954) 430-2580Prov No 000002374537600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraGateway Dental Inc(954) 541-9796Prov No 0000129799906720 Pines Blvd Pembroke Pines FL 33024Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

SCARFONE MelanieSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217531317027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)Sepulveda Isabel CPremiere Dental Care Cntr(954) 940-9888Prov No 00001210349717901 Nw 5th St Ste 206Pembroke Pines FL 33029Language SpanishGender FemaleNPI 1790111763License DN20070License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SHARMA RohitGentle Teeth of Pembroke Pines(954) 437-7077Prov No 00000117259112251 Taft St Ste 301Pembroke Pines FL 33026Gender MaleNPI 1679875207License DN18494License Type DBP DentistBoard Certified Not ReportedEmail genteethgmailcomFax (954) 437-7466Accepts New Patients YHospital Affiliation NA

SHATHER Meriam ITin Wai Hui Dmd Pa(954) 430-2188Prov No 00000023148217901 Nw 5th St Ste 206Pembroke Pines FL 33029Gender FemaleNPI 1790973873License DN15867License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 430-5489Accepts New Patients YHospital Affiliation NA

87GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SIEGEL Tara LDental Health Group Pa(954) 431-0004Prov No 000001550370140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

SIERRA-DUQUE Pablo JDental Health Group Pa(954) 431-0004Prov No 000000349075140 S University DrPembroke Pines FL 33025Gender MaleNPI 1841356847License DN17835License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

SIMON GelsysAdvanced Dental Care ofPembroke Pines(954) 435-5020Prov No 0000120707721601 N Palm Ave Ste 104 Pembroke Pines FL 33026Gender FemaleNPI 1629154299License DN17332License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 435-1261Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SIRAGE Katherine LWest Pines Modern Dentistry(714) 845-8500Prov No 00001298391818312 Pines BlvdPembroke Pines FL 33029Language SpanishGender FemaleNPI 1316329527License DN21322License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219945217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SOLANO Jorge IJorge I Soland Dmd Pa(954) 432-5700Prov No 0000003785322076 N University Dr Pembroke Pines FL 33024Gender MaleNPI 1780708354License DN16855License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)STEINER Samantha LSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001217281517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STREETT RosarioLakes Mall Dental Center Pa(954) 432-5515Prov No 00001259426211401 Pines Blvd Ste 220Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1801230768License DN21495License Type DBP DentistBoard Certified Not ReportedEmail lakesdentiliseco mFax (954) 432-8909Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001245431217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)SWANSON Wendy ERandall Califf Dds Pa(954) 437-0900Prov No 0000129974629033 Taft StPembroke Pines FL 33024Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail horizondentalcare4gmailcomFax (954) 437-9268Accepts New Patients YHospital Affiliation NA

TAYLOR Nathan MAspen Dental(954) 364-0410Prov No 00001344435711061 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1295183945License DN21825License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

TCHOU LuisaSegelnick Specialists Llc(754) 217-4633Prov No 000012570560700 N Hiatus Rd Ste 101Pembroke Pines FL 33026Language SpanishGender FemaleNPI 1124315270License DN19419License Type DBP DentistBoard Certified Not ReportedEmail manapermini-mouthcomFax (954) 575-1859Accepts New Patients YHospital Affiliation NA

88 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)TENDERO AlyneSmile Garden Inc(954) 987-4141Prov No 0000000426286880 Taft St Pembroke Pines FL 33024Gender FemaleNPI 1578670907License DN15750License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

THOMAS Antony PDentists of Pines(954) 251-0238Prov No 00001311074510430 Pines Blvd Ste C103Pembroke Pines FL 33026Language SpanishGender MaleNPI 1477808186License DN22248License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

TRAN BrianAspen Dental(954) 364-0410Prov No 00001311204611061 Pines BlvdPembroke Pines FL 33026Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)URCUYO Jacqueline CSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001246266117027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001214613117027 Pines BlvdPembroke Pines FL 33027Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(954) 541-9796Prov No 0000124866906720 Pines Blvd Pembroke Pines FL 33024Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)VENTO YosvanyGateway Dental Inc(954) 541-9796Prov No 0000125198136720 Pines Blvd Pembroke Pines FL 33024Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

VERA Anny BSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001209426717027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ADental Health Group Pa(954) 431-0004Prov No 000001538862140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)VIGNOLA Jennifer ASage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00000579308217027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RDental Health Group Pa(954) 431-0004Prov No 000001657982140 S University DrPembroke Pines FL 33025Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmailFax (954) 431-6194Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RAngelic Smiles Dental Spa(954) 237-3902Prov No 0000125595989990 Nw 6th CtPembroke Pines FL 33024Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail lpierre67gmailco mFax (954) 639-7835Accepts New Patients YHospital Affiliation NA

89GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)YOUNG Lisa BTowncare Dental of PembrokePines(954) 430-2580Prov No 000001105611600 N Hiatus Rd Ste 103Pembroke Pines FL 33026Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 442-2800Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001201936917027 Pines BlvdPembroke Pines FL 33027Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001248540517027 Pines BlvdPembroke Pines FL 33027Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PEMBROKE PINES (Cont)ZAMORA Lyan TGateway Dental Inc(954) 541-9796Prov No 0000125181266720 Pines Blvd Pembroke Pines FL 33024Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail pinesgatewaydentalinccomFaxAccepts New Patients NHospital Affiliation NA

ZYLBERING Jason MSage Dental of Pembroke PinesPllc(954) 704-0044Prov No 00001219943217027 Pines BlvdPembroke Pines FL 33027Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANTATION

ABDEL-JABBAR Sana HSage Dental of Plantation Pa(954) 472-8707Prov No 0000124579178440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)ALVAREZ Jose FSunrise Dental Group Pa(954) 916-9955Prov No 0000121294711776 N Pine Island Rd Ste300Plantation FL 33322Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

ANTEZANA MauricioBroward Mall Dental Pa(954) 476-0802Prov No 0000129004298000 W Broward Blvd Ste 1 123Plantation FL 33388Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaBroward Mall Dental Pa(954) 476-0802Prov No 0000125645448000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)ATKINSON William ABroward Mall Dental Pa(954) 476-0802Prov No 0000122288218000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Plantation Pa(954) 472-8707Prov No 0000019561768440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteBroward Mall Dental Pa(954) 476-0802Prov No 0000122369888000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

90 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)BAGHDADI-GEGATI Marcel BDr Marcel B Gati Pa(954) 792-4100Prov No 000003916556300 Nw 70th Ave Ste 108 Plantation FL 33317Language French HebrewSpanishGender MaleNPI 1790955417License DN16519License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 792-8253Accepts New Patients YHospital Affiliation NA

BAKER Ronia MBeautiful Smiles Plantation Pa(954) 739-6464Prov No 0000127450581368 N University DrPlantation FL 33322Gender FemaleNPI 1194813220License DN16129License Type DBP DentistBoard Certified Not ReportedEmail beautifulsmileslauderhillgmailcomFax (954) 739-5210Accepts New Patients YHospital Affiliation NA

BAUTISTA EnricoSunrise Dental Group Pa(954) 916-9955Prov No 0000002074781776 N Pine Island Rd Ste300Plantation FL 33322Gender MaleNPI 1558467670License DN15933License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)BERRY Wayne LBroward Mall Dental Pa(954) 476-0802Prov No 0000128843418000 W Broward Blvd Ste 1 123Plantation FL 33388Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BLANCO FaridTotal Dental Care of Florida Llc(305) 747-7711Prov No 0000125546907420 Nw 5th StPlantation FL 33317Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Plantation Pa(954) 472-8707Prov No 0000044740738440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)BOUTSIKOS MariaAmerican Dental of Florida-Plantation(954) 641-0414Prov No 0000012491316905 W Broward Blvd Ste 101Plantation FL 33317Gender FemaleNPI 1588977623License DN19144License Type DBP DentistBoard Certified Not ReportedEmail kernsdental101gmailcomFaxAccepts New Patients YHospital Affiliation NA

BRADY TiffanyMichael Maruri Dmd Pa(615) 620-5990Prov No 000012516662815 S University Dr Ste 1 00Plantation FL 33324Gender FemaleNPI 1407292824License DN21459License Type DBP DentistBoard Certified Not ReportedEmail infosupersmilesfl comFax (954) 473-6922Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Plantation Pa(954) 472-8707Prov No 0000121413798440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)CABRERA Rene EBroward Mall Dental Pa(954) 476-0802Prov No 0000127703048000 W Broward Blvd Ste 1 123Plantation FL 33388Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Plantation Pa(954) 472-8707Prov No 0000121516298440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Plantation Pa(954) 472-8707Prov No 0000121529788440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

91GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)CORONADO EfrainSage Dental of Plantation Pa(954) 472-8707Prov No 0000015401718440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Plantation Pa(954) 472-8707Prov No 0000039163718440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

CRISCUOLO StephenSmile Everyday Plantation(954) 228-7264Prov No 0000125537577500 Nw 5th St Ste 107Plantation FL 33317Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)CRUZ Antonio RSage Dental of Plantation Pa(954) 472-8707Prov No 0000017716148440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

CULLEN William CBroward Mall Dental Pa(954) 476-0802Prov No 0000121272308000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraSmile Everyday Plantation(954) 228-7264Prov No 0000128559377500 Nw 5th St Ste 107Plantation FL 33317Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)DAROJAT Zuhdiyah MSage Dental of Plantation Pa(954) 472-8707Prov No 0000045900098440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

DHAM Uttma SWestside Dental Center(954) 476-4535Prov No 000000468749180 Sw 84th Ave Ste D Plantation FL 33324Gender FemaleNPI 1578719423License DN16314License Type DBP DentistBoard Certified Not ReportedEmail westsidedmdgmailcomFaxAccepts New Patients YHospital Affiliation NA

DI RE AnthonyBroward Mall Dental Pa(954) 476-0802Prov No 0000129086538000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)DOOLEY Jill CSage Dental of Plantation Pa(954) 472-8707Prov No 0000124364208440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

DOUGLAS Richard CSuperior Dental Plantation Pl(954) 583-4447Prov No 000000094585660 N State Road 7 Ste 12 Plantation FL 33317Gender MaleNPI 1528220126License DN9789License Type DBP DentistBoard Certified NEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Plantation Pa(954) 472-8707Prov No 0000019584588440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

92 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)DUARTE BeatrizPlantation Dental Services(954) 474-8475Prov No 000001297045314 S University Dr Plantation FL 33324Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Plantation Pa(954) 472-8707Prov No 0000121105478440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Plantation Pa(954) 472-8707Prov No 0000017722308440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)DURVE AparnaBroward Mall Dental Pa(954) 476-0802Prov No 0000125081628000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Plantation Pa(954) 472-8707Prov No 0000125859158440 W Broward BlvdPlantation FL 33324Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Plantation Pa(954) 472-8707Prov No 0000115515668440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)FERRERO Patricia FBroward Mall Dental Pa(954) 476-0802Prov No 0000126136858000 W Broward Blvd Ste 1 123Plantation FL 33388Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

FORNOS Jorge ABroward Mall Dental Pa(954) 476-0802Prov No 0000122477848000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Plantation Pa(954) 472-8707Prov No 0000004252728440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)FRIEND Michael JMichael J Friend Dmd Pa(954) 915-8080Prov No 0000006302408962 Cleary Blvd Plantation FL 33324Gender MaleNPI 1518975390License DN15822License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

GALLO Don ASuperior Dental Plantation Pl(954) 583-4447Prov No 000012430468660 N State Road 7 Ste 12 Plantation FL 33317Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

GALLO Don APlantation Dental Services(954) 474-8475Prov No 000012679319314 S University Dr Plantation FL 33324Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

93GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)GARCIA-PORRAS MarcelaSage Dental of Plantation Pa(954) 472-8707Prov No 0000011464388440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Plantation Pa(954) 472-8707Prov No 0000004133568440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Plantation Pa(954) 472-8707Prov No 0000120913508440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)GILSON Steven MGentle Family Dentistry(954) 424-4600Prov No 00000001813910167 W Sunrise Blvd Ste101Plantation FL 33322Gender MaleNPI 1063554764License DN9853License Type DBP DentistBoard Certified Not ReportedEmail smggfdgmailcomFaxAccepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Plantation Pa(954) 472-8707Prov No 0000121952418440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyBroward Mall Dental Pa(954) 476-0802Prov No 0000121303298000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)GONZALEZ KeniaBroward Mall Dental Pa(954) 476-0802Prov No 0000120982278000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Plantation Pa(954) 472-8707Prov No 0000122046568440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

GREEN George DBroward Mall Dental Pa(954) 476-0802Prov No 0000124907038000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)GUERRA VannetteBroward Mall Dental Pa(954) 476-0802Prov No 0000128236868000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Plantation Pa(954) 472-8707Prov No 0000012160988440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

HERNANDEZ RIVERA Ricardo NNicolas Hermandez Rivera DdsPa(754) 332-2319Prov No 0000128691738251 W Broward Blvd Ste 102Plantation FL 33324Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

94 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)HORWITZ StevenSage Dental of Plantation Pa(954) 472-8707Prov No 0000120989788440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Plantation Pa(954) 472-8707Prov No 0000125101538440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

JAMES Larry GL G James Dmd(954) 791-6700Prov No 0000000254014100 S Hospital Dr Ste 20 8Plantation FL 33317Gender MaleNPI 1154436129License DN9512License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 797-7622Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)JAMES Larry GLg James Dmd Pa(954) 791-6700Prov No 0000121522864101 S Hospital DrPlantation FL 33317Gender MaleNPI 1154436129License DN9512License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 797-7622Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Plantation Pa(954) 472-8707Prov No 0000113317688440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

KASHLAN RaniaJacaranda Dental Associates(954) 577-3223Prov No 000012560211600 S Pine Island Rd Ste 201Plantation FL 33324Gender FemaleNPI 1932260403License DN18607License Type DBP DentistBoard Certified Not ReportedEmail jacarandadental600gmailcomFax (954) 343-3648Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)KLEIN Peter BDr Smile Pa(954) 791-0330Prov No 0000022987437420 Nw 5th St Ste 101 Plantation FL 33317Gender MaleNPI 1023235603License DN11630License Type DBP DentistBoard Certified Not ReportedEmail drsmilepagmailco mFaxAccepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MBroward Mall Dental Pa(954) 476-0802Prov No 0000125966488000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VBroward Mall Dental Pa(954) 476-0802Prov No 0000120624748000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)KRASNOV RostislavBroward Mall Dental Pa(954) 476-0802Prov No 0000018203658000 W Broward Blvd Ste 1 123Plantation FL 33388Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RBroward Mall Dental Pa(954) 476-0802Prov No 0000121497398000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Plantation Pa(954) 472-8707Prov No 0000121007028440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

95GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)LASKA Mario LSage Dental of Plantation Pa(954) 472-8707Prov No 0000128236598440 W Broward BlvdPlantation FL 33324Language SpanishGender MaleNPI 1629151196License DN16765License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Plantation Pa(954) 472-8707Prov No 0000124449618440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Plantation Pa(954) 472-8707Prov No 0000121766458440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)LOFTUS Shamus LBroward Mall Dental Pa(954) 476-0802Prov No 0000130482548000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Plantation Pa(954) 472-8707Prov No 0000003970418440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Plantation Pa(954) 472-8707Prov No 0000115511328440 W Broward BlvdPlantation FL 33324Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)MAHARAJ Vindra RPlantation Dental Services(954) 474-8475Prov No 000004029121314 S University Dr Plantation FL 33324Gender FemaleNPI 1720176969License DN11308License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DBroward Mall Dental Pa(954) 476-0802Prov No 0000128980068000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

MARTIN Sidney SSuperior Dental Plantation Pl(954) 583-4447Prov No 000011551337660 N State Road 7 Ste 12 Plantation FL 33317Gender MaleNPI 1346250941License DN8913License Type DBP DentistBoard Certified NEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)MENENDEZ LLERA Vivian MSmile Everyday Plantation(954) 228-7264Prov No 0000127611277500 Nw 5th St Ste 107Plantation FL 33317Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Plantation Pa(954) 472-8707Prov No 0000117711398440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Plantation Pa(954) 472-8707Prov No 0000128163408440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

96 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)MORELL OmarBroward Mall Dental Pa(954) 476-0802Prov No 0000126075648000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Plantation Pa(954) 472-8707Prov No 0000012795978440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

NEWMAN Marcela PDr Smile Pa(954) 791-0330Prov No 0000011247897420 Nw 5th St Ste 101 Plantation FL 33317Gender FemaleNPI 1457453607License DN18470License Type DBP DentistBoard Certified NEmail drsmilepagmailco mFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)OJEDA JR Juan MSmile Everyday Plantation(954) 228-7264Prov No 0000126404267500 Nw 5th St Ste 107Plantation FL 33317Gender MaleNPI 1861786949License DN19477License Type DBP DentistBoard Certified Not ReportedEmail infosmileeverydaydentistrycomFax (954) 870-6214Accepts New Patients YHospital Affiliation NA

OSPINA CarolinaBroward Mall Dental Pa(954) 476-0802Prov No 0000134916708000 W Broward Blvd Ste 1 123Plantation FL 33388Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraBroward Mall Dental Pa(954) 476-0802Prov No 0000125607988000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)PHAM QuynhnhuBroward Mall Dental Pa(954) 476-0802Prov No 0000128665588000 W Broward Blvd Ste 1 123Plantation FL 33388Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Plantation Pa(954) 472-8707Prov No 0000121285388440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Plantation Pa(954) 472-8707Prov No 0000020237578440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)RAPPAPORT David BSage Dental of Plantation Pa(954) 472-8707Prov No 0000121728198440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

REED SamanthaBroward Mall Dental Pa(954) 476-0802Prov No 0000125638458000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

REICH Alice FMichael J Friend Dmd Pa(305) 956-9996Prov No 0000126322068962 Cleary Blvd Plantation FL 33324Gender FemaleNPI 1497104269License DN21903License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

97GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)REICH Alice FMichael J Friend Dmd Pa(954) 915-8080Prov No 0000126322068962 Cleary Blvd Plantation FL 33324Gender FemaleNPI 1497104269License DN21903License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

REID Sharone VBroward Dental Office(954) 583-1139Prov No 0000000503384230 W Broward Blvd Plantation FL 33317Gender FemaleNPI 1265567044License DN16054License Type DBP DentistBoard Certified Not ReportedEmail broward_dentalyahoocomFax (954) 583-1235Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineBroward Mall Dental Pa(954) 476-0802Prov No 0000127857928000 W Broward Blvd Ste 1 123Plantation FL 33388Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)RIEGER Eric RSage Dental of Plantation Pa(954) 472-8707Prov No 0000120667338440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

RIETTIE Lana CDentacare Dental(954) 475-9455Prov No 000000635110100 Nw 82nd Ave Ste 203Plantation FL 33324Gender FemaleNPI 1699804872License DN16056License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 475-9931Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Plantation Pa(954) 472-8707Prov No 0000015491428440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)ROBINSON Sharon OThe Dental Place Inc(954) 895-0258Prov No 0000002847896738 W Sunrise Blvd Ste 1 05Plantation FL 33313Gender FemaleNPI 1730255100License DN16911License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JPlantation Dental Services(954) 474-8475Prov No 000012048904314 S University Dr Plantation FL 33324Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissBroward Mall Dental Pa(954) 476-0802Prov No 0000130475338000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)RODRIGUEZ Margarita MSage Dental of Plantation Pa(954) 472-8707Prov No 0000004538638440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Plantation Pa(954) 472-8707Prov No 0000125239388440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

SABAN JackJack Saban Pa(954) 473-4455Prov No 000000018243150 N University Dr Ste 1 00Plantation FL 33324Gender MaleNPI 1477604312License DN8257License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 473-0835Accepts New Patients YHospital Affiliation NA

98 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)SALOMON DaniellaDaniella Salomon(954) 791-0330Prov No 0000034836907420 Nw 5th StPlantation FL 33317Gender FemaleNPI 1265602031License DN16604License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 791-0377Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Plantation Pa(954) 472-8707Prov No 0000121753148440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HBroward Mall Dental Pa(954) 476-0802Prov No 0000131424418000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)SHROFF Hitesh RHitesh Shroff(954) 423-3969Prov No 0000000192601854 N Nob Hill Rd Plantation FL 33322Gender MaleNPI 1154514917License DN12967License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 423-4037Accepts New Patients YHospital Affiliation NA

SHVETS AnkitaPalmsdental(954) 350-0400Prov No 0000125631971837 N Pine Island RdPlantation FL 33322Language Hindi RussianGender FemaleNPI 1316322092License DN21743License Type DBP DentistBoard Certified Not ReportedEmail plantationpalmsdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

SHVETS GabrielPalmsdental(954) 350-0400Prov No 0000125641261837 N Pine Island RdPlantation FL 33322Language Hindi RussianGender MaleNPI 1003292285License DN21909License Type DBP DentistBoard Certified Not ReportedEmail plantationpalmsdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)SIMON GelsysSuperior Dental Plantation Pl(954) 583-4447Prov No 000012071043660 N State Road 7 Ste 12 Plantation FL 33317Gender FemaleNPI 1629154299License DN17332License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 583-8641Accepts New Patients YHospital Affiliation NA

SMITH Larysa KSunrise Dental Group Pa(954) 916-9955Prov No 0000011363351776 N Pine Island Rd Ste300Plantation FL 33322Gender FemaleNPI 1710036819License DN17497License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Plantation Pa(954) 472-8707Prov No 0000007046748440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)STEINER Samantha LSage Dental of Plantation Pa(954) 472-8707Prov No 0000121728188440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Plantation Pa(954) 472-8707Prov No 0000124543138440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

SUAREZ ElisaPlantation Dental Services(954) 474-8475Prov No 000000044582314 S University Dr Plantation FL 33324Gender FemaleNPI 1730269440License DN13847License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

99GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)URCUYO Jacqueline CSage Dental of Plantation Pa(954) 472-8707Prov No 0000124626628440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

UZUNOVA-DIMOVA KalinaBroward Mall Dental Pa(954) 476-0802Prov No 0000121725218000 W Broward Blvd Ste 1 123Plantation FL 33388Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Plantation Pa(954) 472-8707Prov No 0000121461328440 W Broward BlvdPlantation FL 33324Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)VAZANA Todd AVazana Family Dental Pa(954) 472-8844Prov No 0000122430077807 Sw 6th CtPlantation FL 33324Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail infovazanadental comFaxAccepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SBroward Mall Dental Pa(954) 476-0802Prov No 0000127770938000 W Broward Blvd Ste 1 123Plantation FL 33388Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 476-0883Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Plantation Pa(954) 472-8707Prov No 0000120942688440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)VIGNOLA Jennifer ASage Dental of Plantation Pa(954) 472-8707Prov No 0000021561858440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DPlantation Dental Services(954) 474-8475Prov No 000012646027314 S University Dr Plantation FL 33324Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 474-4239Accepts New Patients YHospital Affiliation NA

YOUNG Lisa BSunrise Dental Group Pa(954) 916-9955Prov No 0000120390021776 N Pine Island Rd Ste300Plantation FL 33322Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 916-9994Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

PLANTATION (Cont)YU Cynthia WSage Dental of Plantation Pa(954) 472-8707Prov No 0000120193708440 W Broward BlvdPlantation FL 33324Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Plantation Pa(954) 472-8707Prov No 0000124854198440 W Broward BlvdPlantation FL 33324Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

ZEIG Dana AMichael J Friend Dmd Pa(305) 956-9996Prov No 0000121647158962 Cleary Blvd Plantation FL 33324Language HebrewGender FemaleNPI 1497131122License DN21255License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

100 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

PLANTATION (Cont)ZEIG Dana AMichael J Friend Dmd Pa(954) 915-8080Prov No 0000121647158962 Cleary Blvd Plantation FL 33324Language HebrewGender FemaleNPI 1497131122License DN21255License Type DBP DentistBoard Certified Not ReportedEmail drfriendusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Plantation Pa(954) 472-8707Prov No 0000011941508440 W Broward BlvdPlantation FL 33324Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (954) 472-8718Accepts New Patients YHospital Affiliation NA

POMPANO BEACH

ABDEL-JABBAR Sana HSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124579371650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)ACOSTA-ORTIZ RodolfoSunshine Dental(954) 972-6066Prov No 0000050593671711 Hammondville Rd Pompano Beach FL 33069Language SpanishGender MaleNPI 1689782435License DN16118License Type DBP DentistBoard Certified Not ReportedEmail contactdentist4c omFax (954) 935-3138Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003970511650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BEHAR MarkFederal Dental Center(954) 941-4070Prov No 0000071943511600 E Atlantic Blvd SteAPompano Beach FL 33060Gender MaleNPI 1144336322License DN8030License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 782-0425Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)BENJAMIN ReenuReenu Benjamin(954) 943-6644Prov No 000000204739831 W Sample RdPompano Beach FL 33064Gender MaleNPI 1992832653License DN15371License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 212-2846Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000040294471650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Pompano BeachPa(954) 946-4867Prov No 0000008590661650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)BRETON Luis FLuis F Breton(954) 781-4670Prov No 0000011209202747 E Atlantic Blvd Pompano Beach FL 33062Language SpanishGender MaleNPI 1538396791License DN18677License Type DBP DentistBoard Certified Not ReportedEmail dentastic79gmail comFax (954) 237-4729Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121516671650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121529791650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

101GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)CLAXTON John PJohn P Claxton Dds Llc(954) 782-2440Prov No 0000000192331605 S Cypress RdPompano Beach FL 33060Gender MaleNPI 1144432097License DN5675License Type DBP DentistBoard Certified Not ReportedEmail johnclaxtonddsgmailcomFax (954) 781-2694Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003047551650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000039162341650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)CRUZ Antonio RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000017716161650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000045899531650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124364241650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)DRISCOLL Allison RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000019584441650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121105481650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000017722511650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)ESPINET KUSNIER ElaineSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000125859161650 N Federal Hwy Ste 105Pompano Beach FL 33062Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000115515761650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000004252731650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

102 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000008590851650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000004133581650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120913511650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)GONZALES AngelicaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121952421650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Pompano BeachPa(954) 946-4867Prov No 0000122046571650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000012161041650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)HORWITZ StevenSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120989791650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000125101541650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000113317721650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)LAMB NicoleSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121007031650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LAZCANO Maritza TMaritza Lazcano(954) 941-6882Prov No 0000007112272708 E Atlantic BlvdPompano Beach FL 33062Gender FemaleNPI 1942470422License DN18205License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 941-7112Accepts New Patients YHospital Affiliation NA

LEIBOVICI JacobUs-1 Dental Doctors(959) 580-2200Prov No 0000002120793112 N Federal HwyPompano Beach FL 33064Gender MaleNPI 1386736767License DN14459License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

103GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)LEMINH Chau JSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124449621650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121766461650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003047571650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)MA Lisa MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000127047381650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1649653957License DN21326License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000115511331650 N Federal Hwy Ste 105Pompano Beach FL 33062Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MARQUES Nelson RSambaki Corp(954) 531-0809Prov No 0000128162563112 N Federal HwyPompano Beach FL 33064Gender MaleNPI 1730480195License DN12020License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 531-6019Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)MOHR Eric ESage Dental of Pompano BeachPa(954) 946-4867Prov No 0000115520361650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Pompano BeachPa(954) 946-4867Prov No 0000128166341650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000012795981650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)PEREZ ReinaldoSimple Dental Solutions Llc(954) 979-3515Prov No 0000127682542716 W Atlantic BlvdPompano Beach FL 33069Language SpanishGender MaleNPI 1447764931License DN22768License Type DBP DentistBoard Certified Not ReportedEmail simpledentalsolutionsoutlookcomFaxAccepts New Patients YHospital Affiliation NA

PETTIS Cyrus RCyrus R Pettis(954) 782-4001Prov No 000000112438200 N Flagler AvePompano Beach FL 33060Gender MaleNPI 1508071192License DN7571License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 782-8702Accepts New Patients YHospital Affiliation NA

PETTIS Cyrus RPettis amp Shepard DentasticDental Llc(954) 781-4670Prov No A000000250872747 E Atlantic Blvd Pompano Beach FL 33062Gender MaleNPI 1508071192License DN7571License Type DBP DentistBoard Certified Not ReportedEmail dentastic79gmail comFax (954) 366-4376Accepts New Patients YHospital Affiliation NA

104 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)PINE Philip APhilip A Pine Dds Pa(954) 782-1992Prov No 0000000190541600 E Atlantic Blvd Ste APompano Beach FL 33060Gender MaleNPI 1093737363License DN10129License Type DBP DentistBoard Certified Not ReportedEmail drpine1600gmailc omFax (954) 782-0425Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121285401650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000020237361650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)RAMIREZ Patricia HPettis amp Shepard DentasticDental Llc(954) 781-4670Prov No 0000011443202747 E Atlantic Blvd Pompano Beach FL 33062Gender FemaleNPI 1467764407License DN19105License Type DBP DentistBoard Certified Not ReportedEmail dentastic79gmail comFax (954) 366-4376Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121728331650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120667341650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)RING Stephen GSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000003047601650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000004538641650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000125260561650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)SCARFONE MelanieSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121753151650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000007046891650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121635231650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

105GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)STRONG Shanice De OnaSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124543201650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124626261650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000121461331650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)VERA Anny BSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120942691650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Pompano BeachPa(954) 946-4867Prov No 0000021561711650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000120193711650 N Federal Hwy Ste 105Pompano Beach FL 33062Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

POMPANO BEACH (Cont)YU Joyce WSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000124854201650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Pompano BeachPa(954) 946-4867Prov No 0000008590501650 N Federal Hwy Ste 105Pompano Beach FL 33062Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SUNRISE

AGUDELO Monica ARandall T Califf Dds Pa(954) 851-9829Prov No 00001201891012578 W Sunrise BlvdSunrise FL 33323Gender FemaleNPI 1366644189License DN17954License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)ANTEZANA MauricioSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001289959412801 W Sunrise Blvd Ste F222Sunrise FL 33323Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001256442712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

ATKINSON William ASawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001222881812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

106 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)BAEZ HENRY CarlianetteSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001223698712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BERRY Wayne LSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001292435512801 W Sunrise Blvd Ste F222Sunrise FL 33323Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BLUM Mark DMark D Blum Dds(954) 748-5448Prov No 0000000199317800 W Oakland Park BlvdSte 301Sunrise FL 33351Gender MaleNPI 1548274251License DN11034License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 748-0552Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)CABRERA Rene ESawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001277029812801 W Sunrise Blvd Ste F222Sunrise FL 33323Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

CASTELLO POLO Blanca MShalom Sunset Dental Care Llc(954) 572-1801Prov No 0000122538196491 Sunset Strip Ste 1Sunrise FL 33313Language SpanishGender FemaleNPI 1710380316License DN20938License Type DBP DentistBoard Certified Not ReportedEmail shalomsunsetdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

CULLEN William CSawgrass Mills Mall Dental(954) 846-7171Prov No 00001212910812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)DI RE AnthonySawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001292176512801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

DIFILIPPO StevenWeston Family Dental Ctr(954) 385-9240Prov No 0000001592541350 Sw 160th AveSunrise FL 33326Gender MaleNPI 1982771762License DN15391License Type DBP DentistBoard Certified Not ReportedEmail westonfamilydentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

DURVE AparnaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001250833112801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)ESCOBAR Carlos FRandall T Califf Dds Pa(954) 851-9829Prov No 00001200615312578 W Sunrise BlvdSunrise FL 33323Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFaxAccepts New Patients YHospital Affiliation NA

FERRERO Patricia FSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001261633512801 W Sunrise Blvd Ste F222Sunrise FL 33323Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

FONSECA JacquelineFonseca Dental Dmd Inc(954) 900-2059Prov No 00001278532810108 W Oakland Park BlvdSunrise FL 33351Gender FemaleNPI 1487005369License DN21846License Type DBP DentistBoard Certified Not ReportedEmail teethbrightsmilesofsunrisecomFax (954) 440-2995Accepts New Patients YHospital Affiliation NA

107GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)FORNOS Jorge ASawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001224788312801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

GOLDEN Joshua NWest Sunrise Dentistry(954) 648-2414Prov No 0000125597479310 W Commercial BlvdSunrise FL 33351Language SpanishGender MaleNPI 1669898573License DN21450License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GONZALEZ KellySawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001213040412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)GONZALEZ KeniaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001021621712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

GONZALEZ Monica GWest Sunrise Dentistry(954) 648-2414Prov No 0000124342429310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1699115741License DN20163License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GREEN George DSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001245764412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)GUERRA VannetteSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001282366412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

HERNANDEZ-BARCELO Odalis ETotal Care Dental Inc(954) 741-0346Prov No 0000093959864300 N University Dr SteA104Sunrise FL 33351Gender FemaleNPI 1568553816License DN17753License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HILALI ManalGentle Dentistry of Tamarac(954) 720-0701Prov No 00000043443110151 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1770775884License DN18133License Type DBP DentistBoard Certified Not ReportedEmail infogentdentcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)JEAN PhilippeRandall Califf Dds Pa(954) 851-9829Prov No 00001301958212578 W Sunrise BlvdSunrise FL 33323Language SpanishGender MaleNPI 1538402128License DN22521License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFax (954) 851-0622Accepts New Patients YHospital Affiliation NA

JUMA ZaileenWelleby Family Dental(954) 748-7100Prov No 00001220286110127 W Oakland Park BlvdSunrise FL 33351Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (954) 748-8470Accepts New Patients YHospital Affiliation NA

KARIM SaraWest Sunrise Dentistry(954) 648-2414Prov No 0000129083369310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1376038000License DN23520License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

108 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)KEANE ChrisWest Sunrise Dentistry(954) 648-2414Prov No 0000128880469310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001259915812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001206311312801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)KRASNOV RostislavSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00000182036412801 W Sunrise Blvd Ste F222Sunrise FL 33323Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001214971712801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

LARGEN John FJohn F Largen Dds(954) 846-9040Prov No 00000001966812651 W Sunrise Blvd Ste300Sunrise FL 33323Gender MaleNPI 1801217310License DN9263License Type DBP DentistBoard Certified Not ReportedEmail drjohnlargengmailcomFax (954) 846-1363Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)LOFTUS Shamus LSawgrass Mills Mall Dental(954) 846-7171Prov No 00001304830212801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001289799412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LWest Sunrise Dentistry(954) 648-2414Prov No 0000122176659310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)MEHLER Eric REric R Mehler Dds(954) 741-5006Prov No 0000000179547800 W Oakland Park BlvdSte 114FSunrise FL 33351Gender MaleNPI 1912090309License DN12024License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 572-6669Accepts New Patients YHospital Affiliation NA

MENENDEZ NancyNancy Menendez(954) 900-1037Prov No 0000125325488278 Sunset StripSunrise FL 33322Gender FemaleNPI 1467707927License DN20816License Type DBP DentistBoard Certified Not ReportedEmail mrsantanagyahoocomFax (954) 900-1137Accepts New Patients YHospital Affiliation NA

MORELL OmarSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001260840612801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

109GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)OLIVEIRA Paulo AWest Sunrise Dentistry Pa(954) 648-2414Prov No 0000127959179310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1285157826License DN22922License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (954) 741-0815Accepts New Patients YHospital Affiliation NA

ONGLEY Bettie Linda LJacavanda Sq Dentistry(954) 473-9161Prov No 0000000190841945 N Pine Island Rd Sunrise FL 33322Gender FemaleNPI 1306868351License DN7319License Type DBP DentistBoard Certified Not ReportedEmail alluredentalplantationgmailcomFaxAccepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001256119012801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)PEREZ Nelly RWest Sunrise Dentistry(954) 648-2414Prov No 0000124909139310 W Commercial BlvdSunrise FL 33351Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PHAM Minh BWest Sunrise Dentistry(954) 648-2414Prov No 0000122176679310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PHAM QuynhnhuSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001286406912801 W Sunrise Blvd Ste F222Sunrise FL 33323Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)REED SamanthaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001256371812801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

REY Tatiana SRandall T Califf Dds Pa(954) 851-9829Prov No 00001249491512578 W Sunrise BlvdSunrise FL 33323Gender FemaleNPI 1710378641License DN21164License Type DBP DentistBoard Certified Not ReportedEmail aaroncaliffgmail comFaxAccepts New Patients YHospital Affiliation NA

RIBOUL SandrineSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001278430212801 W Sunrise Blvd Ste F222Sunrise FL 33323Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)RODRIGUEZ IvelissSawgrass Mills Mall Dental Fl(954) 846-7171Prov No 00001304222912801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Nohora IRodmo Dental Llc(954) 581-7555Prov No 0000018198054137 N Pine Island Rd Sunrise FL 33351Language SpanishGender FemaleNPI 1497984355License DN18791License Type DBP DentistBoard Certified Not ReportedEmail infodbsmilesnetFax (954) 301-0149Accepts New Patients YHospital Affiliation NA

ROSENTHAL Allen HAllen Rosenthal(954) 742-2577Prov No 0000001449523836 N University DrSunrise FL 33351Gender MaleNPI 1811009541License DN7953License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 742-2884Accepts New Patients YHospital Affiliation NA

110 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

SUNRISE (Cont)SANCHEZ MarlieSawgrass Mills Mall Dental(954) 846-7171Prov No 00001293081212801 W Sunrise Blvd Ste222Sunrise FL 33323Gender FemaleNPI 1891287462License DN23323License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SEVEL Dennis SWeston Family Dental Ctr(954) 385-9240Prov No 0000003498791350 Sw 160th AveSunrise FL 33326Gender MaleNPI 1568665966License DN11695License Type DBP DentistBoard Certified Not ReportedEmail westonfamilydentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

SHIMANSKY Daniel AWest Sunrise Dentistry(954) 648-2414Prov No 0000130901399310 W Commercial BlvdSunrise FL 33351Gender MaleNPI 1134634967License DN23092License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)SHIPPEE Rebecca HSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001314241412801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

STEIN IlyaSunrise Family Dentistry Pa(954) 900-2059Prov No 00001212631410108 W Oakland Park BlvdSunrise FL 33351Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmail teethbrightsmilesofsunrisecomFax (954) 440-2995Accepts New Patients YHospital Affiliation NA

SWANSON Wendy ERandall Cliff Dds Pa(954) 851-9829Prov No 00001299746112578 W Sunrise BlvdSunrise FL 33323Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail sunsetdentalservicesgmailcomFax (954) 851-0622Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

SUNRISE (Cont)UZUNOVA-DIMOVA KalinaSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001215088612801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SSawgrass Mills Mall Dental Pa(954) 846-7171Prov No 00001277707912801 W Sunrise Blvd Ste F222Sunrise FL 33323Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail elugostomatcarec omFax (954) 846-7170Accepts New Patients YHospital Affiliation NA

WOHLSTEIN DianaSawgrass Dental Center(954) 846-7000Prov No 00000027685812651 W Sunrise Blvd Ste 200Sunrise FL 33323Gender FemaleNPI 1659573137License DN14705License Type DBP DentistBoard Certified Not ReportedEmail dianawohlsteingmailcomFax (954) 846-0811Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC

ABDEL-JABBAR Sana HSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124579425779 N University DrTamarac FL 33321Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ANENBERG Kenneth DDental Health Group Pa(954) 721-6950Prov No 0000000383197401 N University Dr Ste207Tamarac FL 33321Gender MaleNPI 1215023692License DN11552License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (754) 307-2706Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996035779 N University DrTamarac FL 33321Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

111GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)BACCHELLI LaraTlc Dental Tamarac Llc(954) 720-5511Prov No 0000132443806702 N University DrTamarac FL 33321Gender FemaleNPI 1740633718License DN22132License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996185779 N University DrTamarac FL 33321Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BOILLOT KathyTamarac Family Dental CenterLlc(954) 742-5055Prov No 0000126555277351 W Oakland Park BlvdSte 102Tamarac FL 33319Language SpanishGender FemaleNPI 1306064399License DN15597License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)BRATMAN JerrySage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996175779 N University DrTamarac FL 33321Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996155779 N University DrTamarac FL 33321Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462525779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)CICORTAS Florin NTlc Dental Tamarac Llc(954) 720-5511Prov No 0000127189796702 N University DrTamarac FL 33321Gender MaleNPI 1366998080License DN22147License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996125779 N University DrTamarac FL 33321Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CORREDOR AngelicaDental Health Group Pa(954) 721-6950Prov No 0000126866197401 N University Dr Ste207Tamarac FL 33321Gender FemaleNPI 1962930883License DN22537License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (754) 307-2706Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)COUTRAS ElevteriaTlc Dental Tamarac Llc(954) 720-5511Prov No 0000121282636702 N University DrTamarac FL 33321Gender FemaleNPI 1689798431License DN16690License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996115779 N University DrTamarac FL 33321Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRISCUOLO StephenSmile Everyday Tamarac(954) 682-8000Prov No 0000125537608311 Nw 88th AveTamarac FL 33321Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail identalsystemsgmailcomFax (954) 314-0575Accepts New Patients YHospital Affiliation NA

112 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)CRUZ Antonio RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996105779 N University DrTamarac FL 33321Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraSmile Everyday Tamarac Pllc(954) 682-8000Prov No 0000128559358311 N Pine Island RdTamarac FL 33321Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail identalsystemsgmailcomFax (954) 320-6287Accepts New Patients NHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996085779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)DEVACK JustinJustin Devack(954) 733-3188Prov No 0000121299534600 W Commercial Blvd StE 2Tamarac FL 33319Gender MaleNPI 1346411428License DN18210License Type DBP DentistBoard Certified Not ReportedEmail jdevackdmdgmailcomFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124363915779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462545779 N University DrTamarac FL 33321Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)DUARTE BeatrizSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122458685779 N University DrTamarac FL 33321Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996695779 N University DrTamarac FL 33321Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000125858525779 N University DrTamarac FL 33321Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996665779 N University DrTamarac FL 33321Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FISH Robert JRobert J Fish Dds Jd Fagd(954) 720-7700Prov No 0000000184857737 N University Dr Ste 100Tamarac FL 33321Gender MaleNPI 1699778241License DN5694License Type DBP DentistBoard Certified Not ReportedEmail lyrickooaolcomFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996655779 N University DrTamarac FL 33321Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

113GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)FRANCO TAVERAS Luz NThe Dental Place of Tamarac(954) 722-0100Prov No 0000129251227300 W Mcnab Rd Ste 115Tamarac FL 33321Gender FemaleNPI 1144742792License DN22829License Type DBP DentistBoard Certified Not ReportedEmail dentalplaceoftamaracgmailcomFax (954) 722-1237Accepts New Patients NHospital Affiliation NA

FRANKLIN Tim ATlc Dental Tamarac Llc(954) 720-5511Prov No 0000131178756702 N University DrTamarac FL 33321Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996645779 N University DrTamarac FL 33321Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)GARRISON Harvey BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996635779 N University DrTamarac FL 33321Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121996615779 N University DrTamarac FL 33321Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122458405779 N University DrTamarac FL 33321Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)GONZALEZ DarlenTlc Dental-Oral Surgery Pllc(954) 722-7711Prov No 0000130115906702 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1649623034License DN22185License Type DBP DentistBoard Certified Not ReportedEmail fltlcdentalbizFax (954) 642-0002Accepts New Patients YHospital Affiliation NA

GONZALEZ YanelaSmile Practice Family Dentistry(754) 222-4874Prov No 0000126501786085 W Commercial Blvd Tamarac FL 33319Language SpanishGender FemaleNPI 1811378359License DN21247License Type DBP DentistBoard Certified Not ReportedEmail infosmile-practicecomFax (754) 222-4862Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462395779 N University DrTamarac FL 33321Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)GUERRERO Luis ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995975779 N University DrTamarac FL 33321Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HAGHIGHI AzinSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000128725745779 N University DrTamarac FL 33321Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HAYATE Jessica FTamarac Family Dental CenterLlc(954) 742-5055Prov No 0000121297477351 W Oakland Park BlvdSte 102Tamarac FL 33319Language French SpanishGender FemaleNPI 1700210630License DN20310License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

114 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)HELFANT JaredTlc Dental Tamarac Llc(954) 720-5511Prov No 0000121268566702 N University DrTamarac FL 33321Gender MaleNPI 1770887077License DN19259License Type DBP DentistBoard Certified NEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995935779 N University DrTamarac FL 33321Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000125101945779 N University DrTamarac FL 33321Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)JACOBSOHN Henry DTlc Dental Tamarac Llc(954) 720-5511Prov No 0000124259406702 N University DrTamarac FL 33321Gender MaleNPI 1295855211License DN9375License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995915779 N University DrTamarac FL 33321Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

KEANE ChrisAllure Dental Pllc(954) 677-3202Prov No 0000128245854267 W Commercial BlvdTamarac FL 33319Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail alluredentaltamaracgmailcomFax (954) 677-3201Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)KLEIN Peter BMilagros O Mendoza Dds(954) 742-5055Prov No 0000026179897351 W Oakland Park BlvdSte 102Tamarac FL 33319Gender MaleNPI 1023235603License DN11630License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5341Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VAllure Dental Pllc(954) 677-3202Prov No 0000127601034267 W Commercial BlvdTamarac FL 33319Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail alluredentaltamaracgmailcomFax (954) 677-3201Accepts New Patients YHospital Affiliation NA

KOREN NatalieTlc Dental Tamarac Llc(954) 720-5511Prov No 0000125883916702 N University DrTamarac FL 33321Language RussianGender FemaleNPI 1003824145License DN16906License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)LAMB NicoleSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000123136445779 N University DrTamarac FL 33321Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEIVA LOPEZ KarinaGreat Expressions DentalCenters(954) 721-6950Prov No 0000130479207401 N University Dr Ste207Tamarac FL 33321Gender FemaleNPI 1669997565License DN22764License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (954) 251-4333Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124449475779 N University DrTamarac FL 33321Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

115GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)LEPORE KrystinaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122111885779 N University DrTamarac FL 33321Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987085779 N University DrTamarac FL 33321Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LONDONO Laura ELaura Londono Dmd Pa(954) 532-3247Prov No 0000128652747153 Nw 88th AveTamarac FL 33321Language SpanishGender FemaleNPI 1679982839License DN20878License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 933-7925Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)MA RobertSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121986965779 N University DrTamarac FL 33321Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MENENDEZ LLERA Vivian MSmile Everyday Tamarac Pllc(954) 682-8000Prov No 0000127611288311 Nw 88th AveTamarac FL 33321Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail identalsystemsgmailcomFax (954) 320-6287Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995745779 N University DrTamarac FL 33321Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)MONCRIEFFE Tiffany ISage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987045779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MORALES Ronald JTlc Dental Tamarac Llc(954) 720-5511Prov No 0000125581506702 N University DrTamarac FL 33321Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

MOSKOWITZ HarveyHarvey D Moskowitz Dmd Pa(954) 726-3200Prov No 0000010549826209 W Commercial Blvd StE 6Tamarac FL 33319Gender MaleNPI 1780704569License DN8731License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 726-0372Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)NAGUIB Michelle ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987185779 N University DrTamarac FL 33321Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

OSPINA CarolinaTamarac Family Dental CenterLlc(954) 742-5055Prov No 0000121331837351 W Oakland Park BlvdSte 102Tamarac FL 33319Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

PATEL Jitendra LJitendra L Patel Dds(954) 733-9832Prov No 0000000410524651 Nw 31st AveTamarac FL 33309Gender MaleNPI 1417091521License DN9086License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 733-6262Accepts New Patients YHospital Affiliation NA

116 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)PERKINS Lindsay BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000128702475779 N University DrTamarac FL 33321Gender FemaleNPI 1962630137License DN18787License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462465779 N University DrTamarac FL 33321Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995715779 N University DrTamarac FL 33321Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)RAND Matthew KTlc Dental Tamarac Llc(954) 720-5511Prov No 0000122516216702 N University DrTamarac FL 33321Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995775779 N University DrTamarac FL 33321Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995755779 N University DrTamarac FL 33321Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)RING Stephen GSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121986995779 N University DrTamarac FL 33321Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CTlc Dental Tamarac Llc(954) 720-5511Prov No 0000122531526702 N University DrTamarac FL 33321Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

RIVERA-SOTOMAYOR MarleneTamarac Family Dental Pa(954) 742-5055Prov No 0000126119347351 W Oakland Park BlvdSte 102Tamarac FL 33319Language SpanishGender FemaleNPI 1033477229License DN21562License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5341Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)RODRIGUEZ Margarita MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987145779 N University DrTamarac FL 33321Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000125239325779 N University DrTamarac FL 33321Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROSTOCK Jennifer LTlc Dental Tamarac Llc(954) 720-5511Prov No 0000125305896702 N University DrTamarac FL 33321Gender FemaleNPI 1871704742License DN16579License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

117GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)SAN JORGE AlejandroTamarac Family Dental andOral Surgery(954) 742-5055Prov No 0000124591267351 W Oakland Park BlvdSte 102Tamarac FL 33319Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5341Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987175779 N University DrTamarac FL 33321Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SEVEL Dennis STamarac Family Dental CenterLlc(954) 742-5055Prov No 0000121276987351 W Oakland Park BlvdSte 102Tamarac FL 33319Gender MaleNPI 1568665966License DN11695License Type DBP DentistBoard Certified Not ReportedEmail mathurinoralsurgerygmailcomFax (954) 742-5361Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)SNIDER Erica MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995765779 N University DrTamarac FL 33321Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SORROZA JenniferTlc Dental Tamarac Llc(954) 720-5511Prov No 0000070407266702 N University DrTamarac FL 33321Gender FemaleNPI 1720247174License DN18251License Type DBP DentistBoard Certified Not ReportedEmail tamaractlcdental bizFaxAccepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121986975779 N University DrTamarac FL 33321Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)STRONG Shanice De OnaSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124543055779 N University DrTamarac FL 33321Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

THAKER Durgesh DDurgesh Thaker(954) 720-9730Prov No 00000001926310078 W Mcnab Rd Tamarac FL 33321Gender MaleNPI 1659541555License DN9492License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 485-2209Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124626325779 N University DrTamarac FL 33321Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)VALDES Martha BMartha Valdes(954) 720-2444Prov No 0000125505405863 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail truesmilesdentistgmailcomFax (954) 364-8548Accepts New Patients YHospital Affiliation NA

VALDMAN VadimAllure Dental Pllc(954) 677-3202Prov No 0000127253384267 W Commercial BlvdTamarac FL 33319Language RussianGender MaleNPI 1184860413License DN17761License Type DBP DentistBoard Certified Not ReportedEmail alluredentaltamaracgmailcomFax (954) 677-3201Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987055779 N University DrTamarac FL 33321Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

118 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

TAMARAC (Cont)VERA Anny BSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462475779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VERMA GangaVerma Ganga(954) 733-9832Prov No 0000127061854651 Nw 31st AveTamarac FL 33309Language HindiGender FemaleNPI 1679908156License DN22528License Type DBP DentistBoard Certified Not ReportedEmailFax (615) 777-3672Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121987105779 N University DrTamarac FL 33321Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)VILA GabrielaSage Dental of Tamarac(954) 580-4848Prov No 0000131361045779 N University DrTamarac FL 33321Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

WOODWARD Wyman RDental Health Group Pa(954) 721-6950Prov No 0000125060047401 N University Dr Ste207Tamarac FL 33321Gender MaleNPI 1932255320License DN7977License Type DBP DentistBoard Certified Not ReportedEmail allcredentialing2greatexpressionscomFax (754) 307-2706Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000122462505779 N University DrTamarac FL 33321Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

TAMARAC (Cont)YU Joyce WSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000124854065779 N University DrTamarac FL 33321Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Tamarac Pllc(954) 580-4848Prov No 0000121995725779 N University DrTamarac FL 33321Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

WESTON

ABDEL-JABBAR Sana HSage Dental of Weston Pllc(954) 358-2822Prov No 0000124579472366 Weston RdWeston FL 33326Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)AZARI Scott JSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176042366 Weston RdWeston FL 33326Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122176052366 Weston RdWeston FL 33326Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Weston Pllc(954) 358-2822Prov No 0000122176062366 Weston RdWeston FL 33326Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

119GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)BRETOS Alexander LDental Partners of Weston Inc(954) 385-5855Prov No 0000001384092721 Executive Park DrWeston FL 33331Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 385-5258Accepts New Patients YHospital Affiliation NA

BRODY Robert AGreat Expressions DentalCenters(954) 349-1289Prov No 0000003206284537 Weston RdWeston FL 33331Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Weston Pllc(954) 358-2822Prov No 0000122176092366 Weston RdWeston FL 33326Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)CHILDERS Carmen DSage Dental of Weston Pllc(954) 358-2822Prov No 0000122213532366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COLLAZO Ralph CDental Partners of Weston Inc(954) 385-5855Prov No 0000002226172721 Executive Park DrWeston FL 33331Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 385-5258Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176212366 Weston RdWeston FL 33326Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)CORREDOR AngelicaGreat Expressions DentalCenters(954) 349-1289Prov No 0000126980844537 Weston RdWeston FL 33331Gender FemaleNPI 1962930883License DN22537License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Weston Pllc(954) 358-2822Prov No 0000123114122366 Weston RdWeston FL 33326Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176232366 Weston RdWeston FL 33326Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)DAROJAT Zuhdiyah MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122176252366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE LA RUA LissetteGreat Expressions DentalCenters(954) 349-1289Prov No 0000011654904537 Weston RdWeston FL 33331Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Weston Pllc(954) 358-2822Prov No 0000124364032366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

120 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)DUARTE BeatrizSage Dental of Weston(954) 358-2822Prov No 0000122176282366 Weston RdWeston FL 33326Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Weston(954) 358-2822Prov No 0000122176292366 Weston RdWeston FL 33326Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

EDWARDS Laura CGreat Expressions DentalCenters(954) 349-1289Prov No 0000128640624537 Weston RdWeston FL 33331Language SpanishGender FemaleNPI 1629400098License DN20339License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)ESPINET KUSNIER ElaineSage Dental of Weston Pllc(954) 358-2822Prov No 0000125858332366 Weston RdWeston FL 33326Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177952366 Weston RdWeston FL 33326Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177962366 Weston RdWeston FL 33326Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)GARCES CarolinaDental Health Group Pa(954) 349-1289Prov No 0000012469374537 Weston RdWeston FL 33331Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

GARCES CarolinaWeston Modern Dentistry(954) 248-2895Prov No 000012957311280 Indian Trce Ste AWeston FL 33326Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177972366 Weston RdWeston FL 33326Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)GARRISON Harvey BSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177982366 Weston RdWeston FL 33326Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178032366 Weston RdWeston FL 33326Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GOYAL LakshayWeston Modern Dentistry Pa(954) 248-2895Prov No 000013371103280 Indian Trce Ste AWeston FL 33326Gender MaleNPI 1609364876License DN23757License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

121GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)GUERRA Daniel AGreat Expressions DentalCenters(954) 349-1289Prov No 0000122285674537 Weston RdWeston FL 33331Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122177762366 Weston RdWeston FL 33326Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HOSSEINI Heather GHeather G Hosseini Dds(954) 389-9500Prov No 0000000246201040 Weston Rd Ste 225Weston FL 33326Gender FemaleNPI 1396134417License DN10527License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 384-1045Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)IRAVANI Mina FSage Dental of Weston Pllc(954) 358-2822Prov No 0000125102052366 Weston RdWeston FL 33326Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177802366 Weston RdWeston FL 33326Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Weston Pllc(954) 358-2822Prov No 0000123365102366 Weston RdWeston FL 33326Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)LEMINH Chau JSage Dental of Weston Pllc(954) 358-2822Prov No 0000124449532366 Weston RdWeston FL 33326Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177822366 Weston RdWeston FL 33326Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177832366 Weston RdWeston FL 33326Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)LOPEZ Manuel GWeston Dental Associates Pa(954) 217-0288Prov No 0000000186372751 Executive Park Dr St E 204Weston FL 33331Gender MaleNPI 1053328211License DN12998License Type DBP DentistBoard Certified Not ReportedEmail genteethwestongmailcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177842366 Weston RdWeston FL 33326Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LWeston Modern Dentistry(954) 248-2895Prov No 000012501366280 Indian Trce Ste AWeston FL 33326Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

122 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)MONCRIEFFE Tiffany ISage Dental of Weston Pllc(954) 358-2822Prov No 0000128166432366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122177352366 Weston RdWeston FL 33326Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAVARRETE Edgar EIndian Trace Dental Associate(954) 217-9200Prov No 00000046747746 Indian Trce Ste A Weston FL 33326Language SpanishGender MaleNPI 1265680888License DN17142License Type DBP DentistBoard Certified Not ReportedEmail jylindiantracedentalcomFaxAccepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)PARSLEY GregoryDental Health Group Pa(954) 349-1289Prov No 0000004491884537 Weston RdWeston FL 33331Gender MaleNPI 1639206055License DN10212License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

PHAM Minh BWeston Modern Dentistry Pa(954) 248-2895Prov No 000012842758280 Indian Trce Ste AWeston FL 33326Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

PINCHEVSKI ErmyWeston Modern Dentistry(954) 248-2895Prov No 000012910678280 Indian Trce Ste AWeston FL 33326Gender FemaleNPI 1982097317License DN22955License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)PLANES Alex ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122177332366 Weston RdWeston FL 33326Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177182366 Weston RdWeston FL 33326Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177202366 Weston RdWeston FL 33326Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)RIEGER Eric RSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177232366 Weston RdWeston FL 33326Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177242366 Weston RdWeston FL 33326Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Weston Pllc(954) 358-2822Prov No 0000125260592366 Weston RdWeston FL 33326Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

123GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)SCARFONE MelanieSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177512366 Weston RdWeston FL 33326Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SIEGEL Tara LDental Health Group Pa(954) 349-1289Prov No 0000020889684537 Weston RdWeston FL 33331Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

SIRAGE Katherine LWeston Modern Dentistry(954) 248-2895Prov No 000012560752280 Indian Trce Ste AWeston FL 33326Language SpanishGender FemaleNPI 1316329527License DN21322License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)SNIDER Erica MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122177592366 Weston RdWeston FL 33326Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Weston(954) 358-2822Prov No 0000122178892366 Weston RdWeston FL 33326Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Weston Pllc(954) 358-2822Prov No 0000124543182366 Weston RdWeston FL 33326Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)TORRES DianaGreat Expressions DentalCenters(954) 349-1289Prov No 0000121101014537 Weston RdWeston FL 33331Language SpanishGender FemaleNPI 1083016257License DN20879License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Weston Pllc(954) 358-2822Prov No 0000124626372366 Weston RdWeston FL 33326Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VEERAMACHANENI MamathaDental Health Group Pa(954) 349-1289Prov No 0000003778054537 Weston RdWeston FL 33331Gender FemaleNPI 1598963092License DN18034License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 703-8160Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)VERA Anny BSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178922366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Weston Pllc(954) 358-2822Prov No 0000122178932366 Weston RdWeston FL 33326Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VILA GabrielaSage Dental of Weston(954) 358-2822Prov No 0000130429712366 Weston RdWeston FL 33326Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

124 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

BROWARD COUNTY (Cont)

WESTON (Cont)VILLA RodolfoIndian Trace Dental Associtaes(954) 217-9200Prov No 00000015811246 Indian Trce Ste A Weston FL 33326Language Arabic FrenchHebrew SpanishGender MaleNPI 1093899171License DN13605License Type DBP DentistBoard Certified Not ReportedEmail infoindiantracedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178952366 Weston RdWeston FL 33326Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Weston Pllc(954) 358-2822Prov No 0000124856582366 Weston RdWeston FL 33326Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROWARD COUNTY (Cont)

WESTON (Cont)ZYLBERING Jason MSage Dental of Weston Pllc(954) 358-2822Prov No 0000122178962366 Weston RdWeston FL 33326Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY

AVENTURA

BRODY Robert ADental Health Group Pa(305) 935-1400Prov No 00001244047719913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

COHEN Michael ADental Health Group Pa(305) 935-1400Prov No 00001290863619913 Biscayne BlvdAventura FL 33180Language SpanishGender MaleNPI 1528484102License DN21088License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)COHEN Robert JRobert J Cohen Dds(305) 932-1214Prov No 0000000190462925 Aventura Blvd Ste 20 2Aventura FL 33180Gender MaleNPI 1710078589License DN5994License Type DBP DentistBoard Certified Not ReportedEmail aventurabrightsmilesgmailcomFaxAccepts New Patients YHospital Affiliation NA

CUNHA Renata FDental Health Group Pa(305) 935-1400Prov No 00001245110619913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

DAGAN ShacharDental Health Group Pa(305) 935-1400Prov No 00001242594419913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1447632542License DN21396License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)DOOLEY Jill CDental Health Group Pa(305) 935-1400Prov No 00001225037919913 Biscayne BlvdAventura FL 33180Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00000143278519086 Ne 29th AveAventura FL 33180Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

ELLIOTT Michael BDental Health Group Pa(305) 935-1400Prov No 00001245383019913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1972545432License DN17544License Type DBP DentistBoard Certified YEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

125GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)GARCIA Luisa FDental Health Group Pa(305) 935-1400Prov No 00001251100419913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1740614163License DN21006License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

GARCIA Luisa FDental Health Group Pa(305) 570-3978Prov No 00001270558018835 Biscayne Blvd Ste 180Aventura FL 33180Gender FemaleNPI 1740614163License DN21006License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GODOY Yami AMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00001203094419086 Ne 29th AveAventura FL 33180Gender FemaleNPI 1831248004License DN19836License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)GONCALVES CORDERO Jhezanuel CGreat Expressions DentalCenters(305) 935-1400Prov No 00001295721819913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1477979557License DN23722License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

HARATZ AdelaAdela Haratz(786) 433-5232Prov No 0000016567012775 Ne 187th St Ste 4Aventura FL 33180Gender FemaleNPI 1316187784License DN 19551License Type DBP DentistBoard Certified NEmail adelaharatzdentalcomFax (786) 433-5231Accepts New Patients YHospital Affiliation NA

IURCOVICH Maximillian ODental Health Group Pa(305) 935-1400Prov No 00001225038319913 Biscayne BlvdAventura FL 33180Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)LLAPUR CarlosMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00001206137719086 Ne 29th AveAventura FL 33180Language SpanishGender MaleNPI 1275947913License DN20712License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MARTINEZ JavierDental Center at Aventura(305) 682-1554Prov No 00001292648619086 Ne 29th AveAventura FL 33180Gender MaleNPI 1225484058License DN23311License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MCCOWN Michael GDental Health Group Pa(305) 935-1400Prov No 00001225038519913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)MCHUGH Allyson MThe Dental Center at Aventura(305) 682-1554Prov No 00001309449919086 Ne 29th AveAventura FL 33180Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MORALES Ronald JDental Health Group Pa(305) 935-1400Prov No 00001225038619913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(305) 935-1400Prov No 00001268370619913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

126 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)QUINTERO Juan MMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00000129909519086 Ne 29th AveAventura FL 33180Language SpanishGender MaleNPI 1710298302License DN19085License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(305) 935-1400Prov No 00001296592319913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

SANCHEZ Diego FDental Health Group Pa(305) 935-1400Prov No 00001334521719913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1902329816License DN22938License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

AVENTURA (Cont)SCHUETZ Eric JMain Street Childrens Dentistryof Aventura Pa(305) 933-4355Prov No 00000835914219086 Ne 29th AveAventura FL 33180Gender MaleNPI 1720277320License DN14786License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

TAHA Ahmed ADental Health Group Pa(305) 935-1400Prov No 00001276111719913 Biscayne BlvdAventura FL 33180Language SpanishGender MaleNPI 1225411069License DN21380License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

ZUSSELMAN ArnoldDental Health Group Pa(305) 935-1400Prov No 00001225039719913 Biscayne BlvdAventura FL 33180Gender MaleNPI 1134347172License DN13888License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 932-6464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

BAY HARBOR ISLANDS

CONTRERAS Marco ACondor Dental Services Inc(305) 868-4600Prov No 0000121958011045 Kane Concourse Ste 104Bay Harbor Islands FL 33154Language SpanishGender MaleNPI 1568788800License DN18954License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 368-6994Accepts New Patients YHospital Affiliation NA

CONTRERAS Marco ACondor Dental Services Inc(305) 868-4600Prov No 0000127469561045 Kane Concourse Ste 204Bay Harbor Islands FL 33154Language SpanishGender MaleNPI 1568788800License DN18954License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 368-6994Accepts New Patients YHospital Affiliation NA

CORAL GABLES

ABDEL-JABBAR Sana HSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300761 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)ALBERTO JuanSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301241 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1932112828License DN17637License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALVAREZ ElibethElibeth Alvarez(786) 452-1748Prov No 000012333064151 Giralda Ave Coral Gables FL 33134Language SpanishGender FemaleNPI 1831487339License DN19503License Type DBP DentistBoard Certified Not ReportedEmail incisor8gmailcomFax (786) 452-1750Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000124918941 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

127GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)BARZAGA LizetteLizette Barzaga(305) 445-6006Prov No 000012127715147 Alhambra Cir Ste 201Coral Gables FL 33134Gender FemaleNPI 1396995528License DN18367License Type DBP DentistBoard Certified Not ReportedEmail lbdental201gmail comFax (305) 460-7006Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300781 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124425424300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)BRATMAN JerrySage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301371 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRODY Robert AGreat Expressions DentalCenters(305) 858-2545Prov No 0000011566512501 Coral WayCoral Gables FL 33145Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

BUENO RosaElizabeth M De Aguirre Dds Pa(305) 446-2226Prov No 000012925423806 S Douglas Rd Ste 150Coral Gables FL 33134Gender FemaleNPI 1972649218License DN17647License Type DBP DentistBoard Certified Not ReportedEmail edeaguirreddsaolcomFax (305) 446-8458Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CARBALLO RodolfoCoral Gables Dental HealthCenter(305) 444-8591Prov No 000012876475747 Ponce De Leon Blvd St E 401Coral Gables FL 33134Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail coralgablesdhcdentalcomFax (305) 444-6988Accepts New Patients YHospital Affiliation NA

CARBONERO AicelEsthetic Dental Clinic(305) 448-3698Prov No 0000121270983735 Sw 8th St Ste 202Coral Gables FL 33134Gender FemaleNPI 1366726267License DN19554License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300621 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CASTRO Eileen JFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000128538154300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CHAVIANO IbisIbis Chaviano Dds Pa(305) 444-6203Prov No 0000130191593727 Sw 8th St Ste 101Coral Gables FL 33134Gender FemaleNPI 1114361334License DN21578License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 442-7979Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301401 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

128 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CORONADO EfrainSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301491 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000126372574300 W Flagler St Ste 201 Coral Gables FL 33134Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORUGEDO AdaFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000126312294300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)COTELO-PARDO YanepsiJubidental Services(305) 444-3074Prov No 000012106200299 Alhambra Cir Ste 202 Coral Gables FL 33134Language SpanishGender FemaleNPI 1881986891License DN20131License Type DBP DentistBoard Certified Not ReportedEmail infojubidentalco mFax (844) 270-7764Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300601 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000124918931 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)CRUZ Karen GFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000019231624300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

DAEE Armin CArmin C Daee(305) 670-1011Prov No 0000120567694950 S Le Jeune Rd Ste BCoral Gables FL 33146Gender MaleNPI 1043502883License DN19200License Type DBP DentistBoard Certified NEmail dentalmedicinegmailcomFax (305) 670-0112Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300131 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)DE AGUIRRE Elizabeth MElizabeth M De Aguirre Dds Pa(305) 446-2226Prov No 000001826302806 S Douglas Rd Ste 150Coral Gables FL 33134Gender FemaleNPI 1467434746License DN15008License Type DBP DentistBoard Certified Not ReportedEmail edeaguirreddsaolcomFax (305) 446-8458Accepts New Patients YHospital Affiliation NA

DEL VALLE Jesus EJesus E Del Valle Dds(305) 442-1094Prov No 0000000877592030 S Douglas Rd Ste 213Coral Gables FL 33134Gender MaleNPI 1508038290License DN12142License Type DBP DentistBoard Certified Not ReportedEmail jedelvalleddsgmailcomFax (786) 497-1725Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301381 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

129GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)DUARTE BeatrizSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300311 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301261 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125859241 Alhambra Plz Ste 25Coral Gables FL 33134Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)FERNANDEZ Maria CMaria C Fernandez Dds Pa(305) 446-1067Prov No 0000000184104830 Sw 8th St Coral Gables FL 33134Gender FemaleNPI 1790826683License DN11069License Type DBP DentistBoard Certified Not ReportedEmail drmariacristinafernandezddsgmailcomFax (305) 446-0687Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301361 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301511 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GARCES CarolinaDental Health Group Pa(305) 858-2545Prov No 0000004428192501 Coral WayCoral Gables FL 33145Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

GARCES CarolinaDentists of Coral Gables(305) 239-8806Prov No 000013371082290 Alhambra CirCoral Gables FL 33134Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA IdalmesGomara Dmd and SalcinesDmd Pa(305) 888-0008Prov No 0000125146634300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GARCIA-PORRAS MarcelaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125299831 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300731 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARROTE RogelioFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124903794300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

130 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GOMARA Luis AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000003806484300 W Flagler St Ste 201 Coral Gables FL 33134Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300281 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ Ana IAna Gonzalez(305) 442-4810Prov No 0000122562383934 Sw 8th StCoral Gables FL 33134Gender FemaleNPI 1285845883License DN15412License Type DBP DentistBoard Certified Not ReportedEmail coraldentalassociationyahoocomFax (305) 442-4811Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GONZALEZ Ana IAna Gonzalez(305) 442-4810Prov No 0000129780153934 Sw 8th St Ste 203Coral Gables FL 33134Gender FemaleNPI 1285845883License DN15412License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300671 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRA Daniel ADental Health Group Pa(305) 858-2545Prov No 0000056698032501 Coral WayCoral Gables FL 33145Gender MaleNPI 1386908291License DN19818License Type DBP DentistBoard Certified NEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)GUERRERO Luis ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300501 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JSmile Family Dental Group Llc(305) 509-7949Prov No 0000130612611900 Coral Way Ste 200Coral Gables FL 33145Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmail smilefamilydental1900gmailcomFax (305) 509-7578Accepts New Patients YHospital Affiliation NA

HEREDIA AbelardoDental Health Group Pa(305) 858-2545Prov No 0000128849602501 Coral WayCoral Gables FL 33145Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-9400Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)HERNANDEZ-JEREZ GemaGema Hernanadez Dds(786) 360-6812Prov No 000012009528401 Coral Way Ste 305Coral Gables FL 33134Language SpanishGender FemaleNPI 1699020347License DN19881License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125101191 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KOCH DanieleGables Dental Care(305) 947-6453Prov No 0000125156243815 Sw 8th StCoral Gables FL 33134Gender FemaleNPI 1760628515License DN19122License Type DBP DentistBoard Certified Not ReportedEmail infogablesdentalcarecomFax (305) 443-2888Accepts New Patients YHospital Affiliation NA

131GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)LEMINH Chau JSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302831 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMUS Isel GLemus Dental(305) 567-0236Prov No 0000122526215171 Sw 8th St Coral Gables FL 33134Language SpanishGender FemaleNPI 1033541537License DN20326License Type DBP DentistBoard Certified Not ReportedEmail lemusdentalcsmgmailcomFax (305) 442-9333Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300341 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)LONDONO Jennifer DSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125300111 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOPEZ Manuel GManuel G Lopez Dds(305) 774-7273Prov No 0000003682473190 Ponce De Leon BlvdCoral Gables FL 33134Gender MaleNPI 1053328211License DN12998License Type DBP DentistBoard Certified Not ReportedEmail mglddsbellsouthn etFax (305) 675-9205Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302941 Alhambra Plz Ste 25Coral Gables FL 33134Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MARRO Blanca RSalcines Dmd and GomaraDmd Pa(305) 387-4954Prov No 0000128506634300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000125077254300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ KarenKaren Martinez Dmd Pa(305) 446-5676Prov No 000012175351401 Coral Way Ste 410Coral Gables FL 33134Gender FemaleNPI 1336294032License DN18513License Type DBP DentistBoard Certified Not ReportedEmail esanti853msncomFax (305) 446-5265Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MARTINEZ Miguel AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124416604300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Milton FDental Health Group Pa(305) 858-2545Prov No 0000121788072501 Coral WayCoral Gables FL 33145Gender MaleNPI 1346326972License DN17433License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

MAUSKAR Sagar SDentists of Coral Gables(714) 845-8890Prov No 000012958320290 Alhambra CirCoral Gables FL 33134Gender MaleNPI 1477800985License DN19913License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

132 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MENENDEZ JorgeMenendez Dental Group Pa(305) 442-0331Prov No 0000120465685232 W Flagler StCoral Gables FL 33134Gender MaleNPI 1447551015License DN17325License Type DBP DentistBoard Certified Not ReportedEmail infommoralesddscomFax (305) 442-0664Accepts New Patients YHospital Affiliation NA

MOLINA MaylingDental Health Group Pa(305) 858-2545Prov No 0000121382812501 Coral WayCoral Gables FL 33145Gender FemaleNPI 1699820134License DN16243License Type DBP DentistBoard Certified NEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

MORALES MairaMaira Morales Dds Llc(305) 442-0331Prov No 0000124515805232 W Flagler StCoral Gables FL 33134Gender FemaleNPI 1023202496License DN21552License Type DBP DentistBoard Certified Not ReportedEmail infommoralesddscomFax (305) 442-0464Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)MUNOZ LATORRE Sonja MDental Health Group Pa(305) 858-2545Prov No 0000121384182501 Coral WayCoral Gables FL 33145Gender FemaleNPI 1083776538License DN17880License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

NAZARIO LUGO Beatriz TMaigrely Abreu-HernandezDmd Pa(305) 662-7702Prov No 0000121486305965 Ponce De Leon Blvd Coral Gables FL 33146Gender FemaleNPI 1255340279License DN17881License Type DBP DentistBoard Certified Not ReportedEmail infocasasmilecomFax (305) 662-2552Accepts New Patients YHospital Affiliation NA

NOY Isabel CGables Dental Clinic(305) 444-9951Prov No 0000000190495450 Sw 8th St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1033212519License DN12939License Type DBP DentistBoard Certified Not ReportedEmail gablesdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)PEREZ Laura EAdvanced Smile Dental Clinic(786) 391-0588Prov No 0000126921583934 Sw 8th St Ste 306Coral Gables FL 33134Gender FemaleNPI 1619329109License DN22033License Type DBP DentistBoard Certified Not ReportedEmail advancedsmileclinicgmailcomFax (786) 391-0728Accepts New Patients YHospital Affiliation NA

PHAM Minh BDentists of Coral Gables(305) 239-8806Prov No 000013155736290 Alhambra CirCoral Gables FL 33134Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmailFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PRIETO EvelynFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000124824774300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)QUICK James RSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301531 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenSmile Family Dental Group Llc(305) 509-7949Prov No 0000130612591900 Coral Way Ste 200Coral Gables FL 33145Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail smilefamilydental1900gmailcomFax (305) 509-7578Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302161 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

133GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)REYES CANALS Osmil AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000122194854300 W Flagler St Ste 201 Coral Gables FL 33134Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301461 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302761 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)RODRIGUEZ AmauryAmaury Rodriguez Dds(305) 445-1405Prov No 0000000179533944 W Flagler St Coral Gables FL 33134Gender MaleNPI 1437251568License DN12779License Type DBP DentistBoard Certified Not ReportedEmail ramaurybellsouth netFax (305) 445-1406Accepts New Patients YHospital Affiliation NA

RODRIGUEZ JulietaDivine Smile Llc(305) 442-8481Prov No 000012554625124 Almeria Ave Coral Gables FL 33134Language SpanishGender FemaleNPI 1285019521License DN21497License Type DBP DentistBoard Certified Not ReportedEmail dsmileusyahoocomFax (305) 442-4029Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Maria De Los AngelesMaria A Rodriguez(305) 444-1842Prov No 0000000179553934 Sw 8th St Ste 205 Coral Gables FL 33134Gender FemaleNPI 1821157850License DN11352License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)ROSENBERG Sarah LBl Dental Associates Llc(305) 774-7273Prov No 0000125930673190 Ponce De Leon BlvdCoral Gables FL 33134Language SpanishGender FemaleNPI 1497919492License DN18239License Type DBP DentistBoard Certified NEmailFax (321) 400-1370Accepts New Patients YHospital Affiliation NA

SAENZ Manuel ODental Health Group Pa(305) 858-2545Prov No 0000121383092501 Coral WayCoral Gables FL 33145Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 858-0958Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000003806504300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)SANCHEZ Pedro MDental Group of South FloridaInc(305) 444-8591Prov No 000000112336747 Ponce De Leon Blvd St E 401Coral Gables FL 33134Gender MaleNPI 1063572535License DN11187License Type DBP DentistBoard Certified Not ReportedEmail coralgablesdhcdentalcomFax (305) 444-6988Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraSalcines Dmd and GomaraDmd Pa(305) 387-4954Prov No 0000128606734300 W Flagler St Ste 201 Coral Gables FL 33134Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

SARDA Mariamilagros MMariamilagros Sarda Dds Pa(305) 443-4841Prov No 000000018106299 Alhambra Cir Ste 205 Coral Gables FL 33134Gender FemaleNPI 1275735151License DN12064License Type DBP DentistBoard Certified Not ReportedEmail mmsardadrsardaco mFax (305) 443-4808Accepts New Patients YHospital Affiliation NA

134 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)SARDUY Luis OEsthetic Dental Clinic(305) 448-3698Prov No 0000039197853735 Sw 8th St Ste 202Coral Gables FL 33134Language SpanishGender MaleNPI 1861596157License DN13211License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301501 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301881 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)STEINER Samantha LSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301991 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301561 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302791 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)VALDES Martha BFamily amp Cosmetic Dentistry(305) 387-4954Prov No 0000120491524300 W Flagler St Ste 201 Coral Gables FL 33134Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

VELASCO Norka SNorka Velasco(786) 703-9430Prov No 0000122352311805 Ponce De Leon Blvd STe 301Coral Gables FL 33134Language SpanishGender FemaleNPI 1881933240License DN20029License Type DBP DentistBoard Certified Not ReportedEmail msillc21gmailcomFax (786) 870-5961Accepts New Patients YHospital Affiliation NA

VERA RafaelSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000128205921 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender MaleNPI 1710039292License DN13925License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)VIGNOLA Jennifer ASage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125301661 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VILLAR TaniaMenendez Dental Group Pa(305) 442-0331Prov No 0000120504705232 W Flagler StCoral Gables FL 33134Language SpanishGender FemaleNPI 1245320068License DN16616License Type DBP DentistBoard Certified Not ReportedEmail infommoralesddscomFax (305) 442-0664Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302101 Alhambra Plz Ste 25Coral Gables FL 33134Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

135GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CORAL GABLES (Cont)YU Joyce WSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302041 Alhambra Plz Ste 25Coral Gables FL 33134Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Coral GablesPllc(786) 507-4440Prov No 0000125302131 Alhambra Plz Ste 25Coral Gables FL 33134Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CUTLER BAY

ALVAEREZ Nolyris KSouth Dade Family Dentistry(786) 512-3187Prov No 00000044762918543 S Dixie HwyCutler Bay FL 33157Gender FemaleNPI 1356371520License DN14012License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)ANTEZANA MauricioSouthland Mall Dental Pa(305) 232-3737Prov No 00001290042520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaSouthland Mall Dental Pa(305) 232-3737Prov No 00001256453020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

ATKINSON William ASouthland Mall Dental Pa(305) 232-3737Prov No 00001222882220505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)BAEZ HENRY CarlianetteSouthland Mall Dental Pa(305) 232-3737Prov No 00001223688520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

BARBER JanetxiaDental Health Group Pa(305) 238-6777Prov No 00001290934720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender FemaleNPI 1912388133License DN21285License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

BERRY Wayne LSouthland Mall Dental Pa(305) 232-3737Prov No 00001287690620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00001212711518934 S Dixie Hwy Ste 5-6Cutler Bay FL 33157Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00001274627018934 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00000560642818934 S Dixie Hwy Ste 5-6Cutler Bay FL 33157Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 00001274625218934 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

136 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)BRODY Robert ADental Health Group Pa(305) 238-6777Prov No 00000369501720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

CABANZON David JTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000016438520533 Old Cutler RdCutler Bay FL 33189Gender MaleNPI 1609913953License DN16137License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CABRERA Rene ESouthland Mall Dental Pa(305) 232-3737Prov No 00001277030520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)CARAVIA AmandaTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000166036720533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

CORPAS Alfredo DSouth Dade Family Dentistry(786) 512-3187Prov No 00000026809618543 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

CULLEN William CSouthland Mall Dental(305) 232-3737Prov No 00001205364520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 232-3735Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)DI RE AnthonySouthland Mall Dental Pa(305) 232-3737Prov No 00001290862620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

DURVE AparnaSouthland Mall Dental Pa(305) 232-3737Prov No 00001250816320505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

FATMI NavedTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000127958720533 Old Cutler RdCutler Bay FL 33189Gender MaleNPI 1558690974License DN18878License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)FELIPE Veronica MTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000071250320533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1407050149License DN15552License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthDade(305) 253-5100Prov No 00001306241010300 Sw 216th StCutler Bay FL 33190Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

FERRERO Patricia FSouthland Mall Dental Pa(305) 232-3737Prov No 00001261368620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

137GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)FORNOS Jorge ASouthland Mall Dental Pa(305) 232-3737Prov No 00001224778520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

GONZALEZ KellySouthland Mall Dental Pa(305) 232-3737Prov No 00001213040720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

GONZALEZ KeniaSouthland Mall Dental Pa(305) 232-3737Prov No 00001205808020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)GREEN George DSouthland Mall Dental Pa(305) 232-3737Prov No 00001245964820505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

GUERRA VannetteSouthland Mall Dental Pa(305) 232-3737Prov No 00001282368720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001206208110300 Sw 216th StCutler Bay FL 33190Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)KODA NAKAMOTO INABA Caroline MSouthland Mall Dental Pa(305) 232-3737Prov No 00001259664920505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VSouthland Mall Dental Pa(305) 232-3737Prov No 00001209968620505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

KRASNOV RostislavSouthland Mall Dental Pa(305) 232-3737Prov No 00000436189820505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)KUNSTMANN Vivian RSouthland Mall Dental Pa(305) 232-3737Prov No 00001214972020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

LANG TomasCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001205971510300 Sw 216th StCutler Bay FL 33190Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001255037910300 Sw 216th StCutler Bay FL 33190Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

138 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)LOFTUS Shamus LSouthland Mall Dental(305) 232-3737Prov No 00001304825820505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 232-3735Accepts New Patients YHospital Affiliation NA

LUIS Michelle EDental Health Group Pa(305) 238-6777Prov No 00001219195920335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender FemaleNPI 1417323247License DN21173License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

MACAGNO Jessica JDental Health Group Pa(305) 238-6777Prov No 00001287124720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Language SpanishGender FemaleNPI 1356680342License DN19974License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)MANIGLIA Marielba DSouthland Mall Dental Pa(305) 232-3737Prov No 00001289800720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MAYA AlvaroTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001204512820533 Old Cutler RdCutler Bay FL 33189Language SpanishGender MaleNPI 1003877812License DN 17357License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

MORELL OmarSouthland Mall Dental Pa(305) 232-3737Prov No 00001260763020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)OSPINA CarolinaSouthland Mall Dental Pa(305) 232-3737Prov No 00001349234020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraSouthland Mall Dental Pa(305) 232-3737Prov No 00001256079920505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

PAUL Alexander DTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001247184020533 Old Cutler RdCutler Bay FL 33189Language SpanishGender MaleNPI 1255611596License DN21752License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)PHAM QuynhnhuSouthland Mall Dental Pa(305) 232-3737Prov No 00001286649520505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

RAMIREZ MauricioTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001347011220533 Old Cutler RdCutler Bay FL 33189Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001307153710300 Sw 216th StCutler Bay FL 33190Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

139GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)REED SamanthaSouthland Mall Dental Pa(305) 232-3737Prov No 00001256385020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineSouthland Mall Dental Pa(305) 232-3737Prov No 00001278579320505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissSouthland Mall Dental(305) 232-3737Prov No 00001304754720505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 232-3735Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)ROSS JR Charles LDental Health Group Pa(305) 238-6777Prov No 00000002173720335 Old Cutler Rd Ste 200Cutler Bay FL 33189Gender MaleNPI 1528119260License DN5305License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 253-5100Prov No 00001247389510300 Sw 216th StCutler Bay FL 33190Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 254-4901Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HSouthland Mall Dental Pa(305) 232-3737Prov No 00001314244220505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)SOSA-ABELLA Nancy MTowncare Dental of Cutler Bay(305) 233-1118Prov No 00001262285920533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1821186982License DN13746License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

TORRES DianaDental Health Group Pa(305) 238-6777Prov No 00001207246120335 Old Cutler Rd Ste 200Cutler Bay FL 33189Language SpanishGender FemaleNPI 1083016257License DN20879License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

TRUJILLO MadeleneSouth Dade Family Dentistry(786) 512-3187Prov No 00001225077918543 S Dixie HwyCutler Bay FL 33157Gender FemaleNPI 1881835767License DN18770License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)TYDIR MichelleTowncare Dental of Cutler Bay(305) 233-1118Prov No 00000124684020533 Old Cutler RdCutler Bay FL 33189Gender FemaleNPI 1326296278License DN17741License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

UZUNOVA-DIMOVA KalinaSouthland Mall Dental Pa(305) 232-3737Prov No 00001217024020505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SSouthland Mall Dental Pa(305) 232-3737Prov No 00001277709420505 S Dixie Hwy Ste 168 3Cutler Bay FL 33189Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 237-3095Accepts New Patients YHospital Affiliation NA

140 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

CUTLER BAY (Cont)VIEGO RebecaDental Health Group Pa(305) 238-6777Prov No 00001290871620335 Old Cutler Rd Ste 200Cutler Bay FL 33189Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-4055Accepts New Patients YHospital Affiliation NA

ZUNIGA Juan CSouth Dade Family Dentistry(786) 512-3187Prov No 00000134722918543 S Dixie HwyCutler Bay FL 33157Gender MaleNPI 1033384235License DN14804License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 259-9120Accepts New Patients YHospital Affiliation NA

DORAL

ABDEL-JABBAR Sana HSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124579205335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)ANTEZANA MauricioMiami International MallDental Pa(305) 597-8787Prov No 0000129004231455 Nw 107th Ave Ste 584Doral FL 33172Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaMiami International MallDental Pa(305) 597-8787Prov No 0000125645711455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

ATKINSON William AMiami International MallDental Pa(305) 597-8787Prov No 0000122288761455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)AZARI Scott JSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415925335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteMiami International MallDental Pa(305) 597-8787Prov No 0000122369891455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

BERRY Wayne LMiami International MallDental Pa(305) 597-8787Prov No 0000128843481455 Nw 107th Ave Ste 584 Doral FL 33172Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)BOCKIAN Joshua ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415955335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415845335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRETOS Alexander LDoral Dental Partners(786) 331-7055Prov No 00000020964910620 Nw 19th St Doral FL 33172Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

141GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)CABRERA Rene EMiami International MallDental Pa(305) 597-8787Prov No 0000127703121455 Nw 107th Ave Ste 584Doral FL 33172Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122415885335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTRO Oscar LPrime Dental Group Inc(305) 749-0873Prov No 0000129843968333 Nw 12th StDoral FL 33126Language SpanishGender MaleNPI 1184919581License DN19237License Type DBP DentistBoard Certified Not ReportedEmail primedentalgroupdoralgmailcomFax (305) 918-2458Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)CHILDERS Carmen DSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122425905335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COLLAZO Ralph CDoral Dental Partners(786) 331-7055Prov No 00000020965010620 Nw 19th St Doral FL 33172Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122425915335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)COWAN Marc ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122425925335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122421955335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CULLEN William CMiami International MallDental(305) 597-8787Prov No 0000120536761455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)DAROJAT Zuhdiyah MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122421985335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DI RE AnthonyMiami International MallDental Pa(305) 597-8787Prov No 0000129086221455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124364305335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

142 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)DUARTE BeatrizSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423015335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423025335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURVE AparnaMiami International MallDental Pa(305) 597-8787Prov No 0000125081561455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)ESPINET KUSNIER ElaineSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000125859285335 Nw 87th Ave Ste C103Doral FL 33178Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423055335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERRERO Patricia FMiami International MallDental Pa(305) 597-8787Prov No 0000126136921455 Nw 107th Ave Ste 584Doral FL 33172Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)FIGUEREDO Maria HM H Figueredo Dmd Pa(305) 558-2133Prov No 0000128515169016 Nw 25th StDoral FL 33172Language SpanishGender FemaleNPI 1144313602License DN16963License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 888-1306Accepts New Patients YHospital Affiliation NA

FORNOS Jorge AMiami International MallDental Pa(305) 597-8787Prov No 0000122477871455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423065335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)GARCIA-PORRAS MarcelaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423075335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122423085335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422525335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

143GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)GONZALEZ KellyMiami International MallDental Pa(305) 597-8787Prov No 0000121304051455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GONZALEZ KeniaMiami International MallDental Pa(305) 597-8787Prov No 0000104001741455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422545335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)GREEN George DMiami International MallDental Pa(305) 597-8787Prov No 0000124906961455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GUERRA VannetteMiami International MallDental Pa(305) 597-8787Prov No 0000128236941455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422555335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)IRAVANI Mina FSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000125101235335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MMiami International MallDental Pa(305) 597-8787Prov No 0000125966461455 Nw 107th Ave Ste 584Doral FL 33172Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VMiami International MallDental Pa(305) 597-8787Prov No 0000120625431455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)KRASNOV RostislavMiami International MallDental Pa(305) 597-8787Prov No 0000018203681455 Nw 107th Ave Ste 584Doral FL 33172Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RMiami International MallDental Pa(305) 597-8787Prov No 0000121497411455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124447475335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

144 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)LEPORE KrystinaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422085335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOFTUS Shamus LMiami International MallDental(305) 597-8787Prov No 0000130482571455 Nw 107th Ave Ste 584 Doral FL 33172Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422095335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)MA RobertSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422105335 Nw 87th Ave Ste C103Doral FL 33178Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DMiami International MallDental Pa(305) 597-8787Prov No 0000128980141455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MORELL OmarMiami International MallDental Pa(305) 597-8787Prov No 0000126075651455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)ORTA Ines ASage Dental of DowntownDoral(786) 456-1710Prov No 0000129336925335 Nw 87th Ave Ste C103 Doral FL 33178Gender FemaleNPI 1881836963License DN20345License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

OSPINA CarolinaMiami International MallDental Pa(305) 597-8787Prov No 0000128163251455 Nw 107th Ave Ste 584 Doral FL 33172Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraMiami International MallDental Pa(305) 597-8787Prov No 0000125607891455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)PHAM QuynhnhuMiami International MallDental Pa(305) 597-8787Prov No 0000128665091455 Nw 107th Ave Ste 584 Doral FL 33172Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422485335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422505335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

145GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)REED SamanthaMiami International MallDental Pa(305) 597-8787Prov No 0000125638541455 Nw 107th Ave Ste 584Doral FL 33172Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineMiami International MallDental Pa(305) 597-8787Prov No 0000127858001455 Nw 107th Ave Ste 584Doral FL 33172Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422685335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)RING Stephen GSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422695335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissMiami International MallDental(305) 597-8787Prov No 0000130474631455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000125239245335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)SCARFONE MelanieSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422725335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HMiami International MallDental Pa(305) 597-8787Prov No 0000131436861455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422815335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)STEINER Samantha LSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422875335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124542965335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124626475335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

146 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)UZUNOVA-DIMOVA KalinaMiami International MallDental Pa(305) 597-8787Prov No 0000121663971455 Nw 107th Ave Ste 584 Doral FL 33172Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124515245335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SMiami International MallDental Pa(305) 597-8787Prov No 0000127770961455 Nw 107th Ave Ste 584Doral FL 33172Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 597-8617Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)VERA Anny BSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124489905335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422915335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422945335 Nw 87th Ave Ste C103Doral FL 33178Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

DORAL (Cont)YU Joyce WSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000124854145335 Nw 87th Ave Ste C103Doral FL 33178Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of DowntownDoral Pllc(786) 456-1710Prov No 0000122422955335 Nw 87th Ave Ste C103Doral FL 33178Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FLORIDA CITY

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001210433019300 Sw 376th StFlorida City FL 33034Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001207739719300 Sw 376th StFlorida City FL 33034Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

DE LA CRUZ Alejandro IThe Family Dental Care Cn(305) 242-1200Prov No 000000413478646 W Palm Dr Ste 200Florida City FL 33034Gender MaleNPI 1013152016License DN14560License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

ESTRADA JavierThe Family Dental Care Cn(305) 242-1200Prov No 000000042621646 W Palm Dr Ste 200Florida City FL 33034Gender MaleNPI 1003956822License DN14847License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

147GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001306245019300 Sw 376th StFlorida City FL 33034Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

GONZALEZ-RUBIO EduardoThe Family Dental Care Cn(305) 242-1200Prov No 000000042620646 W Palm Dr Ste 200Florida City FL 33034Gender MaleNPI 1922120542License DN14741License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthDade(305) 246-4607Prov No 00000034159319300 Sw 376th StFlorida City FL 33034Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)LANG TomasCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00000036507719300 Sw 376th StFlorida City FL 33034Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001249724519300 Sw 376th StFlorida City FL 33034Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedEverglades Health Center(305) 246-4607Prov No 00000085848719300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)MIRANDA AlejandraEverglades Health Center(305) 246-4607Prov No 00001205981019300 Sw 376th StFlorida City FL 33034Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001212635919300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

RAMIREZ CarmenThe Family Dental Care Cn(305) 242-1200Prov No 000006365370646 W Palm Dr Ste 200Florida City FL 33034Gender FemaleNPI 1811162019License DN16423License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 242-8782Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001307154819300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

RUIZ Sarabel MCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00000099751419300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001248458119300 Sw 376th StFlorida City FL 33034Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

148 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

FLORIDA CITY (Cont)WATSON-HAMILTON Sheri SEverglades Health Center(305) 246-4607Prov No 00000073551419300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 246-4607Prov No 00001206020219300 Sw 376th StFlorida City FL 33034Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 248-4715Accepts New Patients YHospital Affiliation NA

HIALEAH

ABRAHAMS Howard NGam Dental Inc(786) 485-4150Prov No 000012623675508 E 49th StHialeah FL 33013Gender MaleNPI 1528219755License DN17635License Type DBP DentistBoard Certified Not ReportedEmail infogamdentalcomFax (305) 468-6101Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ALAWA Abdul AAziz A Alawa Dds(305) 558-0388Prov No 00000001932616770 Nw 67th AveHialeah FL 33015Gender MaleNPI 1366544793License DN11418License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 512-0443Accepts New Patients YHospital Affiliation NA

ALVARADO YailenMj Dental Office(305) 825-7447Prov No 0000124287222360 W 68th St Ste 124Hialeah FL 33016Language SpanishGender FemaleNPI 1700235363License DN21842License Type DBP DentistBoard Certified Not ReportedEmail infomjdentalofficecomFaxAccepts New Patients YHospital Affiliation NA

ALVAREZ Rosa AExcellence In Dental Care(305) 557-6661Prov No 0000002922723762 W 12th AveHialeah FL 33012Gender FemaleNPI 1306944533License DN17118License Type DBP DentistBoard Certified Not ReportedEmail dralvarezexcellencedentalcarecomFax (305) 557-9704Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ANGULO Liliana MLiliana M Angulo FamilyPractice Pa(786) 999-3446Prov No 000000361896614 E 49th StHialeah FL 33013Gender FemaleNPI 1841494648License DN17639License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ANTEZANA MauricioWestland Mall Dental(305) 828-7779Prov No 0000129004271665 W 49th St Ste 1484 Hialeah FL 33012Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 501-2166Prov No 0000129777183825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(305) 826-5224Prov No 0000129777294410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(305) 823-9982Prov No 000012977732266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

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 veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

149GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ARRIOLA Antonio JProffessional Dental Svcs(305) 556-9919Prov No 0000000200991231 W 44th Pl Hialeah FL 33012Gender MaleNPI 1841350212License DN14121License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 364-3779Accepts New Patients YHospital Affiliation NA

ATKINSON William AWestland Mall Dental(305) 828-7779Prov No 0000122288781665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

AVILES Ana VDental American Group Corp(305) 556-6100Prov No 0000130365991573 W 49th StHialeah FL 33012Gender FemaleNPI 1942537311License DN13275License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)AYALA Rita CFlorida Dental Alliance(786) 800-9507Prov No 0000129918884355 W 16th Ave Ste 205AHialeah FL 33012Language SpanishGender FemaleNPI 1619090289License DN14821License Type DBP DentistBoard Certified Not ReportedEmail infoacuariodentalgroupcomFax (305) 928-1147Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental(786) 456-1760Prov No 00001247086816879 Nw 67th AveHialeah FL 33015Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteWestland Mall Dental(305) 828-7779Prov No 0000122369901665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BARCIA Antonio RJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549812901 E 10th Ave Ste 39Hialeah FL 33010Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

BENAVIDES-RODRIGUEZ Alina CPalmetto Dental Studio Inc(786) 747-4763Prov No 0000129254417306 W 20th AveHialeah FL 33016Language SpanishGender FemaleNPI 1629507470License DN22568License Type DBP DentistBoard Certified Not ReportedEmail palmettodentalstudioincgmailcomFax (305) 290-3203Accepts New Patients YHospital Affiliation NA

BERRY Wayne LWestland Mall Dental(305) 828-7779Prov No 0000128843461665 W 49th St Ste 1484 Hialeah FL 33012Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BETANCOURT Mayra GMint Dental Studio Inc(305) 826-2758Prov No 00000028908517701 Nw 78th AveHialeah FL 33015Gender FemaleNPI 1487773198License DN12655License Type DBP DentistBoard Certified Not ReportedEmail jtenderoddsgmailcomFaxAccepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012127097258 E 49th StHialeah FL 33013Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124480531700 W 68th StHialeah FL 33014Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

150 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BLANCO FaridTotal Dental Care of Florida Llc(305) 747-7711Prov No 0000124480584410 W 16th Ave Ste 330Hialeah FL 33012Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 697-9785Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000130504734410 W 16th Ave Ste 31Hialeah FL 33012Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group(305) 824-3408Prov No 000005606433258 E 49th StHialeah FL 33013Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 824-3431Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124510984410 W 16th Ave Ste 330Hialeah FL 33012Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124511001700 W 68th StHialeah FL 33014Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BOBADILLA Patricia MAlpha Dental Group Inc(786) 238-7406Prov No 0000121754804999 W 8th Ave Ste 1Hialeah FL 33012Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 501-2166Prov No 0000129703273825 W 16th AveHialeah FL 33012Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 826-5224Prov No 0000129735204410 W 16th Ave Ste 58Hialeah FL 33012Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 823-9982Prov No 000012973526266 E 49th StHialeah FL 33013Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124425622900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)BUENO RosaExpert Smiles Center Inc(305) 826-3255Prov No 0000129033962750 W 68th St Ste 108 Hialeah FL 33016Gender FemaleNPI 1972649218License DN17647License Type DBP DentistBoard Certified Not ReportedEmail expertsmilescentergmailcomFax (305) 826-3898Accepts New Patients YHospital Affiliation NA

CABRERA Rene EWestland Mall Dental(305) 828-7779Prov No 0000127703101665 W 49th St Ste 1484 Hialeah FL 33012Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

CALDERON Erik OHialeah Dental Center Pa(305) 823-2661Prov No 0000121276251518 W 49th St Hialeah FL 33012Language SpanishGender MaleNPI 1942596416License DN19377License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

151GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CALVO Jose RJose R Calvo Dds Pa(305) 823-9982Prov No 000000025937266 E 49th StHialeah FL 33013Gender MaleNPI 1831100452License DN11226License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 501-2166Prov No 0000129699433825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(305) 826-5224Prov No 0000129703344410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CANO Lourdes MDental Excellence Partners Llc(305) 823-9982Prov No 000012973524266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

CARAVIA AmandaCentury Medical Group Corp(305) 392-0257Prov No 00000132379211300 Nw 87th Ct Ste 141 Hialeah FL 33018Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(786) 501-2166Prov No 0000132580843825 W 16th AveHialeah FL 33012Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CARBALLO MauroDental Excellence Partners Llc(305) 826-5224Prov No 0000132580884410 W 16th Ave Ste 58Hialeah FL 33012Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(305) 823-9982Prov No 000013258089266 E 49th StHialeah FL 33013Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

CARDENAS Elio ASmile Perfect Dental HealthCenter Inc(305) 557-6711Prov No 000000686024580 E 49th St Hialeah FL 33013Gender MaleNPI 1134287659License DN13355License Type DBP DentistBoard Certified Not ReportedEmail smileperfectdentalaolcomFax (305) 681-3371Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CARDENAS Elio ASmile Perfect Dental II(305) 557-6712Prov No 0000125669251075 E 4th Ave Hialeah FL 33010Gender MaleNPI 1134287659License DN13355License Type DBP DentistBoard Certified Not ReportedEmail smileperfectdentalaolcomFax (786) 693-8315Accepts New Patients YHospital Affiliation NA

CASTELLANOS MadeleineMadeleine Castellanos Dds(305) 820-4080Prov No 0000000206042140 W 68th St Ste 202Hialeah FL 33016Gender FemaleNPI 1487798930License DN14504License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 822-5236Accepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 501-2166Prov No 0000131573373825 W 16th AveHialeah FL 33012Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

152 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(305) 826-5224Prov No 0000131580024410 W 16th Ave Ste 58Hialeah FL 33012Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(305) 823-9982Prov No 000013158003266 E 49th StHialeah FL 33013Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

CASTRO Eileen JSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000128538162900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CORREA AnelysAlicia Montesinos Dds(305) 820-0068Prov No 0000010752386847 W 4th Ave Hialeah FL 33014Gender FemaleNPI 1902117591License DN19129License Type DBP DentistBoard Certified Not ReportedEmail jrdentalofficeincyahoocomFax (305) 826-2663Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000126372562900 W 12th Ave Ste 27Hialeah FL 33012Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORUGEDO AdaFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000126319232900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)COSTA Manuel EManuel E Costa Dds(305) 769-0252Prov No 000000018480791 E 48th St Hialeah FL 33013Gender MaleNPI 1659495307License DN8736License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 953-0707Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental(786) 456-1760Prov No 00001247086716879 Nw 67th AveHialeah FL 33015Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Karen GFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000019231592900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CRUZ YarelieJose R Calvo Dds Pa(305) 823-9982Prov No 000012518105266 E 49th StHialeah FL 33013Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(786) 501-2166Prov No 0000129699443825 W 16th AveHialeah FL 33012Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(305) 826-5224Prov No 0000129735214410 W 16th Ave Ste 58Hialeah FL 33012Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

153GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)CUENCA AnnieAlicia Montesinos Dds(305) 820-0068Prov No 0000011064746847 W 4th Ave Hialeah FL 33014Language SpanishGender FemaleNPI 1871806273License DN19137License Type DBP DentistBoard Certified NEmail jrdentalofficeincyahoocomFax (305) 826-2663Accepts New Patients YHospital Affiliation NA

CUENCA AnnieRene Rodriguez(305) 883-4880Prov No 000012060709765 E 9th StHialeah FL 33010Language SpanishGender FemaleNPI 1871806273License DN19137License Type DBP DentistBoard Certified NEmail anniecuencayahoocomFax (786) 536-6761Accepts New Patients YHospital Affiliation NA

CULLEN William CWestland Mall Dental(305) 828-7779Prov No 0000120536461665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DE AGUIRRE Elizabeth MExpert Smiles Center Inc(305) 826-3255Prov No 0000003882742750 W 68th St Ste 108 Hialeah FL 33016Gender FemaleNPI 1467434746License DN15008License Type DBP DentistBoard Certified Not ReportedEmail expertsmilescentergmailcomFax (305) 826-3898Accepts New Patients YHospital Affiliation NA

DE SOUSA Marvina EDesousa amp Maniglia Dmd Pa(305) 640-5501Prov No 0000127852188200 W 33rd AveHialeah FL 33018Language SpanishGender FemaleNPI 1841572963License DN19465License Type DBP DentistBoard Certified NEmail officesmilesolutionsdgcomFaxAccepts New Patients YHospital Affiliation NA

DEL VALLE Jose MJose M Del Valle Dds(305) 556-1770Prov No 0000000184713918 W 12th AveHialeah FL 33012Gender MaleNPI 1912052382License DN10269License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-1755Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DELGADO REY IvetteSeven Dental of Hialeah Inc(305) 821-3344Prov No 0000128922201935 W 60th StHialeah FL 33012Gender FemaleNPI 1679097869License DN22964License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFax (305) 821-3311Accepts New Patients YHospital Affiliation NA

DEWITT David EDr David Dewitt and Assoc(305) 558-2261Prov No 0000001557304841 W 4th Ave Hialeah FL 33012Gender MaleNPI 1548372139License DN3920License Type DBP DentistBoard Certified Not ReportedEmail dds5318bellsouth netFaxAccepts New Patients YHospital Affiliation NA

DI RE AnthonyWestland Mall Dental(305) 828-7779Prov No 0000129086291665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DIAZ VivianPalm Center For DentalSpecialties(305) 556-5600Prov No 0000007061857150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1245560028License DN18896License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

DIAZ VALLE OrlandoCare Dental Group Llc(305) 456-6474Prov No 0000133728334201 Palm Ave Ste 2DHialeah FL 33012Gender MaleNPI 1457717290License DN23705License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseJose R Calvo Dds Pa(305) 823-9982Prov No 000012777633266 E 49th StHialeah FL 33013Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

154 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 501-2166Prov No 0000129699453825 W 16th AveHialeah FL 33012Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(305) 826-5224Prov No 0000129735224410 W 16th Ave Ste 58Hialeah FL 33012Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

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 veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ECHEMENDIA ArturoPalm Center For DentalSpecialties(305) 556-5600Prov No 0000126302627150 W 20th Ave Ste 102Hialeah FL 33016Gender MaleNPI 1679932560License DN22937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

ENG Martha CMiami Smile Studio Cororation(786) 391-4566Prov No 000012129973427 Hialeah Dr Hialeah FL 33010Gender FemaleNPI 1730345091License DN17980License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 391-4590Accepts New Patients YHospital Affiliation NA

ESCOBAR Carlos FDental American Group Corp(305) 556-6100Prov No 0000008597231573 W 49th StHialeah FL 33012Gender MaleNPI 1013196914License DN16490License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ESPINET KUSNIER ElaineSage Dental(786) 456-1760Prov No 00001258593316879 Nw 67th AveHialeah FL 33015Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012946784901 E 10th Ave Ste 39Hialeah FL 33010Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

FERRERO Patricia FWestland Mall Dental(305) 828-7779Prov No 0000126136951665 W 49th St Ste 1484 Hialeah FL 33012Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)FIGUEREDO Maria HM H Figueredo Dmd Pa(305) 558-2133Prov No 0000003031875924 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1144313602License DN16963License Type DBP DentistBoard Certified Not ReportedEmail infoa-z-dentalco mFax (305) 828-1306Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CCelia Figueroa Dds(305) 827-0434Prov No 000012142613400 W 65th StHialeah FL 33012Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmail agarciaprodentalcenterscomFax (305) 827-1501Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CComprehensive FamilyDentstry(305) 821-6388Prov No 0000121708396848 Nw 169th StHialeah FL 33015Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-6429Accepts New Patients YHospital Affiliation NA

155GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)FIGUEROA Celia CPalm Center For DentalSpecialties(305) 556-5600Prov No 0000125001027150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

FORNOS Jorge AWestland Mall Dental(305) 828-7779Prov No 0000122477901665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

FRIEDMAN Rene JUniversal Dental Group(305) 821-3344Prov No 0000015361901935 W 60th StHialeah FL 33012Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFax (305) 821-3311Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)FUERTES RUFIN LiscaryCare Dental Group Llc(305) 456-6474Prov No 0000130138944201 Palm Ave Ste 2DHialeah FL 33012Gender FemaleNPI 1497137798License DN22865License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

FUNDORA Yolaivys VDental American Group(305) 556-6100Prov No 0000083596701573 W 49th St Hialeah FL 33012Gender FemaleNPI 1285074112License DN20186License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

GABALDON MarianaDental Boost Llc(305) 822-4607Prov No 000005060274344 W 65th StHialeah FL 33012Language SpanishGender FemaleNPI 1316112436License DN19159License Type DBP DentistBoard Certified NEmail dentalboostgmail comFax (305) 822-5205Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GARCIA IdalmesGomara Dmd and SalcinesDmd Pa(305) 885-0008Prov No 0000125146672900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

GARCIA Juan MJuan M Garcia Dds(305) 821-2261Prov No 0000003334906450 W 21st Ct Ste 300Hialeah FL 33016Language SpanishGender MaleNPI 1598858805License DN11815License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 819-8570Accepts New Patients YHospital Affiliation NA

GARCIA LOPEZ DorgisDorgis Dental Pa(305) 474-0400Prov No 00001285492418652 Nw 67th AveHialeah FL 33015Language SpanishGender FemaleNPI 1992147326License DN20258License Type DBP DentistBoard Certified Not ReportedEmail infonsdcliniccomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)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 amazingtouchdentalgmailcomFax (305) 825-7676Accepts New Patients YHospital Affiliation NA

GARROTE RogelioFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124905582900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549809901 E 10th Ave Ste 39Hialeah FL 33010Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

156 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GIL ARAUJO Eduardo FMj Dental Office(305) 825-7447Prov No 0000121657052360 W 68th St Ste 124Hialeah FL 33016Language SpanishGender MaleNPI 1841553112License DN19789License Type DBP DentistBoard Certified NEmail infomjdentalofficecomFaxAccepts New Patients YHospital Affiliation NA

GODOY Yami AHialeah Square Dentistry(239) 775-3383Prov No 0000133006674186 W 12th AveHialeah FL 33012Gender FemaleNPI 1831248004License DN19836License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

GOMARA Luis AFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000003977772900 W 12th Ave Ste 27Hialeah FL 33012Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GOMEZ PEREZ NilsHialeah Dental Care(305) 823-1882Prov No 0000121788044240 W 16th Ave Hialeah FL 33012Language SpanishGender MaleNPI 1346649118License DN20903License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosDental American Group(305) 556-6100Prov No 0000125301101573 W 49th St Hialeah FL 33012Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

GONZALEZ EdekProgressive Dental(305) 829-0100Prov No 00001257980318600 Nw 87th Ave Unit 125Hialeah FL 33015Gender MaleNPI 1457617029License DN20214License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GONZALEZ GiovanniDental Excellence Partners Llc(786) 501-2166Prov No 0000129715303825 W 16th AveHialeah FL 33012Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(305) 826-5224Prov No 0000129715354410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(305) 823-9982Prov No 000012973525266 E 49th StHialeah FL 33013Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GONZALEZ HanselAlpha Dental Group Inc(786) 238-7406Prov No 0000120097134999 W 8th Ave Ste 1Hialeah FL 33012Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyWestland Mall Dental(305) 828-7779Prov No 0000121304061665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

GONZALEZ KeniaWestland Mall Dental(305) 828-7779Prov No 0000120974621665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

157GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GONZALEZ LilianDental American Group(305) 556-6100Prov No 0000008597221573 W 49th St Hialeah FL 33012Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

GREEN George DWestland Mall Dental(305) 828-7779Prov No 0000124906991665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

GUERRA VannetteWestland Mall Dental(305) 828-7779Prov No 0000128236921665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)GUERRA CRESPO Beatriz DCare Dental Group Llc(305) 456-6474Prov No 0000129603934201 Palm Ave Ste 2DHialeah FL 33012Language SpanishGender FemaleNPI 1376960658License DN21830License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

HENDERSON Gilsa HHenderson Family Dental CareInc(305) 558-1171Prov No 0000016792974963 W 6th Ave Hialeah FL 33012Gender FemaleNPI 1336332782License DN17934License Type DBP DentistBoard Certified Not ReportedEmail hendersondentalyahoocomFax (305) 558-1173Accepts New Patients YHospital Affiliation NA

HERNANDEZ IdaliaWorld Dental Care Corp(305) 888-1458Prov No 0000121276471370 E 4th Ave Hialeah FL 33010Language SpanishGender FemaleNPI 1992069371License DN19766License Type DBP DentistBoard Certified NEmail worlddentalcarecomcastnetFax (786) 235-0257Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 501-2166Prov No 0000129777173825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(305) 826-5224Prov No 0000129777284410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(305) 823-9982Prov No 000012977731266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)HERNANDEZ-JEREZ GemaCentury Medical Group Corp(305) 392-0257Prov No 00001205295411300 Nw 87th Ct Ste 141 Hialeah FL 33018Language SpanishGender FemaleNPI 1699020347License DN19881License Type DBP DentistBoard Certified Not ReportedEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

HERRERA CASAS SunildaAmazing Touch Dental CareCorp(786) 257-1646Prov No 0000124340831955 W 68th StHialeah FL 33014Language SpanishGender FemaleNPI 1447673629License DN21542License Type DBP DentistBoard Certified Not ReportedEmail amazingtouchdentalgmailcomFax (305) 825-7676Accepts New Patients YHospital Affiliation NA

HOSSAIN Marta CMiami Smile Studio Cororation(786) 391-4566Prov No 000007193569427 Hialeah Dr Hialeah FL 33010Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 391-4590Accepts New Patients YHospital Affiliation NA

158 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)IDUATE BANOBRE YolandaHialeah Dental Care(305) 823-1882Prov No 0000125437154240 W 16th Ave Hialeah FL 33012Gender FemaleNPI 1598140618License DN21433License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental(786) 456-1760Prov No 00001251018916879 Nw 67th AveHialeah FL 33015Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MWestland Mall Dental(305) 828-7779Prov No 0000125965471665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)KOPYNETS Viktor VWestland Mall Dental(305) 828-7779Prov No 0000120755781665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

KRASNOV RostislavWestland Mall Dental(305) 828-7779Prov No 0000018203671665 W 49th St Ste 1484 Hialeah FL 33012Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

KRAVITZ Lauren MKravitz Dental(305) 822-9696Prov No 00000001923218482 Nw 67th AveHialeah FL 33015Gender FemaleNPI 1720255896License DN10554License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)KUNSTMANN Vivian RWestland Mall Dental(305) 828-7779Prov No 0000121497431665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549807901 E 10th Ave Ste 39Hialeah FL 33010Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

LIZASO SusanaSusana Lizaso Dds(305) 556-6055Prov No 0000000184874999 W 8th Ave Ste 28Hialeah FL 33012Language SpanishGender FemaleNPI 1174602429License DN14242License Type DBP DentistBoard Certified Not ReportedEmail lizasodental4yahoocomFax (305) 556-6440Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)LLEO Pedro DSuperior Dental Team(786) 360-6262Prov No 000012086086148 Hialeah DrHialeah FL 33010Gender MaleNPI 1942306394License DN17310License Type DBP DentistBoard Certified Not ReportedEmail superiordentalddsgmailcomFax (786) 762-2948Accepts New Patients YHospital Affiliation NA

LLEO Pedro DSimple Simles Llc(305) 381-5412Prov No 00001250009818400 Nw 75th Pl Ste 121Hialeah FL 33015Gender MaleNPI 1942306394License DN17310License Type DBP DentistBoard Certified Not ReportedEmail dentalsimpledmdgmailcomFax (786) 360-2404Accepts New Patients YHospital Affiliation NA

LOFTUS Shamus LWestland Mall Dental(305) 828-7779Prov No 0000130482561665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

159GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)LOPEZ Grace PProgressive Dental(305) 829-0100Prov No 00001224187418600 Nw 87th Ave Unit 125Hialeah FL 33015Gender FemaleNPI 1407101462License DN19810License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

LUPU MatthewUniversal Dental Group(305) 821-3344Prov No 0000013101801935 W 60th StHialeah FL 33012Gender MaleNPI 1699065169License DN19242License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFax (305) 821-3311Accepts New Patients YHospital Affiliation NA

MACAGNO Jessica JGam Dental Inc(786) 485-4150Prov No 000012623705508 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1356680342License DN19974License Type DBP DentistBoard Certified Not ReportedEmail infogamdentalcomFax (305) 468-6101Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MANIGLIA Marielba DDr Sousa and Maniglia Dmd Pa(305) 640-5501Prov No 0000127852308200 W 33rd AveHialeah FL 33018Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail officesmilesolutionsdgcomFaxAccepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DWestland Mall Dental(305) 828-7779Prov No 0000128980121665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

MARINI Nohelia RNohelia Marini(786) 360-6262Prov No 000012913460148 Hialeah DrHialeah FL 33010Gender FemaleNPI 1568640852License DN12018License Type DBP DentistBoard Certified NEmail superiordentalddsgmailcomFax (786) 536-6308Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MARQUEZ-IGLESIAS FelicitaFelicita Marquez Iglesias DdsPllc(305) 826-0906Prov No 0000120818124890 W 3rd AveHialeah FL 33012Language SpanishGender FemaleNPI 1740619402License DN20430License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 826-7455Accepts New Patients YHospital Affiliation NA

MARRO Blanca RSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000128501482900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000125077712900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MARTINEZ Jose MJuan Perez Solar Dds Pa(305) 556-5966Prov No 0000126127805323 W 20th Ave Hialeah FL 33012Language SpanishGender MaleNPI 1467511006License DN13951License Type DBP DentistBoard Certified Not ReportedEmail psolarddsbellsouthnetFax (305) 556-5976Accepts New Patients YHospital Affiliation NA

MARTINEZ Miguel AFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124415422900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Tamara TPalm Center For DentalSpecialties(305) 556-5600Prov No 0000003376207150 W 20th Ave Ste 102Hialeah FL 33016Language SpanishGender FemaleNPI 1881727717License DN17684License Type DBP DentistBoard Certified NEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

160 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MCHUGH Allyson MHialeah Square Dentistry(239) 775-3383Prov No 0000131813954186 W 12th AveHialeah FL 33012Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

MENDEZ AntonioHialeah Dental Assoc(305) 827-6661Prov No 0000000181652106 W 68th St Hialeah FL 33016Gender MaleNPI 1659570430License DN13520License Type DBP DentistBoard Certified Not ReportedEmail frontdeskmisbellosdientescomFax (305) 827-9977Accepts New Patients YHospital Affiliation NA

MOLINA Gustavo RProgressive Dental(305) 829-0100Prov No 00001224489318600 Nw 87th Ave Unit 125Hialeah FL 33015Language SpanishGender MaleNPI 1679859847License DN19559License Type DBP DentistBoard Certified NEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MOLINA Rosario GRosario Molina(305) 685-5133Prov No 0000000187434835 E 4th Ave Ste AHialeah FL 33013Gender FemaleNPI 1912231549License DN9515License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 685-6076Accepts New Patients YHospital Affiliation NA

MONTERO AlexanderProgressive Dental Office Corp(305) 829-0100Prov No 00000114132418600 Nw 87th Ave Unit 125Hialeah FL 33015Gender MaleNPI 1427105998License DN15053License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MONTERO AlexanderRicardo Montero(305) 863-8995Prov No 000012186573568 Hialeah DrHialeah FL 33010Gender MaleNPI 1427105998License DN15053License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 863-8945Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MONTESINOS Alicia EAlicia Montesinos Dds(305) 820-0068Prov No 0000001581626847 W 4th Ave Hialeah FL 33014Gender FemaleNPI 1437439965License DN12756License Type DBP DentistBoard Certified YEmail jrdentalofficeincyahoocomFax (305) 826-2663Accepts New Patients YHospital Affiliation NA

MORALES Enrique EEnrique Morales Dds(305) 691-1616Prov No 0000000180673009 E 4th Ave Hialeah FL 33013Gender MaleNPI 1649310319License DN14003License Type DBP DentistBoard Certified Not ReportedEmail enriquemoralesddsgmailcomFax (305) 691-1063Accepts New Patients YHospital Affiliation NA

MORELL NayadeMorell Dental Care(305) 231-0545Prov No 0000125619533750 W 16th Ave Ste 236Hialeah FL 33012Language SpanishGender FemaleNPI 1942396502License DN17626License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 265-5813Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)MORELL OmarWestland Mall Dental(305) 828-7779Prov No 0000126076481665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

NARVAEZ DE V VeronicaPalm Center For DentalSpecialties(305) 556-5600Prov No 0000129245167150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1366979270License DN22539License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

OCHOA German EProgressive Dental Officecorp(305) 829-0100Prov No 00001327788618600 Nw 87th Ave Unit 125Hialeah FL 33015Language SpanishGender MaleNPI 1164641536License DN20287License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

161GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)OLIVA PEREZ IliegCare Dental Group Llc(305) 456-6474Prov No 0000130138834201 Palm Ave Ste 2DHialeah FL 33012Gender FemaleNPI 1265809107License DN21522License Type DBP DentistBoard Certified Not ReportedEmail ydiazbelenmedicalcomFax (786) 294-0580Accepts New Patients YHospital Affiliation NA

ORAMAS DaniaOramas Dental Center(305) 456-6322Prov No 000001088757440 W 65th StHialeah FL 33012Gender FemaleNPI 1952613713License DN15467License Type DBP DentistBoard Certified Not ReportedEmail oramasdaniayahoocomFax (305) 456-6375Accepts New Patients YHospital Affiliation NA

ORTEGA Laura OJose R Calvo Dds Pa(305) 823-9982Prov No 000012518336266 E 49th StHialeah FL 33013Gender FemaleNPI 1558742528License DN21243License Type DBP DentistBoard Certified Not ReportedEmail mgomezreycanodentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)OSSA GOMEZ PaolaDental American Group(305) 556-6100Prov No 0000125750211573 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

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 veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

PATINO JoelyzProgressive Dental Office Corp(305) 829-0100Prov No 00001251808318600 Nw 87th Ave Unit 125Hialeah FL 33015Gender FemaleNPI 1962630103License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012549811901 E 10th Ave Ste 39Hialeah FL 33010Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

PEREZ DIAZ ElizabethJuan C Portuondo Dds(305) 556-3313Prov No 0000012634387150 W 20th Ave Ste 102Hialeah FL 33016Language SpanishGender FemaleNPI 1336242296License DN15530License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

PHAM Minh BProgressive Dental Office Corp(305) 829-0100Prov No 00001231414818600 Nw 87th Ave Unit 125Hialeah FL 33015Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail progressivedental01gmailcomFax (305) 829-7979Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PHAM QuynhnhuWestland Mall Dental(305) 828-7779Prov No 0000128665031665 W 49th St Ste 1484 Hialeah FL 33012Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PRIETO EvelynHialeah Dental Center Pa(305) 823-2661Prov No 0000124516631518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

PRIETO EvelynFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000124824762900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

162 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PRIETO JulioJulio Prieto Dds(305) 823-5375Prov No 0000000192701570 W 43rd Pl Ste 38Hialeah FL 33012Gender MaleNPI 1083756563License DN11186License Type DBP DentistBoard Certified Not ReportedEmail jppdentistaolcomFaxAccepts New Patients YHospital Affiliation NA

PUENTE KatiaKatia Puente(786) 238-7406Prov No 0000120175434999 W 8th Ave Ste 1Hialeah FL 33012Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

PUENTE KatiaCentury Medical Group Corp(305) 392-0257Prov No 00001219918111300 Nw 87th Ct Ste 141 Hialeah FL 33018Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)PUENTE KatiaFlorida Dental Alliance(786) 800-9507Prov No 0000133712644355 W 16th Ave Ste 205AHialeah FL 33012Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail infoacuariodentalgroupcomFax (305) 928-1147Accepts New Patients YHospital Affiliation NA

PUPO YusimyFausto Nicieza Dmd Pa(305) 888-8260Prov No 0000003571071491 E 4th Ave Hialeah FL 33010Gender FemaleNPI 1962604835License DN17069License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 888-5531Accepts New Patients YHospital Affiliation NA

QUESADA PedroDental American Group(305) 556-6100Prov No 0000121891261573 W 49th St Hialeah FL 33012Language SpanishGender MaleNPI 1164898177License DN21528License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 556-4799Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)QUESADA PedroPedro Quesada Dds Pa(786) 223-9730Prov No 000012771204742 W 49th St Hialeah FL 33012Language SpanishGender MaleNPI 1164898177License DN21528License Type DBP DentistBoard Certified Not ReportedEmail palmspringdentalattnetFax (786) 534-9221Accepts New Patients YHospital Affiliation NA

QUINTANA Rafael JDavid E Ewitt Dds Pa(305) 558-2261Prov No 0000000188644841 W 4th Ave Hialeah FL 33012Gender MaleNPI 1215096235License DN13154License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAJSCHMIR Silvina JHialeah Dental Center Pa(305) 823-2661Prov No 0000125546531518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1679977896License DN22255License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RAMIREZ CarmenCarmen Ramirez Dds(305) 836-3635Prov No 000012126423820 E 41st St Ste 202Hialeah FL 33013Gender FemaleNPI 1811162019License DN16423License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 836-4021Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenMj Dental Office(305) 825-7447Prov No 0000127190232360 W 68th St Ste 124Hialeah FL 33016Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail infomjdentalofficecomFaxAccepts New Patients YHospital Affiliation NA

RAMOS Luis ARamos Dental Assoc Inc(305) 558-2446Prov No 0000003506374564 W 12th Ave Hialeah FL 33012Language SpanishGender MaleNPI 1114000304License DN17350License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 558-1811Accepts New Patients YHospital Affiliation NA

163GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)REED SamanthaWestland Mall Dental(305) 828-7779Prov No 0000125638481665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

REYES Christina MJose R Calvo Dds Pa(305) 823-9982Prov No 000012882527266 E 49th StHialeah FL 33013Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(305) 826-5224Prov No 0000128956054410 W 16th Ave Ste 58Hialeah FL 33012Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)REYES Christina MDental Excellence Partners Llc(786) 501-2166Prov No 0000128967543825 W 16th AveHialeah FL 33012Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(305) 826-5224Prov No 0000000184894410 W 16th Ave Ste 58Hialeah FL 33012Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(786) 501-2166Prov No 0000129656653825 W 16th AveHialeah FL 33012Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)REYES Miguel ADental Excellence Partners Llc(305) 823-9982Prov No 000012965666266 E 49th StHialeah FL 33013Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 821-4479Accepts New Patients YHospital Affiliation NA

REYES CANALS Osmil AFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000122194812900 W 12th Ave Ste 27Hialeah FL 33012Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineWestland Mall Dental(305) 828-7779Prov No 0000127857981665 W 49th St Ste 1484 Hialeah FL 33012Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RIVAS Miguel APan American Dental Clinic(305) 827-0434Prov No 000000275910400 W 65th StHialeah FL 33012Gender MaleNPI 1194895011License DN12051License Type DBP DentistBoard Certified Not ReportedEmail agarciaprodentalcenterscomFax (305) 827-0534Accepts New Patients YHospital Affiliation NA

RODRIGUEZ ElviraSage Dental of Miami LakesPllc(786) 456-1760Prov No 00001299436416879 Nw 67th AveHialeah FL 33015Gender FemaleNPI 1689197345License DN22847License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ IvelissWestland Mall Dental(305) 828-7779Prov No 0000130557651665 W 49th St Ste 1484 Hialeah FL 33012Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

164 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RODRIGUEZ LazaroCentury Medical Group Corp(305) 392-0257Prov No 00000114936211300 Nw 87th Ct Ste 141 Hialeah FL 33018Gender MaleNPI 1184823031License DN17750License Type DBP DentistBoard Certified Not ReportedEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

RODRIGUEZ ReneAampR Dental Centers(305) 883-4880Prov No 000012060716765 E 9th StHialeah FL 33010Language SpanishGender MaleNPI 1942513122License DN19107License Type DBP DentistBoard Certified NEmail ardental305gmail comFax (786) 536-6761Accepts New Patients YHospital Affiliation NA

RODRIGUEZ RoxanaHialeah Dental Care(305) 823-1882Prov No 0000002641974240 W 16th Ave Hialeah FL 33012Language SpanishGender FemaleNPI 1336263912License DN17094License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)RODRIGUEZ VickyDr David Dewitt and Assoc(305) 558-2261Prov No 0000000188654841 W 4th Ave Hialeah FL 33012Gender FemaleNPI 1912041195License DN11514License Type DBP DentistBoard Certified Not ReportedEmail dds5318bellsouth netFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ BERNAL Jesus DJdr Dental Clinic Llc(305) 362-0888Prov No 0000023745923695 W 4th AveHialeah FL 33012Gender MaleNPI 1245417534License DN19922License Type DBP DentistBoard Certified NEmail marthuguitagmailcomFax (305) 362-0058Accepts New Patients YHospital Affiliation NA

ROMERO-MELIS MildredHialeah Square Dentistry Pa(305) 556-6291Prov No 0000121706244186 W 12th AveHialeah FL 33012Language SpanishGender FemaleNPI 1467843383License DN21172License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ROQUE-RUANO MaikelSage Dental of Miami LakesPllc(786) 456-1760Prov No 00001252605416879 Nw 67th AveHialeah FL 33015Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RUIZ EliseoSmile Dental Group(305) 556-8800Prov No 0000120568957618 Nw 186th StHialeah FL 33015Gender MaleNPI 1457589525License DN18793License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 877-9600Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000004165702900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SANTIESTEBAN AymaraSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000128616422900 W 12th Ave Ste 27Hialeah FL 33012Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

SANTOS NatalyNew Era Dental Pa(786) 558-8637Prov No 0000012411582011 W 62nd St Hialeah FL 33016Gender FemaleNPI 1568626240License DN18334License Type DBP DentistBoard Certified Not ReportedEmail neweradentalyahoocomFax (786) 558-8638Accepts New Patients YHospital Affiliation NA

SARDUY RaynelRicardo Montero(305) 863-8995Prov No 000012448052568 Hialeah DrHialeah FL 33010Language Portuguese SpanishGender MaleNPI 1790161693License DN21374License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 863-8945Accepts New Patients YHospital Affiliation NA

165GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SEIJAS Migdalia IMigdalia Seijas(305) 819-0820Prov No 0000088215921169 W 35th StHialeah FL 33012Gender FemaleNPI 1194895664License DN13282License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 827-3207Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HWestland Mall Dental Pa(305) 828-7779Prov No 0000131436841665 W 49th St Ste 1484Hialeah FL 33012Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

SIMBACO WalterMarco J Morales(305) 823-1882Prov No 0000129445244240 W 16th AveHialeah FL 33012Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SOLER Rosa MHialeah Dental Care(305) 823-1882Prov No 0000001340374240 W 16th Ave Hialeah FL 33012Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcareattnetFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

SOLER Rosa MWorld Dental Care Corp(305) 888-1458Prov No 0000020229441370 E 4th Ave Hialeah FL 33010Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail worlddentalcarecomcastnetFax (786) 235-0257Accepts New Patients YHospital Affiliation NA

SOLER Rosa MAlpha Dental Group Inc(786) 238-7406Prov No 0000120096194999 W 8th Ave Ste 1Hialeah FL 33012Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail alphadentalgroupyahoocomFax (786) 238-7429Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SOLER Rosa MAmazing Touch Dental CareCorp(786) 257-1646Prov No 0000122241161955 W 68th StHialeah FL 33014Gender FemaleNPI 1083738652License DN11884License Type DBP DentistBoard Certified Not ReportedEmail amazingtouchdentalgmailcomFax (305) 825-7676Accepts New Patients YHospital Affiliation NA

SOSA-ABELLA Nancy MPalm Center For DentalSpecialties(305) 556-5600Prov No 0000000179837150 W 20th Ave Ste 102Hialeah FL 33016Gender FemaleNPI 1821186982License DN13746License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-5693Accepts New Patients YHospital Affiliation NA

STREETT RosarioHialeah Dental Center Pa(305) 823-2661Prov No 0000125941991518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1801230768License DN21495License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)SWANSON Wendy EWendy Elizabeth Swanson Dds(786) 542-9700Prov No 000012915912922 E 25th St Hialeah FL 33013Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail dentalcaresouthfloridagmailcomFax (786) 542-9690Accepts New Patients YHospital Affiliation NA

TRAVIESAS EladioTraviesas Dental Care(305) 826-8980Prov No 0000127960154301 Palm Ave Ste FHialeah FL 33012Gender MaleNPI 1992187876License DN22857License Type DBP DentistBoard Certified Not ReportedEmail traviesasdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

UCROS Maria JHialeah Dental Center Pa(305) 823-2661Prov No 0000124478201518 W 49th St Hialeah FL 33012Language SpanishGender FemaleNPI 1366833212License DN21212License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalcentergmailcomFax (305) 823-2761Accepts New Patients YHospital Affiliation NA

166 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

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 DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

VALDES Martha BFamily and Cosmetic Dentistry(305) 387-4954Prov No 0000120491782900 W 12th Ave Ste 27Hialeah FL 33012Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

VAZANA RaphaelDavid E Dewitt Dds Pa(305) 558-2261Prov No 0000001487364841 W 4th Ave Hialeah FL 33012Gender MaleNPI 1528170107License DN8463License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)VAZQUEZ Omar SWestland Mall Dental(305) 828-7779Prov No 0000127770981665 W 49th St Ste 1484 Hialeah FL 33012Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (305) 828-7651Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DHialeah Square Dentistry Pa(305) 556-6291Prov No 0000127601244186 W 12th AveHialeah FL 33012Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 825-0215Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 887-0004Prov No 000012945512901 E 10th Ave Ste 39Hialeah FL 33010Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH (Cont)ZARDON Ramon ARazar Dental Group 2 Inc(305) 827-1700Prov No 0000000183075864 Nw 183rd St Hialeah FL 33015Gender MaleNPI 1679793715License DN13245License Type DBP DentistBoard Certified Not ReportedEmail razardentalgmail comFax (305) 827-3922Accepts New Patients YHospital Affiliation NA

ZAWADZKY Javier MCentury Medical Group Corp(305) 392-0257Prov No 00000126462411300 Nw 87th Ct Ste 141 Hialeah FL 33018Gender MaleNPI 1245541507License DN19098License Type DBP DentistBoard Certified NEmail centurymedicalgroupgmailcomFax (786) 360-2989Accepts New Patients YHospital Affiliation NA

HIALEAH GARDENS

BERRY Wayne LSylvia Santana Pa(305) 364-9322Prov No 00001214662911300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH GARDENS (Cont)HOSSAIN Marta CBiltmore Dental Associates Pa(305) 364-9322Prov No 00001213883911300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MENENDEZ NancySylvia Santana Pa(305) 364-9322Prov No 00001244897711300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender FemaleNPI 1467707927License DN20816License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MENTRASTI-SANTANA SylviaSylvia Santana Pa(305) 364-9322Prov No 00001223546111300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Language SpanishGender FemaleNPI 1679820344License DN19864License Type DBP DentistBoard Certified NEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

167GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HIALEAH GARDENS (Cont)MONTERO RicardoBiltmore Dental Associates Pa(305) 364-9322Prov No 00001199827711300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Language SpanishGender MaleNPI 1164579066License DN14128License Type DBP DentistBoard Certified NEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

PAYA AnabelPaya Dental(786) 502-4467Prov No 0000125017532851 W 68th St Ste 12Hialeah Gardens FL 33018Language SpanishGender FemaleNPI 1609256700License DN21221License Type DBP DentistBoard Certified Not ReportedEmail apayadentalgmailcomFax (786) 536-4795Accepts New Patients YHospital Affiliation NA

PEREZ IdalmesSylvia Santana Pa(305) 364-9322Prov No 00001204968411300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender FemaleNPI 1881896306License DN17928License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HIALEAH GARDENS (Cont)REYES CANALS Osmil ASylvia Santana Pa(305) 364-9322Prov No 00001217270711300 Nw 87th Ct Ste 166Hialeah Gardens FL 33018Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail biltmore_dentalyahoocomFax (305) 364-0983Accepts New Patients YHospital Affiliation NA

HOMESTEAD

ABDELMONEM RafahAmerican Dental Center(305) 247-8823Prov No 0000016590461938 N Krome Ave Homestead FL 33030Gender MaleNPI 1194736959License DN16642License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

ALVAREZ Nimia RNimia Alvarez(305) 245-0304Prov No 000001234525127 Ne 8th St Homestead FL 33030Gender FemaleNPI 1629378559License DN12188License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-0306Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)BERRY Wayne LAmerican Dental Center(305) 247-8823Prov No 0000123306161938 N Krome Ave Homestead FL 33030Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012449326698 N Homestead Blvd Ste106Homestead FL 33030Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012448046698 N Homestead Blvd Ste106Homestead FL 33030Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)BOTERO AlexandraSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012442564125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraByg Dental Corp(305) 247-5161Prov No 000012617562930 N Krome AveHomestead FL 33030Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

BUITRAGO Juan CByq Dental Corp(305) 247-5161Prov No 000000354764930 N Krome Ave Homestead FL 33030Gender MaleNPI 1700057494License DN15378License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

168 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012102122810 W Mowry DrHomestead FL 33030Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001210298513600 Sw 312th StHomestead FL 33033Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

CARAVIA AmandaDental Associates of HomesteadInc(305) 247-0099Prov No 000005300663925 Ne 30th Ter Ste 114Homestead FL 33033Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CASTRO Eileen JSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012853789125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001040015613600 Sw 312th StHomestead FL 33033Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000010400364810 W Mowry DrHomestead FL 33030Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CHIU Gordon BDental Associates of HomesteadInc(305) 247-0099Prov No 000000018056925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1962514919License DN14174License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012637251125 Ne 8th St Ste 1Homestead FL 33030Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORUGEDO AdaSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012631922125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)CRUZ Karen GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000001923156125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

ELHOSARY Princess CMonem Dental Llc(305) 247-8823Prov No 0000129859111938 N Krome Ave Homestead FL 33030Gender FemaleNPI 1144677501License DN22761License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001306244513600 Sw 312th StHomestead FL 33033Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

169GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000013062453810 W Mowry DrHomestead FL 33030Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

FERNANDEZ-ABRIL Jorge CAltima Dental GroupHomestead(305) 246-5444Prov No 0000007070152870 Ne 8th St Homestead FL 33033Gender MaleNPI 1720307572License DN16962License Type DBP DentistBoard Certified NEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

GARCIA IdalmesSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000013371281125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)GARMIZO JoshuaMonem Dental Llc(305) 247-8823Prov No 0000128950661938 N Krome Ave Homestead FL 33030Gender MaleNPI 1912427287License DN22885License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

GARROTE RogelioSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012554800125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GIL Lester OSmile Plus(305) 247-5161Prov No 000000399186930 N Krome Ave Homestead FL 33030Gender MaleNPI 1427216803License DN18301License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)GIL Lester OByg Dental Corporation(305) 247-5161Prov No 000012023645963 N Krome AveHomestead FL 33030Gender MaleNPI 1427216803License DN18301License Type DBP DentistBoard Certified Not ReportedEmail smileplushomesteadgmailcomFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

GOMARA Luis ASalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000000305671125 Ne 8th St Ste 1Homestead FL 33030Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GRIGOROPOULOS MariosDental Center of Homestead(305) 246-5444Prov No 0000125275022870 Ne 8th St Homestead FL 33033Gender MaleNPI 1720285646License DN14743License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)HAYES NorysBerenstein and Lekkas Pa(305) 246-5444Prov No 0000122303672870 Ne 8th St Homestead FL 33033Language SpanishGender FemaleNPI 1578638540License DN17144License Type DBP DentistBoard Certified NEmailFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000000341594810 W Mowry DrHomestead FL 33030Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000072342613600 Sw 312th StHomestead FL 33033Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

170 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)LANG TomasCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000073609613600 Sw 312th StHomestead FL 33033Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

LANG TomasMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000001044425810 W Mowry DrHomestead FL 33030Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

LAU VicenteSouth Dade Health Center(305) 242-6069Prov No 00001249724613600 Sw 312th StHomestead FL 33033Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)LAU VicenteCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012512163810 W Mowry DrHomestead FL 33030Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

LEA PLAZA RodolfoNaranja Family Dentistry Pa(786) 601-2644Prov No 00001279701027325 S Dixie HwyHomestead FL 33032Language SpanishGender MaleNPI 1932407103License DN19240License Type DBP DentistBoard Certified Not ReportedEmail leaplazadentalgmailcomFax (786) 601-2437Accepts New Patients YHospital Affiliation NA

LEE Nancy VAltima Dental GroupHomestead(305) 246-5444Prov No 0000088221052870 Ne 8th St Homestead FL 33033Language SpanishVietnameseGender FemaleNPI 1174883482License DN19879License Type DBP DentistBoard Certified NEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)LOBAINA Yoan EYoan Lobaina Corp(305) 245-9691Prov No 00000181991330 Nw 15th StHomestead FL 33030Gender MaleNPI 1245468131License DN18774License Type DBP DentistBoard Certified NEmailFax (786) 339-8449Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000000858485810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedSouth Dade Health Center(305) 242-6069Prov No 00000085990713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MARRO Blanca RSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012849827125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012554802125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Jose MAll Family Care Inc(305) 246-0460Prov No 00001337282338 Nw 8th St Homestead FL 33030Gender MaleNPI 1780798926License DN12529License Type DBP DentistBoard Certified Not ReportedEmail sanguily_16msnco mFax (305) 246-0516Accepts New Patients YHospital Affiliation NA

171GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MARTINEZ Miguel AFamily amp Cosmetic Dentistry(305) 888-0008Prov No 000012441844125 Ne 8th St Ste 1 Homestead FL 33030Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmailFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MARTINEZ Tamara TFlorida City Dental Inc(786) 465-2254Prov No 000001957318786 S Homestead BlvdHomestead FL 33030Language SpanishGender FemaleNPI 1881727717License DN17684License Type DBP DentistBoard Certified NEmail smilefloridacitydentalcomFaxAccepts New Patients YHospital Affiliation NA

MIRANDA AlejandraMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000012059721810 W Mowry DrHomestead FL 33030Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MIRANDA AlejandraSouth Dade Health Center(305) 242-6069Prov No 00001205980913600 Sw 312th StHomestead FL 33033Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

MOLINA Rolando Jesus JRolando J Molina Dds Pa(305) 242-5223Prov No 00000003371945 Nw 8th St Ste 101 Homestead FL 33030Language SpanishGender MaleNPI 1689700221License DN14344License Type DBP DentistBoard Certified Not ReportedEmail rolandomolina1aolcomFax (305) 248-8818Accepts New Patients YHospital Affiliation NA

MORALES Ronald JAltima Dental GroupHomestead(305) 246-5444Prov No 0000129735042870 Ne 8th St Homestead FL 33033Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012071097810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001207110413600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

PEREZ Alina JByg Dental Corp(305) 247-5161Prov No 000011997640930 N Krome AveHomestead FL 33030Gender FemaleNPI 1649408469License DN18627License Type DBP DentistBoard Certified NEmailFax (305) 247-5120Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)PINO Raquel CAltima Dental GroupHomestead(305) 246-5444Prov No 0000121257012870 Ne 8th St Homestead FL 33033Language SpanishGender FemaleNPI 1912310665License DN20670License Type DBP DentistBoard Certified Not ReportedEmail foustrnadentalgroupcomFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

PRIETO EvelynSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012482478125 Ne 8th St Ste 1Homestead FL 33030Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

PUENTE KatiaSsa Services Incorporated(305) 245-7974Prov No 0000000191018 Palm Plz Homestead FL 33030Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-9433Accepts New Patients YHospital Affiliation NA

172 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)QUINTERO Juan MAmerican Dental Center(305) 247-8823Prov No 0000021582411938 N Krome Ave Homestead FL 33030Language SpanishGender MaleNPI 1710298302License DN19085License Type DBP DentistBoard Certified Not ReportedEmail vperezdentalcentermiamicomFax (305) 247-8384Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012683106810 W Mowry DrHomestead FL 33030Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001268328413600 Sw 312th StHomestead FL 33033Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)RAMIREZ MauricioDental Associates of HomesteadInc(305) 247-0099Prov No 000012772249925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000013073325810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001307332713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)RAPPACCIOLI CotyFlorida City Dental Inc(786) 465-2254Prov No 000002022002786 S Homestead BlvdHomestead FL 33030Language SpanishGender FemaleNPI 1649473588License DN15733License Type DBP DentistBoard Certified Not ReportedEmail smilefloridacitydentalcomFaxAccepts New Patients YHospital Affiliation NA

REYES CANALS Osmil ASalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012219483125 Ne 8th St Ste 1Homestead FL 33030Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JDental Associates of HomesteadInc(305) 247-0099Prov No 000000298812925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)ROMERO VAZQUEZ IvetDental Center of Homestead(305) 246-5444Prov No 0000126298352870 Ne 8th St Homestead FL 33033Language SpanishGender FemaleNPI 1316476682License DN22624License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 246-5406Accepts New Patients YHospital Affiliation NA

RUIZ EliseoDental Associates of HomesteadInc(305) 247-0099Prov No 000000468153925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1457589525License DN18793License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

RUIZ SailiDental Associates of HomesteadPa(305) 247-0099Prov No 000012103252925 Ne 30th Ter Ste 118Homestead FL 33033Language SpanishGender FemaleNPI 1932514296License DN20706License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-0084Accepts New Patients YHospital Affiliation NA

173GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000000997512810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000099790113600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000000349915125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)SAN JUAN Carlos MNimia Alvarez(305) 245-0304Prov No 000012519815127 Ne 8th St Homestead FL 33030Gender MaleNPI 1619233244License DN12640License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-0306Accepts New Patients YHospital Affiliation NA

SANCHEZ Zoraida TZoraida T Sanchez Dds(305) 247-9292Prov No 0000002278241619 Ne 8th StHomestead FL 33033Language SpanishGender FemaleNPI 1093824096License DN16063License Type DBP DentistBoard Certified Not ReportedEmail zpabellsouthnetFax (305) 247-0344Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 000012861893125 Ne 8th St Ste 1Homestead FL 33030Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)SARMIENTO Jeffrey ECommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00001247389613600 Sw 312th StHomestead FL 33033Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000012490912810 W Mowry DrHomestead FL 33030Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

SILVESTRY Elvin JDental Associates FoHomestead Pa(305) 247-0099Prov No 000012746685925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1447332374License DN13522License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-0084Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)SIMBACO WalterNimia Alvarez(305) 245-0304Prov No 000001132634127 Ne 8th St Homestead FL 33030Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 245-0306Accepts New Patients YHospital Affiliation NA

VALDES Martha BFamily amp Cosmetic Dentistry(305) 888-0008Prov No 000012049176125 Ne 8th St Ste 1 Homestead FL 33030Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmailFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

VAN JimDental Associates of Homestead(305) 247-0099Prov No 000013120442925 Ne 30th Ter Ste 114Homestead FL 33033Gender MaleNPI 1649796293License DN23005License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 247-5249Accepts New Patients YHospital Affiliation NA

174 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)WATSON-HAMILTON Sheri SMartin Luther King Jr ClinicaCampesina(305) 248-4334Prov No 000000365083810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

WATSON-HAMILTON Sheri SSouth Dade Health Center(305) 242-6069Prov No 00000073552713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 242-1520Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 248-4334Prov No 000005178779810 W Mowry DrHomestead FL 33030Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 245-1161Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

HOMESTEAD (Cont)WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 242-6069Prov No 00000517931713600 Sw 312th StHomestead FL 33033Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 245-9412Accepts New Patients YHospital Affiliation NA

KENDALL

CRUZ Antonio RSage Dental of Dadeland Pllc(786) 870-4665Prov No 0000127383357714 N Kendall DrKendall FL 33156Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PINO Raquel CSage Dental of Dadeland Pllc(786) 870-4665Prov No 0000127764777714 N Kendall DrKendall FL 33156Language SpanishGender FemaleNPI 1912310665License DN20670License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI

ABDEL-JABBAR Sana HSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124579466820 Bird RdMiami FL 33155Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ABDELMONEM RafahAmerican Dental Center(305) 625-5400Prov No 0000011953661505 Nw 167th St Ste 100 Miami FL 33169Gender MaleNPI 1194736959License DN16642License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

ABOLSKY Norman INorman Abolsky(305) 595-2335Prov No 00000001842912534 Sw 88th StMiami FL 33186Gender MaleNPI 1184776478License DN5751License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 279-7879Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ABRAHAO Thalia MAmerican Dental ClinicCorporation(305) 485-8427Prov No 0000125183243631 Sw 87th AveMiami FL 33165Gender FemaleNPI 1245648229License DN20764License Type DBP DentistBoard Certified Not ReportedEmail infoamericadentalcliniccomFax (305) 485-8429Accepts New Patients YHospital Affiliation NA

ADLER Robert MBorinquen Health Care CenterInc Dental(305) 576-6611Prov No 0000004455433601 Federal Hwy Fl 5Miami FL 33137Gender MaleNPI 1508996851License DN1171License Type DBP DentistBoard Certified Not ReportedEmail otamarezborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

AGREDA AngelAngel Agreda Dds Pa(305) 554-8224Prov No 0000002636852611 Sw 147th Ave Miami FL 33185Gender MaleNPI 1699883199License DN11416License Type DBP DentistBoard Certified Not ReportedEmail contactmiamidadedentistrycomFax (305) 554-8897Accepts New Patients YHospital Affiliation NA

175GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)AGUILAR Lina ATamiami Dental Center Pa(305) 553-9655Prov No 00000073872613232 Sw 8th St Miami FL 33184Language SpanishGender FemaleNPI 1730408881License DN19023License Type DBP DentistBoard Certified Not ReportedEmail onestopsmileshophotmailcomFax (305) 553-7688Accepts New Patients YHospital Affiliation NA

AGUILAR Lina ADental Specialty Center atBaptist(305) 275-8875Prov No 0000020190798940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender FemaleNPI 1730408881License DN19023License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

ALDAMA-ESPINOSA EvelynNorthwest Dental Group Pa(305) 677-3450Prov No 0000002807431250 Nw 119th StMiami FL 33167Gender FemaleNPI 1275976771License DN17045License Type DBP DentistBoard Certified Not ReportedEmail aldamadentalgroupgmailcomFax (305) 677-3449Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ALFONSO JossueJossue Alfonso Dmd Pa(305) 642-4142Prov No 000012127017351 Nw 42nd Ave Ste 402Miami FL 33126Language SpanishGender MaleNPI 1235423997License DN19316License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 642-4143Accepts New Patients YHospital Affiliation NA

ALFONZO Fara AUniversal Dental Clinic(305) 326-7159Prov No 000000731775432 Nw 12th Ave Miami FL 33128Language SpanishGender FemaleNPI 1851447684License DN11020License Type DBP DentistBoard Certified Not ReportedEmail universaldental2011hotmailcomFax (305) 324-5875Accepts New Patients YHospital Affiliation NA

ALFONZO Fara ADental Family Services(305) 643-4900Prov No 0000124493272772 Nw 7th StMiami FL 33125Language SpanishGender FemaleNPI 1851447684License DN11020License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 643-4900Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ALVAREZ AriamMy Smile Center(305) 728-2000Prov No 00001302528012800 Sw 8th StMiami FL 33184Language SpanishGender MaleNPI 1962841783License DN21526License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

ALVAREZ ElibethDental Specialty Center atBaptist(305) 275-8875Prov No 0000013213828940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender FemaleNPI 1831487339License DN19503License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

ALVAREZ Maria JDental Group of South FloridaII(305) 251-4262Prov No 00000124209911336 Sw 184th St Miami FL 33157Language SpanishGender FemaleNPI 1124165303License DN17638License Type DBP DentistBoard Certified Not ReportedEmail mirtirb123gmailc omFax (786) 242-6351Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ALVAREZ Maria JDental Group of South FloridaIV Inc(786) 250-5088Prov No 00001258932011373 Sw 211th St Ste 10- 11Miami FL 33189Language SpanishGender FemaleNPI 1124165303License DN17638License Type DBP DentistBoard Certified Not ReportedEmail dentalgroup211gmailcomFax (786) 713-0959Accepts New Patients YHospital Affiliation NA

ALVAREZ Pablo RSmile Dentistry Associates Llc(305) 270-5505Prov No 0000017687519055 Sw 87th Ave Ste 303 Miami FL 33176Gender MaleNPI 1265765655License DN11024License Type DBP DentistBoard Certified NEmail smiledentistyoutlookcomFax (305) 270-0455Accepts New Patients YHospital Affiliation NA

AMSELEM ShalomShalom Amselem(305) 931-1888Prov No 0000003679442630 Ne 203rd St Ste 101Miami FL 33180Gender MaleNPI 1346376258License DN12583License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 931-0098Accepts New Patients YHospital Affiliation NA

176 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 501-2163Prov No 00001294126313768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 534-2796Prov No 0000129777168300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 501-2168Prov No 0000129777196801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)APONTE-BARRIOS SecilDental Excellence Partners Llc(305) 443-9206Prov No 0000129777254500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ARGUELLES LourdesRichard C Lage Dds(305) 642-3552Prov No 000012130173351 Nw 42nd Ave Ste 504Miami FL 33126Gender FemaleNPI 1932410396License DN12649License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 642-3554Accepts New Patients YHospital Affiliation NA

AROCHA JosefinaJadent Inc(305) 220-0066Prov No 0000002696643945 Sw 92nd Ave Miami FL 33165Gender FemaleNPI 1952448367License DN14047License Type DBP DentistBoard Certified Not ReportedEmail jadentccaolcomFax (305) 220-1210Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ARON Robert SRobert Aron(305) 654-1234Prov No 00000044816121457 Nw 2nd AveMiami FL 33169Gender MaleNPI 1811160641License DN11026License Type DBP DentistBoard Certified Not ReportedEmail countyliondentgmailcomFax (305) 652-6041Accepts New Patients YHospital Affiliation NA

ARZOLA VanessaVanessa Arzola Dmd Pa(305) 559-2663Prov No 00001210880113419 Sw 56th St Miami FL 33175Gender FemaleNPI 1295816924License DN15923License Type DBP DentistBoard Certified Not ReportedEmail drarzolamillerdentalnetFax (305) 559-3040Accepts New Patients YHospital Affiliation NA

AYALA Rita CBest Dental Creations(305) 270-8029Prov No 0000017719888740 N Kendall Dr Ste 220 Miami FL 33176Language SpanishGender FemaleNPI 1619090289License DN14821License Type DBP DentistBoard Certified Not ReportedEmail bestdentalcreationsgmailcomFax (305) 273-8437Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)AZARI Scott JSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631456820 Bird RdMiami FL 33155Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of West KendallPllc(786) 621-5800Prov No 00001247314312554 Sw 88th StMiami FL 33186Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BALMIR-THEVENIN JoelleBalmir Thevenin amp Phanord(305) 271-0510Prov No 00000001864210621 N Kendall Dr Ste 10 2Miami FL 33176Language French SpanishGender FemaleNPI 1972618361License DN13260License Type DBP DentistBoard Certified Not ReportedEmail joelletheveningmailcomFax (305) 271-3532Accepts New Patients YHospital Affiliation NA

177GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BARCIA Antonio RJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000124820975361 Nw 22nd AveMiami FL 33142Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

BARCIA Antonio RJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000124856315607 Nw 27th Ave Ste 2 Miami FL 33142Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

BARCIA Antonio RJessie Trice Community Health(305) 637-6400Prov No 00001248563218360 Nw 7th Ave Miami FL 33169Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BARCIA Antonio RJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873731217 Nw 15th StMiami FL 33136Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

BARO RosemarieBaro Family Dental Grp(305) 649-3500Prov No 0000000181361449 W Flagler St Miami FL 33135Gender FemaleNPI 1396758165License DN14823License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BARO RosemarieProfessional Denatl Group(305) 226-3386Prov No 00000019809710122 W Flagler StMiami FL 33174Gender FemaleNPI 1396758165License DN14823License Type DBP DentistBoard Certified Not ReportedEmail professionaldentbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BARRERA Martha EDesign A Smile Kendall Pa(305) 408-3388Prov No 00000019189213091 Sw 88th St Miami FL 33186Language SpanishGender FemaleNPI 1790023562License DN14420License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 408-3029Accepts New Patients YHospital Affiliation NA

BATISTA Virginia DUnlimited Dental Care Corp(786) 356-7246Prov No 00000107621011498 Quail Roost DrMiami FL 33157Language SpanishGender FemaleNPI 1760702575License DN18983License Type DBP DentistBoard Certified Not ReportedEmail unlimitedental11498yahoocomFax (305) 232-4487Accepts New Patients YHospital Affiliation NA

BECERRA MariaBecerras Family Dentistry(305) 269-1440Prov No 000000142005936 Sw 82nd Ave Miami FL 33144Gender FemaleNPI 1598841405License DN15934License Type DBP DentistBoard Certified Not ReportedEmail becerradmdyahoocomFax (305) 269-1441Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BEDDALL Harold LTowncare Dental of Pinecrest(305) 253-7227Prov No 0000120943488353 Sw 124th St Ste 202Miami FL 33156Language SpanishGender MaleNPI 1922149475License DN10248License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

BERQUIST Michael RTowncare Dental of WestKendall(305) 388-7900Prov No 00001012062915724 Sw 72nd StMiami FL 33193Gender MaleNPI 1447488911License DN16133License Type DBP DentistBoard Certified NEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

BERRY Wayne LAmerican Dental Center(305) 625-5400Prov No 0000122340051505 Nw 167th St Ste 100 Miami FL 33169Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

178 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BETANCOR AnetteAnette Betancor Dds Pa(305) 553-3683Prov No 0000120067548372 Bird Rd Miami FL 33155Language SpanishGender FemaleNPI 1508139064License DN19584License Type DBP DentistBoard Certified NEmail dentedentemiamicomFax (305) 553-3694Accepts New Patients YHospital Affiliation NA

BETANCOURT Arely MAb Dentistry Inc(305) 223-0420Prov No 0000011323329840 Sw 40th St Miami FL 33165Gender FemaleNPI 1265528897License DN16665License Type DBP DentistBoard Certified Not ReportedEmail abdentistryaolco mFax (305) 223-0438Accepts New Patients YHospital Affiliation NA

BEYDOUN Miriam MFermin R Lopez Dds Pa(305) 649-6112Prov No 0000013187801125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1902012669License DN14996License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BEYDOUN Miriam MFlagler Dental Care(305) 324-5072Prov No 0000121276531199 W Flagler St Ste 7 Miami FL 33130Gender FemaleNPI 1902012669License DN14996License Type DBP DentistBoard Certified Not ReportedEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

BIENES Lissette MariaL Maria Bienes Dmd Pa(305) 221-0301Prov No 0000000179333411 Sw 107th Ave Miami FL 33165Gender FemaleNPI 1275673071License DN11566License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 221-0381Accepts New Patients YHospital Affiliation NA

BLANCO Diana RDiana R Blanco Dmd Pllc(305) 456-4592Prov No 000012910182279 Nw 82nd AveMiami FL 33126Gender FemaleNPI 1659536043License DN18471License Type DBP DentistBoard Certified Not ReportedEmail erma2315gmailcomFax (786) 360-6953Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLANCO FaridBlanco Jamis Dental Group(305) 262-4604Prov No 000012127113199 Sw 12th Ave Ste 5Miami FL 33130Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000121271224155 Sw 130th Ave Ste 104Miami FL 33175Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000121271239724 Sw 40th StMiami FL 33165Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group(305) 262-4604Prov No 0000121271267801 Coral Way Ste 100Miami FL 33155Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 262-4618Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124480291695 Sw 107th AveMiami FL 33165Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO FaridBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012746275199 Sw 12th Ave Ste 56Miami FL 33130Gender MaleNPI 1154569473License DN17752License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental(305) 262-4604Prov No 0000003188597801 Coral Way Ste 100Miami FL 33155Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 262-4618Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000005606436199 Sw 12th Ave Ste 5Miami FL 33130Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

179GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000056064389724 Sw 40th StMiami FL 33165Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000056064664155 Sw 130th Ave Ste 104Miami FL 33175Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 0000124493321695 Sw 107th AveMiami FL 33165Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

BLANCO Jorge LBlanco Jamis Dental Group Pa(305) 262-4604Prov No 000012746277199 Sw 12th Ave Ste 56Miami FL 33130Gender MaleNPI 1609046960License DN16115License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-8999Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BLAY Marina MFalls Dental Care Group(305) 255-5550Prov No 0000124852068729 Sw 136th St Miami FL 33176Language Chinese SlovakSpanishGender FemaleNPI 1932425972License 12269License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

BOBADILLA Patricia MEmpire Corporation Anc Inc(305) 631-2963Prov No 0000124852592030 Nw 22nd AveMiami FL 33142Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631046820 Bird RdMiami FL 33155Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BOERAS GARCIA SuibelEast Coast Family Dental Pa(786) 300-3483Prov No 0000128360106800 Sw 8th StMiami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 534-2796Prov No 0000128369588300 W Flagler St Ste 200Miami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 534-2796Prov No 0000129258258300 W Flagler St Ste 210Miami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 501-2163Prov No 00001297032613768 Sw 8th StMiami FL 33184Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 501-2168Prov No 0000129703286801 Sw 8th StMiami FL 33144Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 443-9206Prov No 0000129715334500 Nw 7th StMiami FL 33126Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

180 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BORGES Jorge FJorge F Borges Dmd(305) 266-5222Prov No 0000004699278000 W Flagler St Ste 204Miami FL 33144Gender MaleNPI 1144361916License DN15375License Type DBP DentistBoard Certified Not ReportedEmail sandydentalsmilesgmailcomFax (305) 262-3289Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraDental Design Specialists Corp(305) 270-0744Prov No 00001221211413550 Sw 88th St Ste 112 Miami FL 33186Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

BOTERO AlexandraSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001244256313706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1053666065License DN20575License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BRATMAN JerrySage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631066820 Bird RdMiami FL 33155Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(305) 652-3412Prov No 0000011566451001 Ives Dairy Rd Ste 103Miami FL 33179Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 652-3259Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(305) 227-0600Prov No 00000115665011865 Sw 26th St Ste C39Miami FL 33175Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BRODY Robert ADental Health Group Pa(305) 385-4215Prov No 00000115665313876 Sw 88th StMiami FL 33186Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(305) 595-6411Prov No 0000036950189595 N Kendall Dr Ste 201Miami FL 33176Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 595-8724Accepts New Patients YHospital Affiliation NA

BRODY Robert AGreat Expressions DentalCenters(305) 670-4476Prov No 0000036950227300 N Kendall Dr Ste 110Miami FL 33156Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)BUITRAGO Juan CDental Design Specialists Corp(305) 270-0744Prov No 00001201072513550 Sw 88th St Ste 112 Miami FL 33186Gender MaleNPI 1700057494License DN15378License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

BUITRAGO Juan CDottell Design Specialists Corp(305) 270-0744Prov No 00001201072513550 Sw 88th St Ste 112 Miami FL 33186Gender MaleNPI 1700057494License DN15378License Type DBP DentistBoard Certified Not ReportedEmail rcorreaddsmiamic omFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

BUSTILLO CynthiaFontainebleau Dentistry(714) 845-8500Prov No 0000126387709971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1457871733License DN22795License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

181GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CABEZA Iliana MNorth West Dental Center Inc(305) 576-4387Prov No 000002825202157 Nw 36th StMiami FL 33127Gender FemaleNPI 1487743290License DN9561License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 576-1166Accepts New Patients YHospital Affiliation NA

CABRERA MoisesMoises Cabrera(305) 388-3725Prov No 00000002222714609 Sw 104th StMiami FL 33186Gender MaleNPI 1326196163License DN15114License Type DBP DentistBoard Certified Not ReportedEmail penatedentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

CABRERA Rene ERc Dental(305) 596-0322Prov No 00001299872312305 Sw 112th StMiami FL 33186Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail rcdentalclinicsgmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CABRERA ROCA HectorPrayers DdsHonest DentalService(305) 456-8046Prov No 000002018288400 Sw 27th AveMiami FL 33135Language SpanishGender MaleNPI 1407163272License DN19769License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

CALDERON Erik OHammocks Dental Group Pa(305) 387-5700Prov No 0000012491179280 Hammocks Blvd Ste 10 2Miami FL 33196Language SpanishGender MaleNPI 1942596416License DN19377License Type DBP DentistBoard Certified Not ReportedEmail hammocksdentelisacomFax (305) 387-6566Accepts New Patients YHospital Affiliation NA

CALVO Jose REast Coast Family Dental Pa(305) 264-0747Prov No 0000121271846741 Coral Way Ste 14Miami FL 33155Gender MaleNPI 1831100452License DN11226License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CAMPBELL LisaCommunity Health of SouthFlorida Inc For Lisa Cam(786) 231-0800Prov No 00001247469013540 Sw 135th AveMiami FL 33186Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

CAMPBELL LisaCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000124752093831 Grand AveMiami FL 33133Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 534-2796Prov No 0000129681628300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CANO Lourdes MDental Excellence Partners Llc(786) 501-2163Prov No 00001296989413768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 501-2168Prov No 0000130105736801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(305) 443-9206Prov No 0000130105754500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

182 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CAPASSO MarcoMarco A Capasso Dmd Pa(305) 552-0521Prov No 00001278934111760 Sw 40th St Ste 317Miami FL 33175Gender MaleNPI 1578762894License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARAVIA AmandaTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000068118658353 Sw 124th St Ste 202Miami FL 33156Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

CARAVIA AmandaDental Specialty Center atBaptist(305) 275-8875Prov No 0000120290698940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1336427343License DN19429License Type DBP DentistBoard Certified NEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARBALLO MauroDental Excellence Partners Llc(786) 501-2163Prov No 00001325808213768 Sw 8th StMiami FL 33184Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(786) 534-2796Prov No 0000132580838300 W Flagler St Ste 200Miami FL 33144Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(786) 501-2168Prov No 0000132580856801 Sw 8th StMiami FL 33144Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARBALLO MauroDental Excellence Partners Llc(305) 443-9206Prov No 0000132580874500 Nw 7th StMiami FL 33126Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO MauroDental Excellence Partners Llc(305) 264-0747Prov No 0000132604696741 Coral Way Ste 14Miami FL 33155Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(305) 856-2300Prov No 0000122227302375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARBALLO RodolfoGateway Dental Inc(305) 552-1553Prov No 00001222963311880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(305) 944-4373Prov No 0000125181541400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

CARBALLO RodolfoGateway Dental Inc(305) 325-0050Prov No 0000129093301050 Nw 14th St Ste 9BMiami FL 33136Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

183GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARRILLO CatalinaDental Health Group Pa(305) 385-4215Prov No 00000001855613876 Sw 88th StMiami FL 33186Gender FemaleNPI 1457421711License DN14539License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

CARRILLO CatalinaDental Health Group Pa(305) 670-4476Prov No 0000000185787300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1457421711License DN14539License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 514-0138Accepts New Patients YHospital Affiliation NA

CARRILLO GIRALDO RicardoDental Options Pa(305) 892-2960Prov No 00001287071011645 Biscayne Blvd Ste 2 04Miami FL 33181Gender MaleNPI 1174979991License DN23339License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CARRILLO GIRALDO RicardoDental Options Pa(305) 466-1804Prov No 0000128963642999 Ne 191st St Ste 804Miami FL 33180Gender MaleNPI 1174979991License DN23339License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

CASCANTE Oscar GOscar G Cascante Dmd Pa(305) 279-9005Prov No 0000003625518501 Sw 124th Ave Ste 107 Miami FL 33183Gender MaleNPI 1699880187License DN12287License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-1599Accepts New Patients YHospital Affiliation NA

CASTANEDA RicardoRicardo Castaneda Dmd Pa(305) 965-6128Prov No 0000006926128200 Sw 117th Ave Ste 106 Miami FL 33183Language SpanishGender MaleNPI 1306019492License DN15944License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(786) 501-2163Prov No 00001315799613768 Sw 8th StMiami FL 33184Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 534-2796Prov No 0000131579978300 W Flagler St Ste 200Miami FL 33144Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 501-2168Prov No 0000131579986801 Sw 8th StMiami FL 33144Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CASTELLANOS NicholasDental Excellence Partners Llc(305) 443-9206Prov No 0000131580004500 Nw 7th StMiami FL 33126Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631086820 Bird RdMiami FL 33155Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CASTILLO Sandra MCarmen Alicia Feoli Dds Pa(305) 949-5252Prov No 0000120815571490 Ne Miami Gardens Dr Miami FL 33179Language SpanishGender FemaleNPI 1245636133License DN20757License Type DBP DentistBoard Certified Not ReportedEmail drfeolihotmailco mFax (305) 949-5011Accepts New Patients YHospital Affiliation NA

184 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CASTRO Eileen JSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001285378813706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1518348796License DN23163License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CAYON Alicia BAlicia B Cayon Dmd Pa(305) 227-3083Prov No 0000121714698370 W Flagler St Ste 150Miami FL 33144Gender FemaleNPI 1467865022License DN20679License Type DBP DentistBoard Certified Not ReportedEmail cayondentalgmailcomFax (305) 227-6092Accepts New Patients YHospital Affiliation NA

CEDENO Rene FRene F Cedeno Dds(305) 598-4885Prov No 0000056699328200 Sw 117th Ave Ste 408Miami FL 33183Gender FemaleNPI 1669574752License DN14543License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 596-4187Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CEPERO Enrique PEnrique P Cepero Dds(305) 262-1077Prov No 0000000194177921 Bird Rd Ste 45 Miami FL 33155Language SpanishGender MaleNPI 1598989485License DN9572License Type DBP DentistBoard Certified Not ReportedEmail batistasmiledesigngmailcomFaxAccepts New Patients YHospital Affiliation NA

CERRUD Clinio CJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873866217 Nw 15th StMiami FL 33136Gender MaleNPI 1629184676License DN14544License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family Dental Pa(786) 300-3483Prov No 0000128901946800 Sw 8th StMiami FL 33144Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CHECA XimenaEast Coast Family Dental Pa(305) 264-0747Prov No 0000128902576741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family Dental Pa(786) 534-2796Prov No 0000128903448300 W Flagler St Ste 210Miami FL 33144Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1129Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121782886820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001225012513540 Sw 135th AveMiami FL 33186Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125547023831 Grand AveMiami FL 33133Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

CHIRINO CarlosLilian Gonzalez(305) 596-7155Prov No 00001292705410728 Sw 72nd StMiami FL 33173Gender MaleNPI 1184118077License DN23490License Type DBP DentistBoard Certified Not ReportedEmail credentialingdemtalamericangroupcomFax (305) 596-7143Accepts New Patients YHospital Affiliation NA

185GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CHIU Gordon BDental Center at Baptist Pa(305) 275-8875Prov No 0000007059248940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1962514919License DN14174License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

COBA RichardCoba Dental(305) 595-1239Prov No 0000120943709541 Sw 72nd St Miami FL 33173Language SpanishGender MaleNPI 1730402595License DN18886License Type DBP DentistBoard Certified Not ReportedEmail cobadentalgmailc omFax (305) 595-1241Accepts New Patients YHospital Affiliation NA

CONTRERAS Marco ACondor Dental Services Inc(305) 595-1131Prov No 00000110488210621 N Kendall Dr Ste 114Miami FL 33176Language SpanishGender MaleNPI 1568788800License DN18954License Type DBP DentistBoard Certified Not ReportedEmail drmarcocontrerasaolcomFax (305) 595-1143Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORCHO MARTELL DayneEast Coast Family Dental Pa(305) 264-0747Prov No 0000128665696741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family Dental Pa(786) 534-2796Prov No 0000128665838300 W Flagler St Ste 210Miami FL 33144Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1129Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family Dental Pa(786) 300-3483Prov No 0000128665856800 Sw 8th StMiami FL 33144Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORDOVA-PENA Noris CDental Plus Inc(305) 969-2651Prov No 00001298660711352 Quail Roost DrMiami FL 33157Gender MaleNPI 1669754578License DN19504License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631106820 Bird RdMiami FL 33155Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CORPAS Alfredo DDr Alfredo D Corpas Dds(305) 388-4886Prov No 00000000666616830 Sw 88th StMiami FL 33196Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORPAS Alfredo DParadise Lakes Family DentistInc(305) 388-4886Prov No 00001242233816830 Sw 88th StMiami FL 33196Gender MaleNPI 1124115837License DN13451License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-9880Accepts New Patients YHospital Affiliation NA

CORREA AnelysCare Solutions Dental GroupLlc(305) 455-3500Prov No 0000012349634155 Sw 130th Ave Ste 104Miami FL 33175Gender FemaleNPI 1902117591License DN19129License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 553-1039Accepts New Patients YHospital Affiliation NA

CORREA JacquelineElitedent Corporation(305) 646-6700Prov No 00000036889612538 Sw 120th St Miami FL 33186Gender FemaleNPI 1053516732License DN17602License Type DBP DentistBoard Certified Not ReportedEmail elitedent305gmailcomFax (786) 441-4422Accepts New Patients YHospital Affiliation NA

186 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CORTES MORALES GuillermoSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001263192113706 Sw 56th St Ste 201 Miami FL 33175Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

CORTES MORALES GuillermoSunset Dental Corp(305) 596-7155Prov No 00001268725110728 Sw 72nd StMiami FL 33173Gender MaleNPI 1912359266License DN21994License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

CORUGEDO AdaSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001263192513706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1568814747License DN22100License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)COWAN Marc ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631116820 Bird RdMiami FL 33155Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRISCUOLO StephenPedo Ortho Dental SpecialistsLlc(305) 448-6445Prov No 0000127253378950 Sw 74th Ct Ste 1124Miami FL 33156Gender MaleNPI 1053792168License DN21814License Type DBP DentistBoard Certified Not ReportedEmail podsdentalgmailc omFax (805) 441-6442Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121782896820 Bird RdMiami FL 33155Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ Antonio RSage Dental of West KendallPllc(786) 621-5800Prov No 00001253059812554 Sw 88th StMiami FL 33186Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Karen GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000019231634750 Nw 7th St Ste 1Miami FL 33126Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmailFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

CRUZ Karen GSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00000506033213706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ Karen GEgil Dental(305) 595-4397Prov No 0000122522959950 Sw 107th Ave Ste 201 Miami FL 33176Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail infoegildentalco mFax (305) 595-4398Accepts New Patients NHospital Affiliation NA

CRUZ Karen GSage Dental of West Miami Pllc(786) 476-8711Prov No 0000128843126820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ Karen GSage Dental of West KendallPllc(786) 621-5800Prov No 00001327128412554 Sw 88th StMiami FL 33186Language SpanishGender FemaleNPI 1952623993License DN18680License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

187GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ YarelieDental Excellence Partners Llc(305) 443-9206Prov No 0000125181084500 Nw 7th StMiami FL 33126Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(786) 534-2796Prov No 0000125365348300 W Flagler St Ste 200Miami FL 33144Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ YarelieDental Excellence Partners Llc(786) 501-2163Prov No 00001296816013768 Sw 8th StMiami FL 33184Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CRUZ YarelieDental Excellence Partners Llc(786) 501-2168Prov No 0000129699476801 Sw 8th StMiami FL 33144Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ ELIZUNDIA DeliaDental Options Pa(305) 892-2960Prov No 00001205672411645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1952742793License DN20476License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

CRUZ ELIZUNDIA DeliaDental Options Pa(305) 466-1804Prov No 0000120615602999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1952742793License DN20476License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)CUTINO Javier ASunset Dental Corp(305) 596-7155Prov No 00001254276610728 Sw 72nd StMiami FL 33173Gender MaleNPI 1588111207License DN22154License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

CUTINO Juan ASouth Miami Dental Group Pa(305) 667-2633Prov No 0000121758676080 Bird Rd Ste 5Miami FL 33155Gender MaleNPI 1265585681License DN11793License Type DBP DentistBoard Certified Not ReportedEmail drjuancutinogmailcomFaxAccepts New Patients NHospital Affiliation NA

CUTINO Juan AJuan A Cutino Dds(305) 667-2633Prov No 0000129908686080 Bird Rd Ste 8Miami FL 33155Gender MaleNPI 1265585681License DN11793License Type DBP DentistBoard Certified Not ReportedEmail miichaelhernandezgmailcomFax (305) 665-9370Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DAROJAT Zuhdiyah MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631136820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DAVIDSON Malaika RFontainebleau Dentistry(714) 845-8500Prov No 0000131557879971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1245669209License DN20438License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

DAVIDSON Philip TFalls Dental Care Group(305) 255-5550Prov No 0000089782778729 Sw 136th St Miami FL 33176Language IndonesianPortuguese SpanishGender MaleNPI 1104259175License DN20344License Type DBP DentistBoard Certified NEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

188 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DE LA CRUZ Alejandro IAlejandro De La Cruz(305) 441-2773Prov No 0000000201087380B Sw 40th StMiami FL 33155Gender MaleNPI 1013152016License DN14560License Type DBP DentistBoard Certified Not ReportedEmail dralejandrodelacruzgmailcomFaxAccepts New Patients NHospital Affiliation NA

DE LA RUA LissetteDental Health Group Pa(305) 227-0600Prov No 00000073906211865 Sw 26th St Ste C39Miami FL 33175Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

DE LA RUA LissetteGreat Expressions DentalCenters(305) 670-4476Prov No 0000011658047300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DE LA RUA LissetteDental Health Group Pa(305) 385-4215Prov No 00000121547213876 Sw 88th StMiami FL 33186Gender FemaleNPI 1619297892License DH17191License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

DE LIMA Anacaona CDental Specialty Center atBaptist(305) 275-8875Prov No 0000007056848940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1841413267License DN16152License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

DEVACK JustinCountyline Dental(305) 654-1234Prov No 00000115258121457 Nw 2nd AveMiami FL 33169Gender MaleNPI 1346411428License DN18210License Type DBP DentistBoard Certified Not ReportedEmail countyliondentgmailcomFax (305) 652-6041Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DIAZ Farah ADeluxe Dental(786) 409-5295Prov No 0000124234834005 Sw 152nd Ave Ste 2Miami FL 33185Language SpanishGender FemaleNPI 1861784779License DN20362License Type DBP DentistBoard Certified NEmail deluxedentgmailc omFax (786) 703-7908Accepts New Patients YHospital Affiliation NA

DIAZ GertrudisProfessional Dental SolutionsInc(305) 693-7988Prov No 0000002205877900 Nw 27th Ave Ste 275Miami FL 33147Language SpanishGender FemaleNPI 1932248044License DN16699License Type DBP DentistBoard Certified Not ReportedEmail dentalsolution79aolcomFax (305) 696-6704Accepts New Patients YHospital Affiliation NA

DIAZ MariaSunset Dental Corp(305) 596-7155Prov No 00001258970610728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1295093755License DN22329License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DIAZ SandraMint Dental(786) 703-4978Prov No 0000122321138500 W Flagler St Ste 202 BMiami FL 33144Language SpanishGender FemaleNPI 1942509609License DN19278License Type DBP DentistBoard Certified Not ReportedEmail mintdentalmiamigmailcomFax (786) 616-8588Accepts New Patients YHospital Affiliation NA

DIAZ VivianMain Street Childrens Dentistryand Orthodontics(305) 255-9497Prov No 00000069623313400 Sw 120th St Ste 310Miami FL 33186Gender FemaleNPI 1245560028License DN18896License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-9541Accepts New Patients YHospital Affiliation NA

DIAZ VivianTowncare Dental of LondonSquare Pllc(305) 255-3986Prov No 00001272696013400 Sw 120th St Ste 302Miami FL 33186Gender FemaleNPI 1245560028License DN18896License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

189GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DIAZ VASQUEZ Andrea cAdriana Echenagucia(305) 226-8236Prov No 0000122271053850 Sw 87th Ave Ste 101Miami FL 33165Gender FemaleNPI 1730562133License DN21381License Type DBP DentistBoard Certified Not ReportedEmail info305dentistry comFax (305) 226-8238Accepts New Patients YHospital Affiliation NA

DIAZ VASQUEZ Andrea cDental Options Pa(305) 891-2015Prov No 00001253586211645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1730562133License DN21381License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

DIAZ VASQUEZ Andrea cDental Options Pa(305) 466-1804Prov No 0000125373002999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1730562133License DN21381License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DOLPHIN Tyler CGlicksmanamp Mars Dental Llc(305) 935-1613Prov No 0000132032502797 Ne 207th St Ste 100 Miami FL 33180Gender MaleNPI 1699298547License DN22525License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFax (305) 935-4258Accepts New Patients YHospital Affiliation NA

DOMINGUEZ Jorge LJorge L Dominquez Dmd Pa(305) 222-8999Prov No 00000001897213155 Sw 42nd St Ste 101 Miami FL 33175Gender MaleNPI 1669676052License DN12485License Type DBP DentistBoard Certified Not ReportedEmail drjldominguezddsgmailcomFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(305) 443-9206Prov No 0000127913494500 Nw 7th StMiami FL 33126Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 501-2163Prov No 00001296816113768 Sw 8th StMiami FL 33184Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 501-2168Prov No 0000129699486801 Sw 8th StMiami FL 33144Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 534-2796Prov No 0000129729838300 W Flagler St Ste 200Miami FL 33144Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DOOLEY Jill CSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124363996820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631166820 Bird RdMiami FL 33155Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631176820 Bird RdMiami FL 33155Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

190 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)DUARTE Ivonne JDental American Group(305) 225-3452Prov No 00001299878910721 W Flagler St Miami FL 33174Language SpanishGender FemaleNPI 1952888752License DN23696License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631186820 Bird RdMiami FL 33155Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

EAGAN Jessica CJessica Eagan Dds(305) 856-1178Prov No 0000022997851378 Coral Way Ste 500 Miami FL 33145Gender FemaleNPI 1811197254License DN18007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 239-9452Accepts New Patients NHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ECHEZARRAGA MilaidisMilaidis Echezarraga Dds Pa(305) 480-6048Prov No 0000002940563822 Sw 137th AveMiami FL 33175Language SpanishGender FemaleNPI 1689845158License DN17578License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 480-6081Accepts New Patients YHospital Affiliation NA

ENG Martha CFermin R Lopez Dds Pa(305) 649-6112Prov No 0000004125401125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1730345091License DN17980License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Miami Pllc(786) 476-8711Prov No 0000125858356820 Bird RdMiami FL 33155Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ESPINET KUSNIER ElaineSage Dental of West KendallPllc(786) 621-5800Prov No 00001258585612554 Sw 88th StMiami FL 33186Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINOSA Ricardo JTowncare Dental of WestKendall(305) 388-7900Prov No 00000114276715724 Sw 72nd StMiami FL 33193Gender MaleNPI 1083825665License DN15397License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

FATMI NavedDental Specialty Center atBaptist(305) 275-8875Prov No 0000006921138940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1558690974License DN18878License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000129467805361 Nw 22nd AveMiami FL 33142Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

FEIZ Maria TJessie Trice Community Health(305) 637-6400Prov No 00001294678118360 Nw 7th Ave Miami FL 33169Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 000012946782217 Nw 15th StMiami FL 33136Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFaxAccepts New Patients YHospital Affiliation NA

191GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FEIZ Maria TJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000129798535607 Nw 27th Ave Ste 2 Miami FL 33142Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

FELIPE Veronica MTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000007066358353 Sw 124th St Ste 202Miami FL 33156Gender FemaleNPI 1407050149License DN15552License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

FELIPE Veronica MDental Associates of KendallDds Pa(305) 271-2254Prov No 00001231370011400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1407050149License DN15552License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FELIX ErickaDental Health Group Pa(305) 227-0600Prov No 00000458887011865 Sw 26th St Ste C39Miami FL 33175Gender FemaleNPI 1386837037License DN16544License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

FELIX ErickaKendall Dental Corp(305) 385-1442Prov No 00001249751013632 Sw 88th StMiami FL 33186Gender FemaleNPI 1386837037License DN16544License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

FELIX ErickaSunset Dental Corp(305) 596-7155Prov No 00001253444310728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1386837037License DN16544License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FELTON TanyaKornbluth amp De Jesus(305) 944-1946Prov No 00000069614119080 Ne 29th AveMiami FL 33180Gender FemaleNPI 1801050059License DN18035License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FEOLI Carmen ACarmen A Feoli Dds(305) 949-5252Prov No 0000011467241490 Ne Miami Gardens Dr Miami FL 33179Language SpanishGender FemaleNPI 1013199819License DN18037License Type DBP DentistBoard Certified NEmail drfeolihotmailco mFax (305) 949-5011Accepts New Patients YHospital Affiliation NA

FERNANDEZ Aurelio JAurelio Fernandez(305) 552-5511Prov No 0000000188678500 W Flagler St Ste 101 AMiami FL 33144Gender MaleNPI 1609880145License DN13931License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 552-6671Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FERNANDEZ Carlos FCarlos F Fernandez Dmd(305) 226-0803Prov No 0000000180668500 W Flagler St Ste 104Miami FL 33144Gender MaleNPI 1356511075License DN7694License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ EdithEdith Fernandez Dmd Pa(305) 262-0509Prov No 0000002223758560 Sw 8th StMiami FL 33144Gender FemaleNPI 1952417628License DN16078License Type DBP DentistBoard Certified Not ReportedEmail fernandezdmdaolcomFax (305) 262-1823Accepts New Patients YHospital Affiliation NA

FERNANDEZ Lazaro CFernandez Lazaro C(305) 598-7550Prov No 0000006930838740 N Kendall Dr Ste 214Miami FL 33176Gender MaleNPI 1972715712License DN14160License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-7551Accepts New Patients YHospital Affiliation NA

192 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001306244313540 Sw 135th AveMiami FL 33186Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

FERNANDEZ YenyFernandezdent Pa(786) 708-4494Prov No 00001288507011776 Sw 88th StMiami FL 33186Language SpanishGender FemaleNPI 1861784688License DN20110License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 708-4424Accepts New Patients YHospital Affiliation NA

FERNANDEZ DOMINGUEZ GiselleOceandents Inc(786) 615-8586Prov No 0000124604058216 W Flagler StMiami FL 33144Language SpanishGender FemaleNPI 1235484890License DN20900License Type DBP DentistBoard Certified Not ReportedEmail infooceandentsco mFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FERNANDEZ-ABRIL Jorge CAltima Dental Group of WestKendall Llc(786) 404-6246Prov No 00001212944116371 Sw 88th StMiami FL 33196Gender MaleNPI 1720307572License DN16962License Type DBP DentistBoard Certified NEmailFax (305) 728-0582Accepts New Patients YHospital Affiliation NA

FERNANDEZ-ABRIL Jorge CDental Center of Country WalkLlc(305) 547-8398Prov No 00001244122415795 Sw 152nd StMiami FL 33187Gender MaleNPI 1720307572License DN16962License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631206820 Bird RdMiami FL 33155Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FIGUEREDO JoelJadent Inc(305) 220-0066Prov No 0000121096263945 Sw 92nd Ave Miami FL 33165Language SpanishGender MaleNPI 1568695724License DN20981License Type DBP DentistBoard Certified Not ReportedEmail jadentccaolcomFax (305) 220-1210Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CNew Smile Dental Center(305) 856-0022Prov No 000000427355861 Sw 8th StMiami FL 33130Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 856-0021Accepts New Patients YHospital Affiliation NA

FIGUEROA Celia CDental Specialty Center atBaptist(305) 275-8875Prov No 0000125596298940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FLEITAS PERDOMO YarielaUniversal Dental Clinic(305) 326-7159Prov No 000012451138432 Nw 12th Ave Miami FL 33128Language SpanishGender FemaleNPI 1669857462License DN21260License Type DBP DentistBoard Certified Not ReportedEmail universaldental2011hotmailcomFax (305) 324-5875Accepts New Patients YHospital Affiliation NA

FLORES Joan MFlores Dental Group Pa(305) 485-0072Prov No 00000046649511890 Sw 8th St Ste 300 Miami FL 33184Gender MaleNPI 1962604488License DN17660License Type DBP DentistBoard Certified Not ReportedEmail floresdental2009gmailcomFax (305) 485-0080Accepts New Patients YHospital Affiliation NA

FLORES Juan CJuan Carlos Flores Dmd(305) 264-9191Prov No 0000011367847171 Coral Way Ste 401Miami FL 33155Language SpanishGender MaleNPI 1548459803License DN17732License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-6246Accepts New Patients YHospital Affiliation NA

193GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FONTECILLA SofiaCocnut Grove Dental(305) 856-6811Prov No 0000122446303220 S Dixie Hwy Ste 101 Miami FL 33133Language SpanishGender FemaleNPI 1962780882License DN20387License Type DBP DentistBoard Certified Not ReportedEmail infococonutgrovedentalcomFax (305) 704-1588Accepts New Patients YHospital Affiliation NA

FORNOS EvaEva M Fornos Dds Pa(305) 290-4999Prov No 00001221878815790 Sw 56th StMiami FL 33185Gender FemaleNPI 1740628452License DN20511License Type DBP DentistBoard Certified Not ReportedEmail mydentistofmiamipelaezgmailcomFax (305) 501-2523Accepts New Patients YHospital Affiliation NA

FORNOS Jorge ATotal Dental Spa(305) 290-4999Prov No 00001219962015790 Sw 56th StMiami FL 33185Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail mydentistofmiamipelaezgmailcomFax (305) 418-0750Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FOX Jeffrey MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631216820 Bird RdMiami FL 33155Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FRAGA-DAVIDSON BeatrizThe Falls Dental Care Grp Pa(305) 255-5550Prov No 0000000200518729 Sw 136th St Miami FL 33176Language SpanishGender FemaleNPI 1003133778License DN9939License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

FRANCO Jaime FDental Options Pa(305) 466-1804Prov No 0000125772902999 Ne 191st St Ste 804 Miami FL 33180Language SpanishGender MaleNPI 1831571744License DN21349License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FRANCO Jaime FDental Options Pa(305) 892-2960Prov No 00001259406911645 Biscayne Blvd Ste 2 04Miami FL 33181Language SpanishGender MaleNPI 1831571744License DN21349License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

FRANCO Jaime FFranco Dental(305) 330-4343Prov No 00001292461911410 N Kendall Dr Ste 207Miami FL 33176Language SpanishGender MaleNPI 1831571744License DN21349License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (786) 870-1130Accepts New Patients YHospital Affiliation NA

FRANKLIN Tim ADental Options Pa(305) 466-1804Prov No 0000129679852999 Ne 191st St Ste 804Miami FL 33180Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FRANKLIN Tim ADental Options Pa(305) 892-2960Prov No 00001296798611645 Biscayne Blvd Ste 2 04Miami FL 33181Gender MaleNPI 1912168576License DN23020License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

FRIEDMAN Rene JDental Specialty Center atBaptist(305) 275-8875Prov No 0000000180338940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

FRIEDMAN Rene JRio Dental(305) 728-2000Prov No 000012153015279 Nw 82nd AveMiami FL 33126Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmail erma2315gmailcomFax (786) 683-1665Accepts New Patients YHospital Affiliation NA

194 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)FRIEDMAN Rene JMy Smile Center(305) 728-2000Prov No 00001248695612800 Sw 8th StMiami FL 33184Gender FemaleNPI 1689890436License DN13222License Type DBP DentistBoard Certified Not ReportedEmail officesevendentalyahoocomFaxAccepts New Patients YHospital Affiliation NA

FUNDORA Yolaivys VKendall Dental Corp(305) 385-1442Prov No 00001207962213632 Sw 88th StMiami FL 33186Gender FemaleNPI 1285074112License DN20186License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

GALLO Don ATowncare Dental of LondonSquare Pllc(305) 255-3986Prov No 00001290863413400 Sw 120th St Ste 302Miami FL 33186Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GANDUL CABRERA JansSunset Family amp CosmeticDentistry Pllc(305) 596-2815Prov No 0000130096859777 Sw 72nd St Miami FL 33173Gender MaleNPI 1487176996License DN22900License Type DBP DentistBoard Certified Not ReportedEmail drubietaoutlook comFax (305) 596-1820Accepts New Patients YHospital Affiliation NA

GARCES CarolinaDental Health Group Pa(305) 652-3412Prov No 0000007188421001 Ives Dairy Rd Ste 103Miami FL 33179Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 652-3259Accepts New Patients YHospital Affiliation NA

GARCES CarolinaGreat Expressions DentalCenters(305) 670-4476Prov No 0000122430307300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCES CarolinaFontainebleau Dentistry(714) 845-8500Prov No 0000129334859971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

GARCIA CristinaDental Associates of KendallDds Pa(305) 271-2254Prov No 00001059616911400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1871617886License DN14303License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

GARCIA DelioDg Grandal Dds Corp(305) 846-9669Prov No 00001293584613055 Sw 42nd St Ste 206Miami FL 33175Language SpanishGender MaleNPI 1790006823License DN18984License Type DBP DentistBoard Certified Not ReportedEmail kendalldentalimplanthotmailcomFax (786) 542-1931Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA IdalmesGomara Dmd and SalcinesDmd Pa(305) 387-4954Prov No 00001223689513706 Sw 56th St Ste 201Miami FL 33175Language SpanishGender FemaleNPI 1245675107License DN21579License Type DBP DentistBoard Certified Not ReportedEmail fcdcollazoyahooc omFaxAccepts New Patients YHospital Affiliation NA

GARCIA RicardoDental Health Group Pa(305) 385-4215Prov No 00000046094513876 Sw 88th StMiami FL 33186Gender MaleNPI 1184700783License DN14737License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 856-2300Prov No 0000123133362375 Sw 27th Ave Miami FL 33145Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

195GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 552-1553Prov No 00001244803411880 Sw 40th St Ste 215 Miami FL 33175Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

GARCIA FERNANDEZ AliuskaAesthetic Dentistry By DrGarcia Dds Inc(305) 541-1115Prov No 0000124959279600 Sw 8th St Ste 3Miami FL 33174Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail aestheticdentistryyahoocomFax (305) 690-0151Accepts New Patients YHospital Affiliation NA

GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 944-4373Prov No 0000125183131400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA FERNANDEZ AliuskaGateway Dental Inc(305) 325-0050Prov No 0000129086381050 Nw 14th St Ste 9BMiami FL 33136Gender FemaleNPI 1558618132License DN20967License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GARCIA SARRIA Maria CDental Progress(786) 409-2233Prov No 000013153321477 Nw 27th AveMiami FL 33125Language SpanishGender FemaleNPI 1861864340License DN21592License Type DBP DentistBoard Certified Not ReportedEmail garciadentalddsgmailcomFax (786) 409-2245Accepts New Patients YHospital Affiliation NA

GARCIA-CASTELLANOS JacquelineWest Kendall Dental Associates(305) 221-0102Prov No 00000139949211880 Sw 40th St Ste 302 Miami FL 33175Gender FemaleNPI 1487795472License DN14574License Type DBP DentistBoard Certified Not ReportedEmail wkdaddsgmailcomFax (305) 221-0103Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARCIA-PORRAS MarcelaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631226820 Bird RdMiami FL 33155Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARMIZO JoshuaMonem Dental Llc(305) 625-5400Prov No 0000128950671505 Nw 167th St Ste 100 Miami FL 33169Gender MaleNPI 1912427287License DN22885License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631236820 Bird RdMiami FL 33155Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GARROTE RogelioSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001256015613706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender MaleNPI 1144671470License DN21977License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000051797345361 Nw 22nd AveMiami FL 33142Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 694-6270Prov No 00000517973518360 Nw 7th Ave Miami FL 33169Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 363-5155Accepts New Patients YHospital Affiliation NA

196 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GEORGE Deborah VJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000051797375607 Nw 27th Ave Ste 2 Miami FL 33142Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 0000127469075607 Nw 27th Ave Ste 1Miami FL 33142Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmailFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873738217 Nw 15th StMiami FL 33136Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GHATTAS Maureen ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631516820 Bird RdMiami FL 33155Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GIL Lester ODental Design Specialists Corp(305) 270-0744Prov No 00001212705313550 Sw 88th St Ste 112 Miami FL 33186Gender MaleNPI 1427216803License DN18301License Type DBP DentistBoard Certified Not ReportedEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

GIL ARAUJO Eduardo FEgil Dental(305) 595-4397Prov No 0000102148369950 Sw 107th Ave Ste 201 Miami FL 33176Language SpanishGender MaleNPI 1841553112License DN19789License Type DBP DentistBoard Certified NEmail infoegildentalco mFax (305) 595-4398Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GLICKSMAN Joel EGlicksman and Mars Dental Llc(305) 935-2797Prov No 0000000611482797 Ne 207th St Ste 100Miami FL 33180Gender MaleNPI 1669537981License DN8869License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFax (305) 937-4834Accepts New Patients YHospital Affiliation NA

GOMARA Luis ASalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00000002235813706 Sw 56th St Ste 201 Miami FL 33175Gender MaleNPI 1659381879License 13322License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121954076820 Bird RdMiami FL 33155Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ Ana DWestchester Dental Services Gr(786) 360-3694Prov No 0000121020917801 Coral Way Ste 122Miami FL 33155Gender FemaleNPI 1326260894License DN17868License Type DBP DentistBoard Certified Not ReportedEmail albaeperezgmailc omFax (786) 431-1522Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosDental Plus Inc(305) 969-2651Prov No 00001208094911352 Quail Roost Dr Miami FL 33157Language SpanishGender MaleNPI 1790959963License DN13073License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosKendall Dental Corp(305) 385-1442Prov No 00001253008513632 Sw 88th StMiami FL 33186Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

197GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ CarlosDental American Group(305) 225-3452Prov No 00001253008810721 W Flagler St Miami FL 33174Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

GONZALEZ CarlosSunset Dental Corp(305) 596-7155Prov No 00001253008910728 Sw 72nd StMiami FL 33173Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ CarlosDixie Dental Corp(305) 273-9330Prov No 0000125302718718 Sw 72nd StMiami FL 33173Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ CarlosDental American Group(305) 273-9330Prov No 0000125302718718 Sw 72nd StMiami FL 33173Gender MaleNPI 1093180028License DN22301License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(786) 501-2163Prov No 00001297152713768 Sw 8th StMiami FL 33184Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(786) 534-2796Prov No 0000129715298300 W Flagler St Ste 200Miami FL 33144Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ GiovanniDental Excellence Partners Llc(786) 501-2168Prov No 0000129812886801 Sw 8th StMiami FL 33144Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(305) 443-9206Prov No 0000129812894500 Nw 7th StMiami FL 33126Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ HanselFermin R Lopez Dds Pa(305) 649-6112Prov No 0000096648011125 Nw 22nd AveMiami FL 33125Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ HanselLobaina Dental(305) 480-9838Prov No 0000111163638822 Sw 24th St Miami FL 33165Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail lobainadentalgmailcomFax (305) 261-4448Accepts New Patients YHospital Affiliation NA

GONZALEZ HanselHansel Gonzalez Dmd Pa(305) 223-0072Prov No 0000122053688512 Bird RdMiami FL 33155Language Italian SpanishGender MaleNPI 1902247919License DN19852License Type DBP DentistBoard Certified NEmail drhanselgonzalesgmailcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ Juan CJuan C Gonzalez(305) 387-3232Prov No 0000128665205711 Sw 137th AveMiami FL 33183Gender MaleNPI 1306100441License DN19791License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 385-9198Accepts New Patients YHospital Affiliation NA

198 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ LilianSunset Dental Corp(305) 596-7155Prov No 00000004338810728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

GONZALEZ LilianDental American Group(305) 225-3452Prov No 00000034946410721 W Flagler St Miami FL 33174Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

GONZALEZ LilianKendall Dental Corp(305) 385-1442Prov No 00000128175913632 Sw 88th StMiami FL 33186Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ LilianDental American Group(305) 273-9330Prov No 0000125296298718 Sw 72nd StMiami FL 33173Gender FemaleNPI 1255436424License DN12593License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

GONZALEZ Monica GFontainebleau Dentistry(714) 845-8500Prov No 0000124237859971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1699115741License DN20163License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

GONZALEZ SutnamisSage Dental of West KendallPllc(786) 621-5800Prov No 00001285839912554 Sw 88th StMiami FL 33186Gender FemaleNPI 1750762019License DN23039License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GONZALEZ SutnamisConfidental Smiles(786) 542-0977Prov No 0000132858781843 Sw 8th StMiami FL 33135Gender FemaleNPI 1750762019License DN23039License Type DBP DentistBoard Certified Not ReportedEmail sutnamisddsgmailcomFax (786) 275-4046Accepts New Patients YHospital Affiliation NA

GONZALEZ CACERES Ana LDental Options Pa(305) 466-1804Prov No 0000127550692999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1699133132License DN22931License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

GONZALEZ CACERES Ana LDental Options Pa(305) 892-2960Prov No 00001279649011645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1699133132License DN22931License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GORDON AlexandraDental Options Pa(305) 892-2960Prov No 00000037050311645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1760692537License DN15162License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

GORDON AlexandraDental Options Pa(305) 466-1804Prov No 0000004635862999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1760692537License DN15162License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of West Miami Pllc(786) 476-8711Prov No 0000122044226820 Bird RdMiami FL 33155Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

199GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GRIGOROPOULOS MariosAltima Dental Group(305) 547-8398Prov No 00001252750015795 Sw 152nd StMiami FL 33187Gender MaleNPI 1720285646License DN14743License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

GRIGOROPOULOS MariosAltima Dental Group(305) 459-3192Prov No 00001252750316371 Sw 88th StMiami FL 33196Gender MaleNPI 1720285646License DN14743License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

GUERRA NatalieWest Kendall Dental Assoc(305) 221-0102Prov No 00001284941811880 Sw 40th St Ste 302Miami FL 33175Gender FemaleNPI 1306225099License DN22926License Type DBP DentistBoard Certified Not ReportedEmail wkdaddsgmailcomFax (305) 221-0103Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUERRA NatalieDental Health Group Pa(305) 595-6411Prov No 0000128494229595 N Kendall Dr Ste 201Miami FL 33176Gender FemaleNPI 1306225099License DN22926License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 595-8724Accepts New Patients YHospital Affiliation NA

GUERRA NatalieGr Dental(786) 365-9144Prov No 0000130522891701 Nw 112th Ave Unit 110Miami FL 33172Gender FemaleNPI 1306225099License DN22926License Type DBP DentistBoard Certified Not ReportedEmail grdental87gmailc omFaxAccepts New Patients YHospital Affiliation NA

GUERRA VannetteWest Kendall Dental Associates(305) 221-0102Prov No 00001257808811880 Sw 40th St Ste 302 Miami FL 33175Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail wkdaddsgmailcomFax (305) 221-0103Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUERRA CRESPO Beatriz DDental American Group(305) 225-3452Prov No 00001245480110721 W Flagler St Miami FL 33174Language SpanishGender FemaleNPI 1376960658License DN21830License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631496820 Bird RdMiami FL 33155Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUILLERMO IvetteIvette Guillermo Dmd(305) 220-3777Prov No 00000004895910768 Sw 24th StMiami FL 33165Gender FemaleNPI 1568543916License DN15614License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 220-7845Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUILLERMO IvetteIvette Guillermo Dmd(305) 220-3777Prov No 0000130507459970 Sw 40th StMiami FL 33165Gender FemaleNPI 1568543916License DN15614License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GUTIERREZ Carlos ABorinquen Health Care CenterInc(305) 576-6611Prov No 0000024516263601 Federal Hwy Fl 5 Miami FL 33137Gender MaleNPI 1861756603License DN19839License Type DBP DentistBoard Certified YEmail gtabetborinquenhealthorgFax (305) 576-0008Accepts New Patients YHospital Affiliation NA

GUTIERREZ Victor RSmile Innovation(305) 639-8272Prov No 0000120411527190 Sw 87th Ave Ste 206Miami FL 33173Gender MaleNPI 1649396557License DN14239License Type DBP DentistBoard Certified Not ReportedEmail smileinnovationsbellsouthnetFax (305) 639-8362Accepts New Patients YHospital Affiliation NA

200 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)GUZMAN Nestor EDental Center at Baptist Pa(305) 275-8875Prov No 0000119948188940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1558477919License DN16737License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

HALEM Merritt DMerrittd Halem(305) 652-7702Prov No 0000000183121021 Ives Dairy Rd Ste 121Miami FL 33179Gender MaleNPI 1821037649License DN4753License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 605-7703Accepts New Patients YHospital Affiliation NA

HASAN VERRETT HajarVerrett Holistic Dental Llc(305) 696-9999Prov No 0000010825323058 Nw 79th StMiami FL 33147Gender FemaleNPI 1386894715License DN18479License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 853-0062Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HAYES NorysAltima Dental Group(305) 547-8398Prov No 00001222455915795 Sw 152nd StMiami FL 33187Language SpanishGender FemaleNPI 1578638540License DN17144License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

HAYES NorysAltima Dental Group(305) 459-3192Prov No 00001222457016371 Sw 88th StMiami FL 33196Language SpanishGender FemaleNPI 1578638540License DN17144License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

HECHAVARRIA MirtaGarmen Dental Care(786) 580-3517Prov No 0000124691071334 Sw 1st StMiami FL 33135Language SpanishGender FemaleNPI 1851411177License DN13256License Type DBP DentistBoard Certified Not ReportedEmail garmendentalcaregmailcomFax (786) 580-3678Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HECHAVARRIA MirtaFermin R Lopez Dds Pa(305) 649-6112Prov No 0000129017021125 Nw 22nd AveMiami FL 33125Language SpanishGender FemaleNPI 1851411177License DN13256License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JFiliberto J Herdocia Dds Pa(786) 401-6798Prov No 0000000897249100 Sw 24th St Ste 4Miami FL 33165Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmail interdentalclinicmiamigmailcomFax (786) 401-6798Accepts New Patients YHospital Affiliation NA

HERDOCIA Filiberto JAll In One Dental Services Inc(305) 456-7383Prov No 00001221483013728 Sw 84th StMiami FL 33183Gender MaleNPI 1750788030License DN11609License Type DBP DentistBoard Certified NEmailFax (305) 676-9028Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HEREDIA AbelardoGateway Dental Inc(305) 552-1553Prov No 00001251781611880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

HEREDIA AbelardoGateway Dental Inc(305) 944-4373Prov No 0000125184731400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

HEREDIA AbelardoGateway Dental Inc(305) 325-0050Prov No 0000129086391050 Nw 14th St Ste 9BMiami FL 33136Gender MaleNPI 1760809149License DN21839License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

201GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ DaynetFermin R Lopez Dds Pa(305) 649-6112Prov No 0000024495561125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1336469121License DN19770License Type DBP DentistBoard Certified NEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

HERNANDEZ DaynetFlagler Dental Care(305) 324-5072Prov No 0000121275741199 W Flagler St Ste 7 Miami FL 33130Gender FemaleNPI 1336469121License DN19770License Type DBP DentistBoard Certified NEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

HERNANDEZ MariaDr Maria Hernandez-Dausa(305) 223-0072Prov No 0000003077448512 Bird Rd Miami FL 33155Gender FemaleNPI 1053439646License DN13609License Type DBP DentistBoard Certified Not ReportedEmail drhanselgonzalezgmailcomFax (305) 223-6798Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ Norberto JDr Norberto Hernandez(305) 642-7796Prov No 0000000183911235 Sw 27th AveMiami FL 33135Language SpanishGender MaleNPI 1285693267License DN14451License Type DBP DentistBoard Certified Not ReportedEmail njh9864bellsouth netFax (305) 642-4773Accepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 501-2163Prov No 00001258224513768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 534-2796Prov No 0000129777158300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 501-2168Prov No 0000130105746801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(305) 443-9206Prov No 0000130105764500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ ACOSTA Cristina MDental Options Pa(305) 466-1804Prov No 0000120555892999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1255731246License DN20922License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERNANDEZ ACOSTA Cristina MDental Options Pa(305) 892-2960Prov No 00001210515411645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1255731246License DN20922License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

HERNANDEZ RIVERA Ricardo NNicolas Hernandez Rivera DdsPa(954) 399-7839Prov No 00001255107621000 Ne 28th Ave Ste 100Miami FL 33180Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(305) 856-2300Prov No 0000007060522375 Sw 27th Ave Miami FL 33145Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

202 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HERRERA VictoriaGateway Dental Inc(305) 856-2300Prov No 0000040299721050 Nw 14th St Ste 204 Miami FL 33136Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail civicgatewaydentalinccomFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(305) 552-1553Prov No 00001245109111880 Sw 40th St Ste 215 Miami FL 33175Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

HERRERA VictoriaGateway Dental Inc(305) 944-4373Prov No 0000125181391400 Ne Miami Gardens Dr Ste 201Miami FL 33179Language SpanishGender FemaleNPI 1114185550License DN18302License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HIDALGO-GONZALEZ Allison MSunset Smiles Dental Office(305) 270-0171Prov No 0000002922558585 Sunset Dr Ste 101 Miami FL 33143Language SpanishGender FemaleNPI 1497814503License DN16743License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HORESH-WEISSER EttieDental Options Pa(305) 466-1804Prov No 0000127031872999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1881063477License DN21340License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

HORESH-WEISSER EttieDental Options Pa(305) 891-2015Prov No 00001270318811645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1881063477License DN21340License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HORWITZ StevenSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121790476820 Bird RdMiami FL 33155Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

HOSSAIN Marta CFermin R Lopez Dds Pa(305) 649-6112Prov No 0000013186611125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

HOSSAIN Marta CFlagler Dental Care(305) 324-5072Prov No 0000013186621199 W Flagler St Ste 7 Miami FL 33130Gender FemaleNPI 1699912865License DN18258License Type DBP DentistBoard Certified Not ReportedEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)HURTADO Cesar FCesar F Hurtado Jr(305) 444-1555Prov No 0000000243719463 W Flagler St Miami FL 33174Gender MaleNPI 1972874519License DN10308License Type DBP DentistBoard Certified Not ReportedEmail cesarhurtadoddspahotmailcomFax (305) 226-7669Accepts New Patients YHospital Affiliation NA

IDUATE BANOBRE YolandaHialeah Dental Care Inc(305) 823-1882Prov No 00001281657410920 W Flagler St Ste 201Miami FL 33174Gender FemaleNPI 1598140618License DN21433License Type DBP DentistBoard Certified Not ReportedEmail hialeahdentalatt netFax (305) 819-0275Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of West Miami Pllc(786) 476-8711Prov No 0000125102046820 Bird RdMiami FL 33155Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

203GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)IRAVANI Mina FSage Dental of West KendallPllc(786) 621-5800Prov No 00001253059512554 Sw 88th StMiami FL 33186Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IZQUIERDO YaneisyYaneisy Izquierdo Dds Pa(305) 559-3870Prov No 000012210795927 Sw 122nd AveMiami FL 33184Gender FemaleNPI 1548540099License DN19502License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

JACINTO SantiagoSantiago J Jacinto Dds Llc(305) 643-4770Prov No 000000018217330 Sw 27th Ave Ste 704Miami FL 33135Gender MaleNPI 1497807374License DN9240License Type DBP DentistBoard Certified Not ReportedEmail dentaloffice330yahoocomFax (305) 643-4770Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)JAMIS JuanDr J Dental and AssociatesCorp(305) 259-0080Prov No 00001301619115940 Sw 137th AveMiami FL 33177Gender MaleNPI 1265693352License DN16976License Type DBP DentistBoard Certified Not ReportedEmail razardental1gmailcomFaxAccepts New Patients YHospital Affiliation NA

JARQUIN-VALDIVIA Alvaro JJarquin amp Associates Pa(305) 221-1230Prov No 0000000362298410 W Flagler St Ste 110 BMiami FL 33144Gender MaleNPI 1437352176License DN15180License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 221-1540Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthDade(786) 231-0800Prov No 00001246764513540 Sw 135th AveMiami FL 33186Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)JOHNSON Robert BCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546953831 Grand AveMiami FL 33133Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631366820 Bird RdMiami FL 33155Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

KAMRAN KianiQuality Professional DentistryCorp(305) 582-5735Prov No 0000124709635040 Nw 7th St Ste 632Miami FL 33126Language SpanishGender MaleNPI 1699175729License DN20849License Type DBP DentistBoard Certified Not ReportedEmail qualityprofessionaldentistrygmailcomFax (305) 441-2883Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)KEANE ChrisFontainebleau Dentistry Pa(786) 418-3074Prov No 0000130370049971 W Flagler St Ste 220Miami FL 33174Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (786) 619-3746Accepts New Patients YHospital Affiliation NA

KRAVITZ EugeneEugene Kravitz Dds(305) 822-9696Prov No 00000001923018482 Nw 67th Ave Miami FL 33015Gender MaleNPI 1043496490License DN10328License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 824-9560Accepts New Patients NHospital Affiliation NA

KRIKORIAN Charles RDental Specialists of CoralGables Group(305) 305-9601Prov No 0000083604092645 Sw 37th Ave Ste 303 Miami FL 33133Gender MaleNPI 1720272081License DN15836License Type DBP DentistBoard Certified YEmail gymasmysanitasco mFax (305) 543-6885Accepts New Patients YHospital Affiliation NA

204 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)KUSNICK Steven JDental Options Pa(305) 466-1804Prov No 0000011444352999 Ne 191st St Ste 804 Miami FL 33180Gender MaleNPI 1811056823License DN7442License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

LAGE Richard CSenior Dental Llc(305) 642-3552Prov No 000012007375351 Nw 42nd Ave Ste 504Miami FL 33126Gender MaleNPI 1629181417License DN11477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 642-3554Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631376820 Bird RdMiami FL 33155Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LANG TomasCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546353831 Grand AveMiami FL 33133Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

LANSTER Robert MRobert M Lanster Dds(305) 261-7661Prov No 0000000201307399 Coral Way Miami FL 33155Gender MaleNPI 1730283243License DN9656License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 261-8108Accepts New Patients YHospital Affiliation NA

LANSTER Steven MSteven M Lanster Dds(305) 261-7661Prov No 0000000201297399 Coral WayMiami FL 33155Gender MaleNPI 1407851272License DN8893License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LANTIGUA Carlos ALandent Dmd Pa(305) 386-7337Prov No 00000348355411254 Sw 137th AveMiami FL 33186Language SpanishGender MaleNPI 1083970164License DN19355License Type DBP DentistBoard Certified NEmailFax (305) 386-4002Accepts New Patients YHospital Affiliation NA

LASTRA PEREZ AnnetteFermin R Lopez Dds Pa(305) 649-6112Prov No 0000125777351125 Nw 22nd AveMiami FL 33125Gender FemaleNPI 1942745385License DN22369License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

LAU VicenteWest Kendall Medical Center(786) 231-0800Prov No 00001249725313540 Sw 135th AveMiami FL 33186Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEA PLAZA RodolfoLatin Quarter Dental Pa(305) 642-8499Prov No 0000127010041660 Sw 1st StMiami FL 33135Language SpanishGender MaleNPI 1932407103License DN19240License Type DBP DentistBoard Certified Not ReportedEmail latinquarterdentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000125067845361 Nw 22nd AveMiami FL 33142Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 00001250681718360 Nw 7th Ave Miami FL 33169Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

205GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 636-3336Prov No 0000125068185607 Nw 27th Ave Ste 2Miami FL 33142Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 805-1715Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873739217 Nw 15th StMiami FL 33136Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

LEE Nancy VAltima Dental Group(305) 547-8398Prov No 00000681158815795 Sw 152nd StMiami FL 33187Language SpanishVietnameseGender FemaleNPI 1174883482License DN19879License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEE Nancy VAltima Dental Group(305) 459-3192Prov No 00001201734116371 Sw 88th StMiami FL 33196Language SpanishVietnameseGender FemaleNPI 1174883482License DN19879License Type DBP DentistBoard Certified NEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124449516820 Bird RdMiami FL 33155Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121768236820 Bird RdMiami FL 33155Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LEVIN ShellyMain Street Childrens Dentistryof Aventura(305) 933-4355Prov No 00001244436019084 Ne 29th AveMiami FL 33180Language SpanishGender FemaleNPI 1023351715License DN21753License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

LEWIS BradFloridian Dental Care Inc(305) 693-8888Prov No 0000124996127900 Nw 27th Ave Ste 205Miami FL 33147Gender MaleNPI 1376567685License DN10097License Type DBP DentistBoard Certified Not ReportedEmail medflorida205aolcomFax (305) 693-8893Accepts New Patients YHospital Affiliation NA

LLAPUR CarlosMain Street Orthodontics ofAventura(305) 933-4355Prov No 00001231281819084 Ne 29th AveMiami FL 33180Language SpanishGender MaleNPI 1275947913License DN20712License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 933-4352Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LOBAINA Karina MDelacalle Medical Center Llc(305) 321-5927Prov No 00001224911810775 Sw 56th StMiami FL 33165Language SpanishGender FemaleNPI 1063895076License DN21153License Type DBP DentistBoard Certified Not ReportedEmail delacalledentalcentergmailcomFax (786) 360-4217Accepts New Patients YHospital Affiliation NA

LOBAINA Yoan ELobaina Dental(305) 480-9838Prov No 0000012436588822 Sw 24th St Miami FL 33165Gender MaleNPI 1245468131License DN18774License Type DBP DentistBoard Certified NEmail lobainadentalgmailcomFax (305) 261-4448Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631396820 Bird RdMiami FL 33155Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

206 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LOOR Kleber AKleber A Loor Dds Pa(305) 649-7800Prov No 0000002461421450 W Flagler StMiami FL 33135Gender MaleNPI 1124037833License DN16772License Type DBP DentistBoard Certified Not ReportedEmail kleberaloorddstabellsouthnetFax (305) 649-9937Accepts New Patients YHospital Affiliation NA

LOPEZ AnabelleAnabelle Lopez Dds Pa(305) 603-8086Prov No 0000015487868501 Sw 124th Ave Ste 106 AMiami FL 33183Gender FemaleNPI 1063606143License DN17093License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 639-8008Accepts New Patients YHospital Affiliation NA

LOPEZ EdgarTamiami Dental Center Pa(305) 553-9655Prov No 00001213021813232 Sw 8th St Miami FL 33184Gender MaleNPI 1598712432License DN16385License Type DBP DentistBoard Certified NEmail onestopsmileshophotmailcomFax (305) 553-7688Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LOPEZ ReinierBest Dental Creations(305) 270-8029Prov No 0000085137468740 N Kendall Dr Ste 220 Miami FL 33176Language SpanishGender MaleNPI 1942632617License DN20324License Type DBP DentistBoard Certified NEmail bestdentalcreationsgmailcomFax (305) 273-8437Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546383831 Grand AveMiami FL 33133Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

LOPEZ PEREZ VictorVictor M Lopez Perez Dds Pa(305) 271-2517Prov No 0000124548067158 Sw 117th AveMiami FL 33183Language SpanishGender MaleNPI 1609271550License DN20992License Type DBP DentistBoard Certified Not ReportedEmail drvmlopezdental2016yahocomFax (305) 271-2140Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)LUBIN Victor DDental Specialty Center atBaptist(305) 275-8875Prov No 0000120026838940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender MaleNPI 1629417381License DN20118License Type DBP DentistBoard Certified NEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631406820 Bird RdMiami FL 33155Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MANZUR LamyaTowncare Dental of WestKendall(305) 388-7900Prov No 00001206326115724 Sw 72nd StMiami FL 33193Gender FemaleNPI 1699826305License DN15202License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARES Adolfo EAdolfo E Mares Dental Office(305) 642-0535Prov No 000000024432306 Sw 12th Ave Ste B Miami FL 33130Gender MaleNPI 1811048937License DN12527License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MARQUEZ-IGLESIAS FelicitaMed Dental Associates Inc(305) 264-0063Prov No 0000123136997200 Nw 7th St Ste 333Miami FL 33126Language SpanishGender FemaleNPI 1740619402License DN20430License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0065Accepts New Patients YHospital Affiliation NA

MARRO Blanca RSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001284982613706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1043620099License DN22276License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

207GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARS Rick AGlickman amp Mars Dental(305) 935-2797Prov No 0000000194082797 Ne 207th St Ste 100 Miami FL 33180Gender MaleNPI 1316002637License DN11641License Type DBP DentistBoard Certified Not ReportedEmail sheenadentalcaregroupnetFax (305) 937-4834Accepts New Patients YHospital Affiliation NA

MARTIN CiroCiro A Martin Dds Pa(305) 551-6714Prov No 0000000192908463 Bird Rd Miami FL 33155Gender MaleNPI 1093855256License DN13508License Type DBP DentistBoard Certified Not ReportedEmail ciromartinaolcomFaxAccepts New Patients YHospital Affiliation NA

MARTINEZ ClaudiaSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001256015713706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1194175794License DN21886License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARTINEZ Jeidy DPrayers DdsHonest DentalService(305) 456-8046Prov No 000000468237400 Sw 27th AveMiami FL 33135Gender FemaleNPI 1194935783License DN16347License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

MARTINEZ Jeidy DJeidy Martinez-Pena(305) 846-9082Prov No 0000007136932915 Nw 7th St Miami FL 33125Gender FemaleNPI 1194935783License DN16347License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 846-9092Accepts New Patients YHospital Affiliation NA

MARTINEZ Miguel AFamily amp Cosmetic Dentistry(305) 387-4954Prov No 00001244166113706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender MaleNPI 1043408271License DN18073License Type DBP DentistBoard Certified NEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MARTOS GriselG L Dental Clinic Pa(305) 448-0808Prov No 000000157901782 Nw 42nd Ave Ste 633Miami FL 33126Gender FemaleNPI 1578975264License DN15442License Type DBP DentistBoard Certified Not ReportedEmail insuranceoterodentalcenterscomFax (305) 442-2225Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LFontainebleau Dentistry(714) 845-8500Prov No 0000122257509971 W Flagler St Ste 220Miami FL 33174Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LDentists at Midtown(786) 724-0418Prov No 0000133710783120 N Miami AveMiami FL 33127Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmailFax (303) 982-0892Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MCHUGH Allyson MDental Center at Baptist(305) 271-3001Prov No 0000131813908940 N Kendall Dr Ste 1005EMiami FL 33176Gender FemaleNPI 1205314556License DN23575License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-5077Accepts New Patients YHospital Affiliation NA

MENDEZ AntonioMendez Dental Inc(305) 227-7997Prov No 0000121754099100 Sw 24th St Ste 9Miami FL 33165Gender MaleNPI 1659570430License DN13520License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 675-3237Accepts New Patients YHospital Affiliation NA

MENDOZA IreniaNew Smiles Dental Associates(786) 717-7779Prov No 00001218968814138 Sw 8th St 1Miami FL 33184Gender FemaleNPI 1124256920License DN18576License Type DBP DentistBoard Certified Not ReportedEmail infonewsmilesdentalassociatescomFax (786) 534-8863Accepts New Patients YHospital Affiliation NA

208 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MENENDEZ LLERA Vivian MSunset Dental Corp(305) 596-7155Prov No 00000215947210728 Sw 72nd StMiami FL 33173Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

MENENDEZ LLERA Vivian MDental American Group(305) 225-3452Prov No 00000222842110721 W Flagler St Miami FL 33174Gender FemaleNPI 1013271048License DN19799License Type DBP DentistBoard Certified NEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

MESTRE Jairo FBorinquen Health Care CenterInc Dental(305) 576-6611Prov No 0000130203183601 Federal Hwy Fl 5Miami FL 33137Language French SpanishGender MaleNPI 1811202971License DN19140License Type DBP DentistBoard Certified Not ReportedEmail otamarezborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MILANES ElioverEliover F Milanes(305) 261-0633Prov No 0000062329126791 W Flagler StMiami FL 33144Gender MaleNPI 1548411937License DN18309License Type DBP DentistBoard Certified Not ReportedEmail cmcdentalyahooco mFax (305) 261-2457Accepts New Patients YHospital Affiliation NA

MIRANDA AlejandraCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546483831 Grand AveMiami FL 33133Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(305) 856-2300Prov No 0000002946652375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MIRANDA Pablo EGateway Dental Inc(305) 856-2300Prov No 0000047058001050 Nw 14th St Ste 204 Miami FL 33136Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail civicgatewaydentalinccomFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(305) 552-1553Prov No 00001220385511880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

MIRANDA Pablo EGateway Dental Inc(305) 944-4373Prov No 0000125177821400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1023036365License DN15212License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MOHR Eric ESage Dental of West Miami Pllc(786) 476-8711Prov No 0000121986946820 Bird RdMiami FL 33155Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MOLINA MaylingDental Health Group Pa(305) 670-4476Prov No 0000002933847300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1699820134License DN16243License Type DBP DentistBoard Certified NEmailFax (305) 514-0138Accepts New Patients YHospital Affiliation NA

MOLINA Rosario GRosario G Molina Dmd(305) 685-5133Prov No 0000125427061909 Sw 27th AveMiami FL 33145Gender FemaleNPI 1912231549License DN9515License Type DBP DentistBoard Certified Not ReportedEmail rosiegmolinaattn etFax (305) 856-9358Accepts New Patients YHospital Affiliation NA

209GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MOLINA ARIZA YudisbelYudisbel Molina Ariza Dmd Pa(305) 226-0803Prov No 0000125579638500 W Flagler St Ste 104 AMiami FL 33144Language SpanishGender FemaleNPI 1760865067License DN21386License Type DBP DentistBoard Certified Not ReportedEmail drmolinasmilesgmailcomFax (305) 226-0988Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Miami Pllc(786) 476-8711Prov No 0000128194976820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MORA Eddy AEddy A Mora Dds Pa(305) 267-1620Prov No 0000001936737171 Coral Way Ste 217 Miami FL 33155Language SpanishGender MaleNPI 1407999782License DN12455License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 267-1102Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MORA Eugenio AMora Family Dentistry(305) 267-1620Prov No 0000125546567171 Coral Way Ste 217Miami FL 33155Gender MaleNPI 1346396488License DN14115License Type DBP DentistBoard Certified YEmailFax (305) 267-1102Accepts New Patients YHospital Affiliation NA

MORA YosjanyMora Family Dentistry(305) 267-1620Prov No 0000002944787171 Coral Way Ste 217Miami FL 33155Gender FemaleNPI 1922179613License DN17506License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 267-1102Accepts New Patients YHospital Affiliation NA

MORALES Ronald JDental Plus Inc(305) 969-2651Prov No 00000026525411352 Quail Roost DrMiami FL 33157Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MORALES Ronald JDental Center of Country Walk(305) 233-3335Prov No 00001296619415795 Sw 152nd StMiami FL 33187Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail judyanoffaltimadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

MORALES Ronald JAltima Dental Group(305) 459-3192Prov No 00001297350316371 Sw 88th StMiami FL 33196Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

MORELL NayadeNayade Morell(305) 265-5811Prov No 000000385930916 Sw 67th AveMiami FL 33144Language SpanishGender FemaleNPI 1942396502License DN17626License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 265-5813Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546343831 Grand AveMiami FL 33133Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001255465813540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631426820 Bird RdMiami FL 33155Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

210 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)NAIERMAN Eric HDental Specialists of CoralGables Group(305) 305-9601Prov No 0000104002262645 Sw 37th Ave Ste 303 Miami FL 33133Gender MaleNPI 1982981643License DN19906License Type DBP DentistBoard Certified NEmail gymasmysanitasco mFax (305) 543-6885Accepts New Patients YHospital Affiliation NA

NAIERMAN Eric HDental Specialists of DoralGroup(305) 220-8911Prov No 00001213830310666 Fontainebleau BlvdMiami FL 33172Gender MaleNPI 1982981643License DN19906License Type DBP DentistBoard Certified NEmail dsinslibetgmailc omFaxAccepts New Patients YHospital Affiliation NA

NAZARIO LUGO Beatriz TDental Health Group Pa(305) 385-4215Prov No 00001100929613876 Sw 88th StMiami FL 33186Gender FemaleNPI 1255340279License DN17881License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)NELSON John AMidtown Dental(305) 598-6070Prov No 0000068112583915 Biscayne Blvd Ste 30 6Miami FL 33137Language French Other(Non-English) SpanishGender MaleNPI 1831335645License DN18534License Type DBP DentistBoard Certified Not ReportedEmail infomidtowndentalmiamicomFaxAccepts New Patients YHospital Affiliation NA

NIETO MartaMarta Nieto Dds Pa(305) 228-9600Prov No 0000120417542710 Sw 87th Ave Ste 2700Miami FL 33165Gender FemaleNPI 1962521898License DN13137License Type DBP DentistBoard Certified Not ReportedEmail drnietodentalgmailcomFax (305) 228-9614Accepts New Patients YHospital Affiliation NA

NUNES LEDOUX Joanne MPrayers DdsHonest DentalService(305) 456-8046Prov No 000012138426400 Sw 27th AveMiami FL 33135Language Portuguese SpanishGender FemaleNPI 1952559502License DN18333License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)OJEDA JR Juan MGreat Expressions DentalCenters(248) 203-1119Prov No 0000124629131001 Ives Dairy Rd Ste 103Miami FL 33179Gender MaleNPI 1861786949License DN19477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 652-3259Accepts New Patients YHospital Affiliation NA

OJEDA JR Juan MGreat Expressions DentalCenters(305) 670-4476Prov No 0000124632877300 N Kendall Dr Ste 110Miami FL 33156Gender MaleNPI 1861786949License DN19477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 670-4477Accepts New Patients YHospital Affiliation NA

OLIVA PEREZ AnnyAnny Oliva Perez(305) 935-4800Prov No 0000129173612925 Aventura Blvd Ste 309Miami FL 33180Language SpanishGender FemaleNPI 1144602400License DN21257License Type DBP DentistBoard Certified Not ReportedEmail aplusdentalaventuragmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ORTEGA Laura OEast Coast Family Dental Pa(305) 264-0747Prov No 0000125181526741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1558742528License DN21243License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

OSPINA Ana MDental Options Pa(305) 466-1804Prov No 0000126083142999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1689806077License DN20977License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

OSSA GOMEZ PaolaSunset Dental Corp(305) 596-7155Prov No 00001230243510728 Sw 72nd StMiami FL 33173Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFaxAccepts New Patients YHospital Affiliation NA

211GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)OSSA GOMEZ PaolaDental American Group(305) 225-3452Prov No 00001249252110721 W Flagler St Miami FL 33174Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 225-7630Accepts New Patients YHospital Affiliation NA

OSSA GOMEZ PaolaDental American Group(305) 273-9330Prov No 0000126182408718 Sw 72nd StMiami FL 33173Language SpanishGender FemaleNPI 1639513450License DN21589License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentalamericangroupcomFax (305) 273-9331Accepts New Patients YHospital Affiliation NA

PALACIOS Ana YAll Dental Paradise Corp(305) 506-6616Prov No 00001251808615 Sw 107th AveMiami FL 33174Language SpanishGender FemaleNPI 1295925717License DN21594License Type DBP DentistBoard Certified Not ReportedEmail adp15ddsgmailco mFax (305) 675-0974Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PALACIOS Ana YEast Coast Family Dental Pa(305) 264-0747Prov No 0000125183236741 Coral Way Ste 14Miami FL 33155Language SpanishGender FemaleNPI 1295925717License DN21594License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

PANDEY AnitaTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000002021388353 Sw 124th St Ste 202Miami FL 33156Gender FemaleNPI 1841370558License DN14642License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

PAPIR Jessica BDental Options Pa(305) 892-2960Prov No 00000073238511645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PAPIR Jessica BDental Options Pa(305) 466-1804Prov No 0000013997022999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

PAPIR Jessica BDental Health Group Pa(305) 670-4476Prov No 0000121378927300 N Kendall Dr Ste 110Miami FL 33156Gender FemaleNPI 1396760211License DN16806License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 514-0138Accepts New Patients YHospital Affiliation NA

PAYA AnabelFermin R Lopez Dds Pa(305) 649-6112Prov No 0000121996991125 Nw 22nd AveMiami FL 33125Language SpanishGender FemaleNPI 1609256700License DN21221License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PAYA AnabelPaya Dental and Associates(305) 541-5103Prov No 0000129337452143 Nw 7th StMiami FL 33125Language SpanishGender FemaleNPI 1609256700License DN21221License Type DBP DentistBoard Certified Not ReportedEmail apayadentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

PELTON Ivan SDental Specialists of DoralGroup Co(305) 220-8911Prov No 00001270675410666 Fontainebleau BlvdMiami FL 33172Gender MaleNPI 1235243189License DN5838License Type DBP DentistBoard Certified YEmail dsdanay1992gmailcomFax (305) 593-6855Accepts New Patients YHospital Affiliation NA

PENATE Ada LAda L Penate Dds Pa(305) 388-3725Prov No 00000002063314609 Sw 104th St Miami FL 33186Gender FemaleNPI 1770609166License DN11668License Type DBP DentistBoard Certified Not ReportedEmail apenatebellsouth netFax (305) 388-1745Accepts New Patients YHospital Affiliation NA

212 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000051797675361 Nw 22nd AveMiami FL 33142Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

PERDIGON-CANGAHUALA NitzaJessie Trice Community Health(305) 637-6400Prov No 00000517976818360 Nw 7th Ave Miami FL 33169Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000051797705607 Nw 27th Ave Ste 2 Miami FL 33142Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 0000127466695607 Nw 27th Ave Ste 1Miami FL 33142Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmailFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012873820217 Nw 15th StMiami FL 33136Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

PEREIRA IeshyDental Options Pa(305) 892-2960Prov No 00001297344911645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1558788836License DN22101License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREIRA IeshyDental Options Pa(305) 466-1804Prov No 0000130418612999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1558788836License DN22101License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

PEREZ Alina JDental Design Specialists Corp(305) 270-0744Prov No 00001201072213550 Sw 88th St Ste 112 Miami FL 33186Gender FemaleNPI 1649408469License DN18627License Type DBP DentistBoard Certified NEmail infoddsmiamicomFax (305) 270-2014Accepts New Patients YHospital Affiliation NA

PEREZ Alina JUnlimited Dental Care Corp(786) 356-7246Prov No 00001204551611498 Quail Roost DrMiami FL 33157Gender FemaleNPI 1649408469License DN18627License Type DBP DentistBoard Certified NEmail unlimitedental11498yahoocomFax (305) 232-4487Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREZ AnnabelGentle Teeth of Kendall(305) 595-3400Prov No 0000126789546670 Sw 117th AveMiami FL 33183Gender FemaleNPI 1932639283License DN22652License Type DBP DentistBoard Certified Not ReportedEmail genteeth2gmailco mFax (305) 596-3352Accepts New Patients YHospital Affiliation NA

PEREZ DileyDiley Perez Dmd Pa(305) 846-9082Prov No 0000121050852915 Nw 7th StMiami FL 33125Language SpanishGender MaleNPI 1780962092License DN19487License Type DBP DentistBoard Certified NEmailFax (305) 846-9092Accepts New Patients YHospital Affiliation NA

PEREZ EuniceUnidental Center(305) 456-8877Prov No 00001298979412622 Sw 8th StMiami FL 33184Gender FemaleNPI 1649527227License DN20994License Type DBP DentistBoard Certified Not ReportedEmail unidentalcentergmailcomFaxAccepts New Patients YHospital Affiliation NA

213GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREZ ZailyUniversal Dental Clinic(305) 326-7159Prov No 000012451278432 Nw 12th Ave Miami FL 33128Gender FemaleNPI 1063828929License DN20781License Type DBP DentistBoard Certified Not ReportedEmail universaldental2011hotmailcomFax (305) 324-5875Accepts New Patients YHospital Affiliation NA

PEREZ ZailyZaily Perez(305) 222-1150Prov No 0000126415398020 Coral WayMiami FL 33155Gender FemaleNPI 1063828929License DN20781License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PEREZ ALAMO JenniferDental Specialty Center atBaptist(305) 275-8875Prov No 0000126459068940 N Kendall Dr Ste 1001EMiami FL 33176Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PEREZ ALAMO JenniferTowncare Dental of WestKendall(305) 388-7900Prov No 00001264597215724 Sw 72nd StMiami FL 33193Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 388-7939Accepts New Patients YHospital Affiliation NA

PEREZ CARMONA Alba EPerez Dental Group Inc(786) 360-3694Prov No 0000130995717801 Coral Way Ste 122Miami FL 33155Gender FemaleNPI 1548636244License DN21498License Type DBP DentistBoard Certified Not ReportedEmail perezdentalgroupincgmailcomFax (786) 431-1522Accepts New Patients YHospital Affiliation NA

PEREZ-MURGUIA OmarOmar Perez-Murguia Dds(305) 552-6446Prov No 0000006302239835 Sw 40th StMiami FL 33165Gender MaleNPI 1033210216License DN15727License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 225-2880Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERROTTI Steven DGateway Dental Inc(305) 856-2300Prov No 0000003027832375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

PERROTTI Steven DGateway Dental Inc(305) 552-1553Prov No 00001220355711880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

PERROTTI Steven DGateway Dental Inc(305) 944-4373Prov No 0000125180281400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PERROTTI Steven DGateway Dental Inc(305) 856-2300Prov No 0000127960741050 Nw 14th St Ste 204Miami FL 33136Gender MaleNPI 1144249780License DN15477License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

PESATURO Ana HMendez Dental Inc(305) 227-7997Prov No 0000032744669100 Sw 24th St Ste 9Miami FL 33165Language SpanishGender FemaleNPI 1417276924License DN19688License Type DBP DentistBoard Certified NEmailFax (305) 675-3237Accepts New Patients YHospital Affiliation NA

PESATURO Ana HAna Pesaturo Dds Pa(305) 551-2722Prov No 0000122348468500 W Flagler St Ste 108AMiami FL 33144Language SpanishGender FemaleNPI 1417276924License DN19688License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

214 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PHAM Minh BFontainebleau Dentistry(714) 845-8500Prov No 0000125655859971 W Flagler St Ste 220Miami FL 33174Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 252-6299Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(305) 856-2300Prov No 0000121657942375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(305) 552-1553Prov No 00001245145511880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PITA ReynaldoGateway Dental Inc(305) 944-4373Prov No 0000125180811400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

PITA ReynaldoGateway Dental Inc(305) 856-2300Prov No 0000128687421050 Nw 14th St Ste 204Miami FL 33136Gender MaleNPI 1376855106License DN19104License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631576820 Bird RdMiami FL 33155Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PRIA CarlosBorinquen Health Care CenterInc(305) 576-6611Prov No 0000125407143601 Federal Hwy Fl 5 Miami FL 33137Gender MaleNPI 1811166838License DN19249License Type DBP DentistBoard Certified Not ReportedEmail gtabetborinquenhealthorgFax (305) 576-0008Accepts New Patients YHospital Affiliation NA

PRIETO EvelynSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001248247513706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1598146755License DN21249License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

PUENTE KatiaFermin R Lopez Dds Pa(305) 649-6112Prov No 0000006965701125 Nw 22nd AveMiami FL 33125Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)PUENTE KatiaFlagler Dental Care(305) 324-5072Prov No 0000006965721199 W Flagler St Ste 7 Miami FL 33130Language SpanishGender FemaleNPI 1245357805License DN14649License Type DBP DentistBoard Certified Not ReportedEmail administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

PUIG LianaLiang Puig Dds Pa(305) 266-0011Prov No 000012911430720 Sw 58th CtMiami FL 33144Gender FemaleNPI 1790016202License DN15854License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631606820 Bird RdMiami FL 33155Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

215GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)QUILICHINI Carlos ADental Specialists of DoralGroup Co(305) 220-8911Prov No 00001200100910666 Fontainebleau BlvdMiami FL 33172Gender MaleNPI 1700079399License DN11673License Type DBP DentistBoard Certified Not ReportedEmail dsdanay1992gmailcomFax (305) 593-6855Accepts New Patients YHospital Affiliation NA

QUINTANA VilmaDental Group of Miami BeachCorp(305) 868-8500Prov No 0000012153531010 71st StMiami FL 33141Gender FemaleNPI 1598064354License DN19274License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAMIREZ MauricioDental Specialty Center atBaptist(305) 275-8875Prov No 0000126156628940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RAMIREZ MauricioDental Associates of KendallDds Pa(305) 271-2254Prov No 00001262299811400 N Kendall Dr Ste 207Miami FL 33176Gender MaleNPI 1659808541License DN22541License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenWest Kendall Medical Center(786) 231-0800Prov No 00001307332613540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

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 cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RAMOS YilianDental Associates of KendallDds Pa(305) 271-2254Prov No 00001213022311400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1699030205License DN19848License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

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 administratorhomesteadfdccomFax (305) 403-2981Accepts New Patients YHospital Affiliation NA

RAND Matthew KGateway Dental Inc(305) 856-2300Prov No 0000124307292375 Sw 27th Ave Miami FL 33145Language French SpanishGender MaleNPI 1740407030License DN19286License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RAPPAPORT David BSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631526820 Bird RdMiami FL 33155Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(786) 501-2168Prov No 0000128956756801 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(786) 501-2163Prov No 00001289568413768 Sw 8th StMiami FL 33184Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

216 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)REYES Christina MDental Excellence Partners Llc(786) 534-2796Prov No 0000128967408300 W Flagler St Ste 200Miami FL 33144Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Christina MDental Group of Miami Pa(305) 443-9206Prov No 0000128970924500 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(786) 534-2796Prov No 0000125354208300 W Flagler St Ste 200Miami FL 33144Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)REYES Miguel ADental Excellence Partners Llc(786) 501-2163Prov No 00001296566913768 Sw 8th StMiami FL 33184Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(786) 501-2168Prov No 0000129656716801 Sw 8th StMiami FL 33144Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

REYES Miguel ADental Excellence Partners Llc(305) 443-9206Prov No 0000129656724500 Nw 7th StMiami FL 33126Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)REYES CANALS Osmil ASalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001221948213706 Sw 56th St Ste 201 Miami FL 33175Gender MaleNPI 1356732275License DN21179License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

RIBAS Jose EJose E Ribas Dds(305) 541-7626Prov No 000000018486730 Nw 40th Ave Miami FL 33126Gender MaleNPI 1841311198License DN11199License Type DBP DentistBoard Certified Not ReportedEmail ribasbellsouthne tFax (305) 643-3436Accepts New Patients YHospital Affiliation NA

RIBOT AlianaRight Care Dental Llc(786) 206-6021Prov No 0000125262428290 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1811377732License DN21224License Type DBP DentistBoard Certified Not ReportedEmail inforightcaredentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RIEGER Eric RSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631556820 Bird RdMiami FL 33155Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121631626820 Bird RdMiami FL 33155Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIOS KU HOP Milagritos CDental Options Pa(305) 892-2960Prov No 00001326412911645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

217GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RIOS KU HOP Milagritos CDental Options Pa(305) 466-1804Prov No 0000132641302999 Ne 191st St Ste 804Miami FL 33180Gender FemaleNPI 1003298522License DN21244License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

RIVAS Miguel ADental R Us(305) 253-7588Prov No 00000666102111373 Sw 211th St Ste 11Miami FL 33189Gender MaleNPI 1194895011License DN12051License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7515Accepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family Dental Pa(305) 264-0747Prov No 0000128515356741 Coral Way Ste 14Miami FL 33155Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RIVERA Lina NEast Coast Family Dental Pa(786) 300-3483Prov No 0000128665166800 Sw 8th StMiami FL 33144Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1335Accepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family Dental Pa(786) 534-2796Prov No 0000128665968300 W Flagler St Ste 210Miami FL 33144Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1129Accepts New Patients YHospital Affiliation NA

RODRIGUEZ AlejandroHappy Teeth Dental Llc(305) 266-4544Prov No 0000026185997976 Sw 8th StMiami FL 33144Gender MaleNPI 1942386305License DN16431License Type DBP DentistBoard Certified Not ReportedEmail happyteethdentalyahoocomFax (305) 266-8644Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ Esteban JDental Plus Inc(305) 969-2651Prov No 00000003622211352 Quail Roost DrMiami FL 33157Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Esteban JTowncare Dental of PinecrestLlc(305) 253-7227Prov No 0000007321118353 Sw 124th St Ste 202Miami FL 33156Gender MaleNPI 1174647804License DN15322License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 253-7228Accepts New Patients YHospital Affiliation NA

RODRIGUEZ GretellGretell Rodriguez(305) 646-9222Prov No 0000042503674150 Nw 7th St Ste 103Miami FL 33126Language SpanishGender FemaleNPI 1154678910License DN19927License Type DBP DentistBoard Certified Not ReportedEmail healthcosmeticdentalyahoocomFax (305) 646-6704Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ Guillermo PGables Smiles Inc(305) 441-7700Prov No 0000003150957036 Coral WayMiami FL 33155Gender MaleNPI 1558492363License DN13312License Type DBP DentistBoard Certified Not ReportedEmail gablessmilesfdgmailcomFax (305) 441-7900Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Hernan MDr Hernan Rodriguez(786) 230-1568Prov No 0000002318742645 Sw 37th Ave Ste 702Miami FL 33133Gender MaleNPI 1003950502License DN15859License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 447-6656Accepts New Patients YHospital Affiliation NA

RODRIGUEZ LazaroTratamientos DentalesIncorporated(305) 649-5710Prov No 000000368419285 Nw 27th Ave Ste 19Miami FL 33125Gender MaleNPI 1184823031License DN17750License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 649-5710Accepts New Patients YHospital Affiliation NA

218 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ LazaroKr Dental Group Inc(305) 595-0917Prov No 00000068988810543 Sw 109th Ct Miami FL 33176Gender MaleNPI 1184823031License DN17750License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 595-0919Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121986956820 Bird RdMiami FL 33155Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Ramon ADampR Dentistry(305) 400-8060Prov No 00001021395814750 Sw 26th St Ste 210 Miami FL 33185Language SpanishGender MaleNPI 1366768657License DN18940License Type DBP DentistBoard Certified Not ReportedEmail drdentistry210hotmailcomFax (888) 627-7939Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)RODRIGUEZ CASTRO LiliamFermin R Lopez Dds Pa Corp(305) 649-6112Prov No 0000023731221125 Nw 22nd Ave Miami FL 33125Gender FemaleNPI 1376806125License DN19765License Type DBP DentistBoard Certified NEmail cfdc1125gmailcomFax (305) 649-1803Accepts New Patients YHospital Affiliation NA

ROJAS SandraDental Options Pa(305) 466-1804Prov No 0000014009272999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1619265790License DN19424License Type DBP DentistBoard Certified NEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

ROMAY RicardoDesign A Smile Pa(305) 667-8887Prov No 0000000426276437 Bird Rd Miami FL 33155Gender MaleNPI 1720095037License DN14151License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 667-2166Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ROMAY RicardoDesign A Smile Kendall Pa(305) 408-3388Prov No 00001285283113091 Sw 88th St Miami FL 33186Gender MaleNPI 1720095037License DN14151License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 408-3029Accepts New Patients YHospital Affiliation NA

ROMERO VAZQUEZ IvetAltima Dental Group(305) 547-8398Prov No 00001261381515795 Sw 152nd StMiami FL 33187Language SpanishGender FemaleNPI 1316476682License DN22624License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 233-3909Accepts New Patients YHospital Affiliation NA

ROMERO VAZQUEZ IvetAltima Dental Group(305) 459-3192Prov No 00001262983416371 Sw 88th StMiami FL 33196Language SpanishGender FemaleNPI 1316476682License DN22624License Type DBP DentistBoard Certified Not ReportedEmail 09012nadentalgroupcomFax (305) 382-5855Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ROQUE-RUANO MaikelSage Dental of West Miami Pllc(786) 476-8711Prov No 0000125239396820 Bird RdMiami FL 33155Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of West KendallPllc(786) 621-5800Prov No 00001252830912554 Sw 88th StMiami FL 33186Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROSALES SalvadorSalvador Rosales(305) 261-5556Prov No 0000000189568150 Sw 8th St Ste 206 Miami FL 33144Language SpanishGender MaleNPI 1457441511License DN12058License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 261-5429Accepts New Patients YHospital Affiliation NA

219GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ROSSEN Peter AAmerican Dental Center(305) 625-5400Prov No 0000123141461505 Nw 167th St Ste 100 Miami FL 33169Gender MaleNPI 1003224643License DN8066License Type DBP DentistBoard Certified Not ReportedEmail csimsdentalcentermiamicomFax (305) 625-8110Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthDade(786) 231-0800Prov No 00001253220913540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546603831 Grand AveMiami FL 33133Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SAENZ Manuel ODental Health Group Pa(305) 385-4215Prov No 00000037382613876 Sw 88th StMiami FL 33186Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

SAENZ Manuel ODental Health Group Pa(305) 227-0600Prov No 00001213830811865 Sw 26th St Ste C39Miami FL 33175Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 227-6928Accepts New Patients YHospital Affiliation NA

SAGUE Gustavo ADental Plus Inc(305) 969-2651Prov No 00001217802511352 Quail Roost DrMiami FL 33157Language SpanishGender MaleNPI 1699177964License DN20771License Type DBP DentistBoard Certified Not ReportedEmail dentalplusshotmailcomFax (305) 233-6027Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SAGUE Gustavo AG S Dental(305) 200-3404Prov No 00001258582515640 Sw 72nd StMiami FL 33193Language SpanishGender MaleNPI 1699177964License DN20771License Type DBP DentistBoard Certified Not ReportedEmail gsdentalmiamigmailcomFaxAccepts New Patients YHospital Affiliation NA

SALAZAR Manuel ASalazar Dental Inc(305) 269-0208Prov No 0000012343968346 Sw 8th StMiami FL 33144Gender MaleNPI 1699097261License DN18913License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 269-0310Accepts New Patients YHospital Affiliation NA

SALCINES Damaris GSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00000034991713706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SALCINES Damaris GSalcines Dmd and GomaraDmd Pa(305) 888-0008Prov No 0000019256614750 Nw 7th St Ste 1Miami FL 33126Gender FemaleNPI 1891705091License DN13492License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

SALGUEIRO Jose LMiami Smiles Dental(305) 261-5251Prov No 0000000194187933 Nw 2nd St Miami FL 33126Gender MaleNPI 1184632515License DN11158License Type DBP DentistBoard Certified Not ReportedEmail traviesasdentalgmailcomFax (305) 261-3446Accepts New Patients YHospital Affiliation NA

SANCHEZ Mayra GMayra Sanchez Dds(305) 261-8025Prov No 0000000188445845 W Flagler St Miami FL 33144Gender FemaleNPI 1558680439License DN9618License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

220 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANCHEZ ReinaldoMiami Center For Dentistry(305) 267-8110Prov No 000000218379825 Sw 87th Ave Ste G Miami FL 33174Gender MaleNPI 1922193978License DN15236License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SANCHEZ ReinaldoDentist at Market Square(786) 476-3583Prov No 00000337914411770 Sw 104th StMiami FL 33186Gender MaleNPI 1922193978License DN15236License Type DBP DentistBoard Certified Not ReportedEmail sanchezdmdyahoocomFax (786) 476-3586Accepts New Patients YHospital Affiliation NA

SANTAMARINA Luis MLuis M Santamarina Dmd Pa(305) 644-3464Prov No 000000018424330 Sw 27th Ave Ste 602 Miami FL 33135Gender MaleNPI 1427157320License DN8610License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTANA DaniaGateway Dental Inc(305) 552-1553Prov No 00001226851111880 Sw 40th St Ste 215 Miami FL 33175Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

SANTANA DaniaGateway Dental Inc(305) 856-2300Prov No 0000123111452375 Sw 27th Ave Miami FL 33145Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

SANTANA DaniaGateway Dental Inc(305) 944-4373Prov No 0000125181281400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTANA DaniaGateway Dental Inc(305) 325-0050Prov No 0000129087131050 Nw 14th St Ste 9BMiami FL 33136Gender FemaleNPI 1316329626License DN21341License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SANTIAGO-HERZOG Tatiana EDental Center at Baptist Pa(305) 275-8875Prov No 0000012652558940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraSalcines Dmd amp Gomara DmdPa(305) 387-4954Prov No 00001286055313706 Sw 56th St Ste 201 Miami FL 33175Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail fcdcentersyahooc omFax (866) 206-6637Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTIESTEBAN AymaraGateway Dental Inc(305) 856-2300Prov No 0000128697441050 Nw 14th St Ste 204 Miami FL 33136Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail civicgatewaydentalinccomFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraGateway Dental Inc(305) 552-1553Prov No 00001297987911880 Sw 40th St Ste 215 Miami FL 33175Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

SANTIESTEBAN AymaraGateway Dental Inc(305) 944-4373Prov No 0000129805661400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

221GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SANTIESTEBAN AymaraGateway Dental Inc(305) 856-2300Prov No 0000129805692375 Sw 27th Ave Miami FL 33145Gender FemaleNPI 1265826168License DN22991License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

SARDUY Luis OTratamientos DentalesIncorporated(305) 649-5710Prov No 000000177824285 Nw 27th Ave Ste 19Miami FL 33125Language SpanishGender MaleNPI 1861596157License DN13211License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 649-5710Accepts New Patients YHospital Affiliation NA

SARDUY Luis OBiltmore Dental Network Co(305) 554-6054Prov No 00001200961210322 W Flagler StMiami FL 33174Language SpanishGender MaleNPI 1861596157License DN13211License Type DBP DentistBoard Certified Not ReportedEmail biltmoredentalnetworkgmailcomFax (888) 552-1321Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001247390013540 Sw 135th AveMiami FL 33186Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125009813831 Grand AveMiami FL 33133Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

SCOTT Tessa FDental Health Group Pa(305) 385-4215Prov No 00000001856613876 Sw 88th StMiami FL 33186Gender FemaleNPI 1396821948License DN16102License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-1200Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SEGAL Michelle ADental Options Pa(305) 892-2960Prov No 00001251562311645 Biscayne Blvd Ste 2 04Miami FL 33181Gender FemaleNPI 1992014021License DN16066License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

SEGAL Michelle ADental Options Pa(305) 466-1804Prov No 0000125156842999 Ne 191st St Ste 804 Miami FL 33180Gender FemaleNPI 1992014021License DN16066License Type DBP DentistBoard Certified Not ReportedEmail officeadminfrancodentalcarecomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

Sepulveda Isabel CHonest Dental Service(305) 456-8046Prov No 000012121261400 Sw 27th AveMiami FL 33135Language SpanishGender FemaleNPI 1790111763License DN20070License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SERRA-JOVENICH ManuelManuel Serra-Jovenich amp Assoc(305) 264-9191Prov No 0000000190797171 Coral Way Ste 401Miami FL 33155Gender MaleNPI 1831149517License DN9487License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-6246Accepts New Patients YHospital Affiliation NA

SIDDIQUI Rasheed BGentle Teeth of Kendall(305) 595-3400Prov No 0000120050186670 Sw 117th AveMiami FL 33183Language SpanishGender MaleNPI 1518309145License DN20293License Type DBP DentistBoard Certified NEmail genteeth2gmailco mFax (305) 596-3352Accepts New Patients YHospital Affiliation NA

SILVA SandraSandra C Silva Dmd Pa(305) 670-0197Prov No 00000010913810661 N Kendall Dr Ste 10 5Miami FL 33176Language SpanishGender FemaleNPI 1437348166License DN16071License Type DBP DentistBoard Certified Not ReportedEmail silvasandra048gmailcomFax (786) 577-0121Accepts New Patients YHospital Affiliation NA

222 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SILVESTRY AilynDental Associates of KendallDds Pa(305) 271-2254Prov No 00000001847511400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1215056874License DN13823License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

SILVESTRY Elvin JDental Associates of KendallDds Pa(305) 271-2254Prov No 00000001847411400 N Kendall Dr Ste 207Miami FL 33176Gender MaleNPI 1447332374License DN13522License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

SIMBACO WalterDental Specialty Center atBaptist(305) 275-8875Prov No 0000002669578940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SIMBACO WalterMed Dental Associates Inc(305) 264-0063Prov No 0000131214307200 Nw 7th St Ste 333Miami FL 33126Gender MaleNPI 1578687174License DN17293License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0065Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764056820 Bird RdMiami FL 33155Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SOHEIL Michelle MBorinquen Health Care CenterInc Dental(305) 576-6611Prov No 0000004454623601 Federal Hwy Fl 5Miami FL 33137Gender FemaleNPI 1215014394License DN16074License Type DBP DentistBoard Certified Not ReportedEmail otamarezborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SOLIS GONZALEZ Elena MElena M Solis Gonzalez DmdLlc(786) 776-3328Prov No 00001285275312002 Sw 128th Ct Ste 210Miami FL 33186Gender FemaleNPI 1780024950License DN20240License Type DBP DentistBoard Certified Not ReportedEmail rdccredentialinggmailcomFaxAccepts New Patients YHospital Affiliation NA

SOSA RobertoRoberto Sosa Dds(305) 261-6965Prov No 000000311615815 Nw 57th Ave Ste 301Miami FL 33126Gender MaleNPI 1548357478License DN13179License Type DBP DentistBoard Certified Not ReportedEmail carmenrobertososaddscomFax (305) 265-2089Accepts New Patients YHospital Affiliation NA

SOSA-ABELLA Nancy MDental Center at Baptist Pa(305) 275-8875Prov No 0000011329518940 N Kendall Dr Ste 1001EMiami FL 33176Gender FemaleNPI 1821186982License DN13746License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SOTO Paola FMed Dental Associates Inc(305) 264-0063Prov No 0000123127457200 Nw 7th St Ste 333Miami FL 33126Language Portuguese SpanishGender FemaleNPI 1336572007License DN20370License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0065Accepts New Patients YHospital Affiliation NA

SOTO Paola FCaimen A Feoli Dds Pa(305) 949-5252Prov No 0000125142241490 Ne Miami Gardens Dr Miami FL 33179Language Portuguese SpanishGender FemaleNPI 1336572007License DN20370License Type DBP DentistBoard Certified Not ReportedEmail drfeolihotmailco mFax (305) 949-5011Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121728436820 Bird RdMiami FL 33155Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

223GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)STRONG Shanice De OnaSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124543176820 Bird RdMiami FL 33155Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental(786) 621-5800Prov No 00001247295912554 Sw 88th StMiami FL 33186Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SUAREZ RenierRenier Suarez Dmd Pa(305) 412-7728Prov No 00000041358710000 Sw 56th St Ste 23Miami FL 33165Gender MaleNPI 1104005669License DN17625License Type DBP DentistBoard Certified Not ReportedEmail dr123smileyahooc omFax (305) 412-7728Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SUAREZ TatianaPrayers DdsHonest DentalService(305) 456-8046Prov No 000001348737400 Sw 27th AveMiami FL 33135Language Arabic PortugueseSpanishGender FemaleNPI 1396973483License DN18701License Type DBP DentistBoard Certified NEmailFax (305) 456-8824Accepts New Patients YHospital Affiliation NA

SUAREZ TatianaThe Center For Excellence InCosmetic Dentistry(305) 915-2558Prov No 0000117745831900 N Bayshore Dr Ste 207Miami FL 33132Language Arabic PortugueseSpanishGender FemaleNPI 1396973483License DN18701License Type DBP DentistBoard Certified NEmailFax (305) 915-2558Accepts New Patients YHospital Affiliation NA

SUATE PEDROZA Isabel MTamiami Dental Center Pa(305) 553-9655Prov No 00000245147313232 Sw 8th St Miami FL 33184Language Italian SpanishGender FemaleNPI 1972858751License DN19876License Type DBP DentistBoard Certified NEmail onestopsmileshophotmailcomFax (305) 553-7688Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)SWANSON Wendy ESunset Center Dental Services(786) 534-7314Prov No 00001291185810300 Sw 72nd St Ste 280Miami FL 33173Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmail sunsetdentalservicesgmailcomFax (786) 534-7324Accepts New Patients YHospital Affiliation NA

TAVERAS Sonia DSonia Taveras(305) 261-8608Prov No 0000000193047892 W Flagler StMiami FL 33144Gender FemaleNPI 1659493500License DN13186License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 261-7608Accepts New Patients YHospital Affiliation NA

TOIRAC Maria DAmerican Dental ClinicCorporation(305) 485-8427Prov No 0000003440663631 Sw 87th AveMiami FL 33165Gender FemaleNPI 1790987543License DN17931License Type DBP DentistBoard Certified Not ReportedEmail infoamericadentalcliniccomFax (305) 485-8429Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)TRAVIESAS EladioTraviesas Dental Corp(305) 261-5251Prov No 0000131576637933 Nw 2nd StMiami FL 33126Gender MaleNPI 1992187876License DN22857License Type DBP DentistBoard Certified Not ReportedEmail traviesasdentalgmailcomFax (305) 261-3446Accepts New Patients YHospital Affiliation NA

TRIANA Lauren DCoba Richard I(305) 595-1239Prov No 0000123127939541 Sw 72nd StMiami FL 33173Gender FemaleNPI 1952534158License DN18336License Type DBP DentistBoard Certified NEmail cobadentalgmailc omFax (305) 595-1241Accepts New Patients YHospital Affiliation NA

TRIANA CONCEPCION Nelcy MMiami Dental Care Inc(305) 267-3751Prov No 0000011055985771 Nw 7th StMiami FL 33126Language SpanishGender FemaleNPI 1932429461License DN19017License Type DBP DentistBoard Certified Not ReportedEmail miamidcaregroupcomFaxAccepts New Patients YHospital Affiliation NA

224 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)TRUJILLO MadeleneAlfredo Corpas Dds Pa(305) 264-0747Prov No 0000004623766741 Coral Way Ste 14Miami FL 33155Gender FemaleNPI 1881835767License DN18770License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

TRUJILLO ZuzelZuzel Trujillo Dmd(305) 223-2828Prov No 00000153702313323 Sw 42nd StMiami FL 33175Gender FemaleNPI 1285860353License DN18673License Type DBP DentistBoard Certified Not ReportedEmail trujillodmdgmail comFax (305) 223-1459Accepts New Patients YHospital Affiliation NA

TYDIR MichelleDental Associates of KendallDds Pa(305) 271-2254Prov No 00001059617011400 N Kendall Dr Ste 207Miami FL 33176Gender FemaleNPI 1326296278License DN17741License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-0279Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)UBIETA ARBESU EduardoSunset Family amp CosmeticDentistry Pllc(305) 596-2815Prov No 0000120440579777 Sw 72nd St Miami FL 33173Language SpanishGender MaleNPI 1477992436License DN20181License Type DBP DentistBoard Certified Not ReportedEmail drubietaoutlook comFax (305) 596-1820Accepts New Patients YHospital Affiliation NA

UCROS Maria JHammocks Dental Center Pa(305) 387-5700Prov No 0000124490139280 Hammocks Blvd Ste 102Miami FL 33196Language SpanishGender FemaleNPI 1366833212License DN21212License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 387-6566Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124626366820 Bird RdMiami FL 33155Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VALDES Martha BFamily amp Cosmetic Dentistry(305) 387-4954Prov No 00001204917713706 Sw 56th St Ste 201 Miami FL 33175Language SpanishGender FemaleNPI 1649605585License DN20482License Type DBP DentistBoard Certified NEmail fcdcollazoyahooc omFax (305) 387-7023Accepts New Patients YHospital Affiliation NA

VALDES VivianVnd Corp(305) 669-6111Prov No 0000000191956840 Bird Rd Ste 207A Miami FL 33155Language SpanishGender FemaleNPI 1689681108License DN14228License Type DBP DentistBoard Certified Not ReportedEmail drvivianvaldesgmailcomFaxAccepts New Patients YHospital Affiliation NA

VALDES CASTELLANOS LissetDental Family Center Llc(305) 552-0702Prov No 0000128527499584 Sw 40th StMiami FL 33165Gender FemaleNPI 1437543105License DN22898License Type DBP DentistBoard Certified Not ReportedEmail dentalfamilycenteryahoocomFax (305) 552-0709Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VANDENEDES WilliamWilliam Vandenedes Dds(305) 264-4008Prov No 0000000184438163 Bird RdMiami FL 33155Gender MaleNPI 1457563975License DN13280License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-9716Accepts New Patients YHospital Affiliation NA

VASALLO FranciscoVasallo Dental Office(305) 552-5340Prov No 0000000189588782A Sw 8th St Miami FL 33174Gender MaleNPI 1730207077License DN11722License Type DBP DentistBoard Certified Not ReportedEmail drvasalloaolcomFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764116820 Bird RdMiami FL 33155Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

225GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VAZQUEZ Humberto JHumberto D Vazquez Dds(305) 541-4677Prov No 0000001449582742 Sw 8th St Ste 220Miami FL 33135Gender MaleNPI 1558503896License DN12425License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 541-3416Accepts New Patients YHospital Affiliation NA

VAZQUEZ Humberto JUltra Dental Care Inc(305) 835-0413Prov No 0000122107906801 Sw 8th StMiami FL 33144Gender MaleNPI 1558503896License DN12425License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 456-2118Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(305) 856-2300Prov No 0000124563562375 Sw 27th Ave Miami FL 33145Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VAZQUEZ Jorge EGateway Dental Inc(305) 552-1553Prov No 00001248668611880 Sw 40th St Ste 215 Miami FL 33175Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(305) 944-4373Prov No 0000124866881400 Ne Miami Gardens Dr Ste 201Miami FL 33179Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

VAZQUEZ Jorge EGateway Dental Inc(305) 325-0050Prov No 0000129087151050 Nw 14th St Ste 9BMiami FL 33136Language SpanishGender MaleNPI 1417163718License DN12426License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VENTO YosvanyGateway Dental Inc(305) 944-4373Prov No 0000125197931400 Ne Miami Gardens Dr Ste 201Miami FL 33179Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

VENTO YosvanyGateway Dental Inc(305) 552-1553Prov No 00001251989911880 Sw 40th St Ste 215 Miami FL 33175Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

VENTO YosvanyGateway Dental Inc(305) 856-2300Prov No 0000125199052375 Sw 27th Ave Miami FL 33145Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VENTO YosvanyGateway Dental Inc(305) 325-0050Prov No 0000129087201050 Nw 14th St Ste 9BMiami FL 33136Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VENTO YosvanyGateway Dental Inc(305) 325-0050Prov No 0000129218091050 Nw 14th St Ste 204Miami FL 33136Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764126820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

226 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VIDAL Maria CBest Smile Dental Care Corp(786) 517-6127Prov No 0000127030761380 Ne Miami Gardens DrSte 132Miami FL 33179Language SpanishGender FemaleNPI 1780749473License DN16229License Type DBP DentistBoard Certified Not ReportedEmail bestsmiledental1gmailcomFax (305) 847-0184Accepts New Patients YHospital Affiliation NA

VIEGO RebecaDental Options Pa(305) 466-1804Prov No 0000128402172999 Ne 191st St Ste 804Miami FL 33180Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 466-2889Accepts New Patients YHospital Affiliation NA

VIEGO RebecaDental Options Pa(305) 892-2960Prov No 00001290937611645 Biscayne Blvd Ste 2 04Miami FL 33181Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmail credentialingdentaloptionspacomFax (305) 891-2121Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VIEGO RebecaSofia Fontecilla Dds Pa(786) 353-0735Prov No 0000130029823220 S Dixie Hwy Ste 101Miami FL 33133Language SpanishGender FemaleNPI 1053654475License DN20534License Type DBP DentistBoard Certified Not ReportedEmail infococnutgrovesdentalcomFax (305) 255-9165Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764136820 Bird RdMiami FL 33155Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VILLANUEVA Lourdes MLourdes M Villanueva Dmd(305) 552-6969Prov No 00000002438311760 Sw 40th St Ste 112 Miami FL 33175Gender FemaleNPI 1093800054License DN12530License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 552-6775Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VILLAREAL Ruben DDental Specialty Center atBaptist(305) 275-8875Prov No 0000126460268940 N Kendall Dr Ste 1001EMiami FL 33176Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 598-0315Accepts New Patients YHospital Affiliation NA

VILLAREAL Ruben DDental Center at Baptist Pa(305) 271-3001Prov No 0000129218768940 N Kendall Dr Ste 1005EMiami FL 33176Gender MaleNPI 1255860706License DN22675License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 271-5077Accepts New Patients YHospital Affiliation NA

VINUELA LarryFloridian Dental at Sunset Llc(305) 388-9229Prov No 00001298153815124 Sunset DrMiami FL 33193Language SpanishGender MaleNPI 1356515035License DN19253License Type DBP DentistBoard Certified Not ReportedEmail picassodental24gmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)VUELTA FloralbaCoral Reef Dental Ctr(305) 235-4075Prov No 00000001833514981 S Dixie Hwy Miami FL 33176Gender FemaleNPI 1275930570License DN11392License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

WATSON-HAMILTON Sheri SCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125929523831 Grand AveMiami FL 33133Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(786) 245-2700Prov No 0000125546293831 Grand AveMiami FL 33133Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmailFax (786) 245-2733Accepts New Patients YHospital Affiliation NA

227GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(786) 231-0800Prov No 00001255465513540 Sw 135th AveMiami FL 33186Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (786) 231-0805Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 0000129439555361 Nw 22nd AveMiami FL 33142Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 418-2759Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community Health(305) 637-6400Prov No 00001294395618360 Nw 7th Ave Miami FL 33169Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 654-5826Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 637-6400Prov No 000012945510217 Nw 15th StMiami FL 33136Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFaxAccepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthCenter Inc(305) 636-3336Prov No 0000129798525607 Nw 27th Ave Ste 2 Miami FL 33142Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-3350Accepts New Patients YHospital Affiliation NA

WILSON Dwight EDwight E Wilson Dds Pa(305) 757-0541Prov No 0000001214024301 Nw 7th AveMiami FL 33127Gender MaleNPI 1295859171License DN7765License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 757-0541Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)YU Cynthia WSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764166820 Bird RdMiami FL 33155Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of West Miami Pllc(786) 476-8711Prov No 0000124856576820 Bird RdMiami FL 33155Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

YUSMAN-WIRTH LindaFalls Dental Care Group(305) 255-5550Prov No 0000000200528729 Sw 136th St Miami FL 33176Gender FemaleNPI 1598082885License DN10419License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 255-5560Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ZAMORA Lyan TGateway Dental Inc(305) 944-4373Prov No 0000125180791400 Ne Miami Gardens Dr Ste 201Miami FL 33179Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail nmbgatewaydentalinccomFax (786) 655-8808Accepts New Patients YHospital Affiliation NA

ZAMORA Lyan TGateway Dental Inc(305) 856-2300Prov No 0000125181152375 Sw 27th Ave Miami FL 33145Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail miamigatewaydentalinccomFax (305) 856-0921Accepts New Patients YHospital Affiliation NA

ZAMORA Lyan TGateway Dental Inc(305) 552-1553Prov No 00001251813111880 Sw 40th St Ste 215 Miami FL 33175Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmail kendallgatewaydentalinccomFax (786) 577-2299Accepts New Patients YHospital Affiliation NA

228 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI (Cont)ZAMORA Lyan TGateway Dental Inc(305) 856-2300Prov No 0000128762111050 Nw 14th St Ste 204Miami FL 33136Language SpanishGender FemaleNPI 1194008797License DN19343License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 325-0935Accepts New Patients YHospital Affiliation NA

ZUNIGA Juan CAlfredo Corpas Dds Pa(305) 264-0747Prov No 0000013100266741 Coral Way Ste 14Miami FL 33155Gender MaleNPI 1033384235License DN14804License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 264-0595Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of West Miami Pllc(786) 476-8711Prov No 0000121764176820 Bird RdMiami FL 33155Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH

ABDEL-JABBAR Sana HSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012457906227 71st St Miami Beach FL 33141Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192564227 71st St Miami Beach FL 33141Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012212120227 71st St Miami Beach FL 33141Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)BRATMAN JerrySage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192490227 71st St Miami Beach FL 33141Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000000736258227 71st St Miami Beach FL 33141Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CERRUD Ginette HMiami Beach Comm HealthCenter(305) 538-8835Prov No 000001301554710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1720093412License DN12873License Type DBP DentistBoard Certified NEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)CHILDERS Carmen DSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012201454227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193036227 71st St Miami Beach FL 33141Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192637227 71st St Miami Beach FL 33141Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

229GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)CRUZ Antonio RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193071227 71st St Miami Beach FL 33141Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012242638227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DE LIMA Anacaona CMiami Beach Dental Center(305) 532-1728Prov No 000000342943975 Arthur Godfrey Rd Ste 306Miami Beach FL 33140Gender FemaleNPI 1841413267License DN16152License Type DBP DentistBoard Certified Not ReportedEmail miamibeachdentalhotmailcomFax (305) 532-1729Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)DELCASTILLO Daniel ADaniel Del Castillo Dmd Pa(305) 535-3113Prov No 000000028598925 Arthur Godfrey Rd Ste302Miami Beach FL 33140Gender MaleNPI 1235135716License DN12306License Type DBP DentistBoard Certified Not ReportedEmail ericnaiermanyahoocomFax (305) 535-3138Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012436389227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193037227 71st St Miami Beach FL 33141Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)DUARTE BeatrizSage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012212118227 71st St Miami Beach FL 33141Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012192639227 71st St Miami Beach FL 33141Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012585932227 71st St Miami Beach FL 33141Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)EXPOSITO ArielMiami Beach Dental Center(305) 674-0095Prov No 000001089806333 W 41st St Ste 818Miami Beach FL 33140Gender FemaleNPI 1508177577License DN19078License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192695227 71st St Miami Beach FL 33141Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192487227 71st St Miami Beach FL 33141Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

230 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192638227 71st St Miami Beach FL 33141Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192481227 71st St Miami Beach FL 33141Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GITRON BEER MarianaMiami Beach Dental Associates(305) 532-1728Prov No 000012126401975 Arthur Godfrey Rd Ste306Miami Beach FL 33140Gender FemaleNPI 1336438068License DN18468License Type DBP DentistBoard Certified Not ReportedEmail miamibeachdentalhotmailcomFax (305) 532-1729Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)GONZALES AngelicaSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012195158227 71st St Miami Beach FL 33141Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ Carmen LMiami Beach CommunityHealth Center Inc(305) 538-8835Prov No 000013157981710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1285110718License DN23700License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (305) 938-4044Accepts New Patients YHospital Affiliation NA

GONZALEZ Jovani MMiami Beach CommunityHealth Center Inc(305) 538-8835Prov No 000013071568710 Alton RdMiami Beach FL 33139Gender MaleNPI 1700362076License DN23653License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (305) 938-4044Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)GREEN BeverlySage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012204450227 71st St Miami Beach FL 33141Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192635227 71st St Miami Beach FL 33141Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012510188227 71st St Miami Beach FL 33141Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)IRVING Bizu NMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012747266710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1245588664License DN20237License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

JOFFRE John AMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012518092710 Alton RdMiami Beach FL 33139Gender MaleNPI 1841348208License DN8881License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012242637227 71st St Miami Beach FL 33141Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

231GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)KRAJEWSKI Helena JMain St Childrens Dentistry ofMiami Beach Pllc(305) 921-4601Prov No 0000120965644308 Alton Rd Ste 930Miami Beach FL 33140Gender FemaleNPI 1356670988License DN18852License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LAURENCE PeterMiami Beach Comm HealthCenter(305) 538-8835Prov No 000001215287710 Alton RdMiami Beach FL 33139Gender MaleNPI 1700962065License DN6875License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012444957227 71st St Miami Beach FL 33141Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)LEPORE KrystinaSage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012192631227 71st St Miami Beach FL 33141Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012212119227 71st St Miami Beach FL 33141Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOPEZ Alexander OAlexander Oscar Lopez(305) 674-0200Prov No 0000017007271235 Alton RdMiami Beach FL 33139Gender MaleNPI 1326224130License DN13015License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-7346Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)MA RobertSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192559227 71st St Miami Beach FL 33141Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MARTINEZ Tamara TMiami Beach Dental Center(305) 674-0095Prov No 000000462421333 W 41st St Ste 818Miami Beach FL 33140Language SpanishGender FemaleNPI 1881727717License DN17684License Type DBP DentistBoard Certified NEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

MAYA MartinSouth Beach Dentistry Inc(305) 532-6795Prov No 000012604014407 Lincoln Rd Ste 700 Miami Beach FL 33139Language SpanishGender MaleNPI 1790046233License DN20090License Type DBP DentistBoard Certified Not ReportedEmail southbeachdentistrygmailcomFax (305) 397-8396Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)MONCRIEFFE Tiffany ISage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012816896227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192685227 71st St Miami Beach FL 33141Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PENA Maria LMiami Beach Dental Center(305) 674-0095Prov No 000005059863333 W 41st St Ste 818Miami Beach FL 33140Gender FemaleNPI 1427305796License DN19909License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

232 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)PLANES Alex ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193068227 71st St Miami Beach FL 33141Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PORRAS Lori BMiami Beach Dental Center(305) 532-1728Prov No 000012031652975 Arthur Godfrey Rd Ste 306Miami Beach FL 33140Language SpanishGender FemaleNPI 1750636569License DN19624License Type DBP DentistBoard Certified Not ReportedEmail miamibeachdentalhotmailcomFax (305) 532-1729Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192482227 71st St Miami Beach FL 33141Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)RANGARAJAN TheyyarMiami Beach Dental Center(305) 674-0095Prov No 000012130375333 W 41st St Ste 818Miami Beach FL 33140Gender MaleNPI 1003029489License DN14363License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193070227 71st St Miami Beach FL 33141Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193073227 71st St Miami Beach FL 33141Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)RING Stephen GSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012242628227 71st St Miami Beach FL 33141Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Hernan MMiami Beach Comm HealthCenter(305) 538-8835Prov No 000001301546710 Alton RdMiami Beach FL 33139Gender MaleNPI 1003950502License DN15859License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012492657227 71st St Miami Beach FL 33141Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)SAIDI ArdavanSofi Dental Care ampOrthodontics(305) 534-4440Prov No 000000375101119 Washington Ave Ste 60 1Miami Beach FL 33139Gender MaleNPI 1922296524License DN16061License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 534-0444Accepts New Patients YHospital Affiliation NA

SANTEIRO AlfredoDr Alfredo Santeiro(305) 672-9698Prov No 0000006321282555 Collins Ave Ste C3 Miami Beach FL 33140Gender MaleNPI 1669602629License DN12959License Type DBP DentistBoard Certified NEmail drasanteirogmailcomFaxAccepts New Patients YHospital Affiliation NA

SAUER Mark JMiami Beach Dental Center(305) 674-0095Prov No 000000432025333 W 41st St Ste 818Miami Beach FL 33140Gender MaleNPI 1093889933License DN18427License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 674-1553Accepts New Patients YHospital Affiliation NA

233GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)SCARFONE MelanieSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193076227 71st St Miami Beach FL 33141Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193040227 71st St Miami Beach FL 33141Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Miami Beach at71st St(305) 866-2933Prov No 000012192562227 71st St Miami Beach FL 33141Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)STRONG Shanice De OnaSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012454309227 71st St Miami Beach FL 33141Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SUDACK Peter AMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012518089710 Alton RdMiami Beach FL 33139Gender MaleNPI 1659691764License DN19564License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

TELLEZ-ARMENTEROS Ana MMiami Beach Comm HealthCenter(305) 538-8835Prov No 000012985220710 Alton RdMiami Beach FL 33139Gender FemaleNPI 1356828008License DN23703License Type DBP DentistBoard Certified Not ReportedEmail jbassimbchccomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)UBIETA ARBESU EduardoSunset Family amp CosmeticDentistry Pllc(305) 531-0063Prov No 000012430420830 Washington AveMiami Beach FL 33139Language SpanishGender MaleNPI 1477992436License DN20181License Type DBP DentistBoard Certified Not ReportedEmail sobesmiles830gmailcomFax (305) 532-2983Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012462658227 71st St Miami Beach FL 33141Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VALLS SandorMia Dental Corp(305) 532-6795Prov No 000013491658407 Lincoln Rd Ste 700Miami Beach FL 33139Gender MaleNPI 1194255539License DN22731License Type DBP DentistBoard Certified Not ReportedEmail southbeachdentistrygmailcomFax (305) 397-8396Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)VERA Anny BSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193066227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192489227 71st St Miami Beach FL 33141Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012193067227 71st St Miami Beach FL 33141Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

234 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI BEACH (Cont)YU Joyce WSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012485402227 71st St Miami Beach FL 33141Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Miami Beach at71st Street Pllc(305) 866-2933Prov No 000012192485227 71st St Miami Beach FL 33141Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI GARDENS

BOERAS GARCIA SuibelDental Excellence Partners Llc(305) 914-9740Prov No 0000128620165190 Nw 169 St Ste 109Miami Gardens FL 33014Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)BRODY Robert AGreat Expressions DentalCenters(305) 624-1371Prov No 00000001859017301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

CARDENAS SARRACINO Astrid HGreat Expressions DentalCenters(305) 624-1371Prov No 00001281619617301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1962831644License DN21523License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

CORRALES-IGLESIAS Luisa YMiami Gardens Dental Inc(305) 625-8272Prov No 0000003878014538 Nw 183rd St Miami Gardens FL 33055Language SpanishGender FemaleNPI 1861546277License DN17100License Type DBP DentistBoard Certified Not ReportedEmail mgdentalcentergmailcomFax (305) 290-3194Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)DAGAN ShacharGreat Expressions DentalCenters(305) 624-1371Prov No 00001216446317301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1447632542License DN21396License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

DIAZ YanetGreat Expressions DentalCenters(305) 624-1371Prov No 00001212732517301 Nw 27th AveMiami Gardens FL 33056Language SpanishGender FemaleNPI 1215376934License DN20123License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

DVORKIN BorisGreat Expressions DentalCenters(305) 624-1371Prov No 00000114776017301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1740419464License DN18682License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)GARCIA RicardoGreat Expressions DentalCenters(305) 624-1371Prov No 00000063103617301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1184700783License DN14737License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

HERNANDEZ-ABREU LuisGcf Dental amp MedicalManagement(305) 974-5175Prov No 00000181990317560 Nw 27th Ave Ste 101Miami Gardens FL 33056Gender MaleNPI 1902296452License DN13557License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 974-5775Accepts New Patients YHospital Affiliation NA

MARTINEZ Jose MJeps Dental Group Llc(305) 627-3402Prov No 00001261320019517 Nw 57th AveMiami Gardens FL 33055Language SpanishGender MaleNPI 1467511006License DN13951License Type DBP DentistBoard Certified Not ReportedEmail jepsdentalgroupgmailcomFax (305) 974-4296Accepts New Patients YHospital Affiliation NA

235GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)MARTINEZ Milton FGreat Expressions DentalCenters(305) 624-1371Prov No 00001213761317301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1346326972License DN17433License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

PEREZ-SOLAR Juan EJeps Dental Group Llc(305) 627-3402Prov No 00001260941919517 Nw 57th AveMiami Gardens FL 33055Gender MaleNPI 1770658304License DN15474License Type DBP DentistBoard Certified Not ReportedEmail jepsdentalgroupgmailcomFax (305) 974-4296Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Mayra LGreat Expressions DentalCenters(305) 624-1371Prov No 00001213749117301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1972703254License DN18010License Type DBP DentistBoard Certified NEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)SAENZ Manuel OGreat Expressions DentalCenters(305) 624-1371Prov No 00000034905517301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1245310515License DN14784License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

SCOTT Tessa FGreat Expressions DentalCenters(305) 624-1371Prov No 00000001860217301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1396821948License DN16102License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

SIEGEL Tara LGreat Expressions DentalCenters(305) 624-1371Prov No 00000113842417301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1487882379License DN18723License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI GARDENS (Cont)SIERRA-DUQUE Pablo JGreat Expressions DentalCenters(305) 624-1371Prov No 00000044924317301 Nw 27th AveMiami Gardens FL 33056Gender MaleNPI 1841356847License DN17835License Type DBP DentistBoard Certified NEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RGreat Expressions DentalCenters(305) 624-1371Prov No 00000165718617301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

YANES MarnieGreat Expressions DentalCenters(305) 624-1371Prov No 00001217862517301 Nw 27th AveMiami Gardens FL 33056Gender FemaleNPI 1407236052License DN21238License Type DBP DentistBoard Certified Not ReportedEmail allcredentialingemailgreatexpressionscomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES

APONTE-BARRIOS SecilDental Excellence Partners Llc(786) 507-3454Prov No 0000129777245190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

ARDILA VELOSA LeonardoCarlos Quilichini Dds(305) 557-5775Prov No 00001224962815436 Nw 77th Ct Miami Lakes FL 33016Language SpanishGender MaleNPI 1851683759License DN20109License Type DBP DentistBoard Certified Not ReportedEmail miguetrustdental netFax (305) 557-7284Accepts New Patients YHospital Affiliation NA

BLAY Marina MCarlos Quilichini Pa(305) 557-5775Prov No 00001224816615436 Nw 77th Ct Miami Lakes FL 33016Language Chinese SlovakSpanishGender FemaleNPI 1932425972License 12269License Type DBP DentistBoard Certified Not ReportedEmail miguetrustdental netFax (305) 557-7284Accepts New Patients YHospital Affiliation NA

236 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)BLAY Marina MBest Family Dental(305) 624-4114Prov No 0000123364105190 Nw 167th St Ste 216Miami Lakes FL 33014Language Chinese SlovakSpanishGender FemaleNPI 1932425972License 12269License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelDental Excellence Partners Llc(786) 507-3454Prov No 0000129703295190 Nw 167th StMiami Lakes FL 33014Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

BOERAS GARCIA SuibelEast Coast Family Dental Pa(305) 914-9740Prov No 0000130369995190 Nw 167th St Ste 109Miami Lakes FL 33014Gender FemaleNPI 1063939890License DN22998License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)BRETOS Alexander LRoyal Dental Oaks Partners Llc(305) 822-7332Prov No 00000001974715502 Nw 77th Ct Miami Lakes FL 33016Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmail royaloaksdental01gmailcomFax (305) 822-7281Accepts New Patients NHospital Affiliation NA

BRETOS Alexander LRoyal Oaks Dental(305) 822-7332Prov No 00000001974715502 Nw 77th Ct Miami Lakes FL 33016Language SpanishGender MaleNPI 1790893030License DN11940License Type DBP DentistBoard Certified Not ReportedEmail royaloaksdental01gmailcomFax (305) 822-7281Accepts New Patients NHospital Affiliation NA

BROWN KevinAffiliated Dental Specialists Pl(786) 319-9057Prov No 00001251206516010 Nw 57th Ave Ste 106-108Miami Lakes FL 33014Gender MaleNPI 1851848295License DN16672License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CABRERA LadysLadys Cabrera(305) 556-7595Prov No 0000001259476500 Cow Pen Rd Ste 203Miami Lakes FL 33014Gender FemaleNPI 1629185509License DN14268License Type DBP DentistBoard Certified Not ReportedEmail drladyscabrerapayahoocomFax (305) 556-7597Accepts New Patients YHospital Affiliation NA

CABRERA MoisesMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000001815415450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1326196163License DN15114License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

CANO Lourdes MDental Excellence Partners Llc(786) 507-3454Prov No 0000129699505190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1093867947License DN15630License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CARBALLO MauroDental Excellence Partners Llc(786) 507-3454Prov No 0000132580865190 Nw 167th StMiami Lakes FL 33014Gender MaleNPI 1508200635License DN21572License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CARBALLO RodolfoMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000022682015450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1235466269License DN16140License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

CARPIO JesusDental Dreams Llc(305) 625-9777Prov No 0000003278225632 Nw 167th St Miami Lakes FL 33014Gender MaleNPI 1932281961License DN16291License Type DBP DentistBoard Certified Not ReportedEmail dentaldreams1bellsouthnetFaxAccepts New Patients YHospital Affiliation NA

237GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CASTELLANOS AlinaMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000182483115450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender FemaleNPI 1720114317License DN11783License Type DBP DentistBoard Certified NEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

CASTELLANOS NicholasDental Excellence Partners Llc(786) 507-3454Prov No 0000131579995190 Nw 167th StMiami Lakes FL 33014Gender MaleNPI 1497228621License DN23886License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

CHECA XimenaEast Coast Family Dental Pa(305) 914-9740Prov No 0000128903305190 Nw 167th St Ste 109Miami Lakes FL 33014Gender FemaleNPI 1356861405License DN22545License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)COLLAZO Ralph CRalph Collazo(305) 822-7332Prov No 00000010607115502 Nw 77th Ct Miami Lakes FL 33016Gender MaleNPI 1720155955License DN12295License Type DBP DentistBoard Certified Not ReportedEmail royaloaksdental01gmailcomFax (305) 822-7281Accepts New Patients YHospital Affiliation NA

CORCHO MARTELL DayneEast Coast Family Dental Pa(305) 914-9740Prov No 0000128665875190 Nw 167th St Ste 109Miami Lakes FL 33014Gender FemaleNPI 1558607499License DN21086License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

CORREA AnelysDr Ladys Cabrera Dmd Pa(305) 556-7595Prov No 0000121301116500 Cow Pen Rd Ste 203Miami Lakes FL 33014Gender FemaleNPI 1902117591License DN19129License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 556-7597Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)CRUZ YarelieDental Excellence Partners Llc(786) 507-3454Prov No 0000129699515190 Nw 167th StMiami Lakes FL 33014Gender FemaleNPI 1124433305License DN20061License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DOMINGUEZ REVERON IvelisseDental Excellence Partners Llc(786) 507-3454Prov No 0000129699525190 Nw 167th StMiami Lakes FL 33014Gender FemaleNPI 1386098655License DN22454License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

DROBES DavidBest Family Dental(305) 624-4115Prov No 0000006355075190 Nw 167th St Ste 216Miami Lakes FL 33014Gender MaleNPI 1861680340License DN6340License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)ERRO Juan CMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000001814615450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1205161742License DN9599License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

FAGET DavidMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000017957615450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1811224397License DN16328License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

FIGUEROA Celia CMain StreetChildren[e67320]Dentistry ofMiami Lakes(305) 921-4601Prov No 00001250010115501 Nw 67th Ave Ste 201Miami Lakes FL 33014Gender FemaleNPI 1497962658License DN13937License Type DBP DentistBoard Certified Not ReportedEmail sgomezdentalcarealliancecomFaxAccepts New Patients YHospital Affiliation NA

238 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)GALLO Don AMain Street Orthodontics ofMiami Lakes(305) 823-8831Prov No 00001274637715600 Nw 67th Ave Ste 110Miami Lakes FL 33014Gender MaleNPI 1831109487License DN20050License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 823-8799Accepts New Patients YHospital Affiliation NA

GHERBALI Alexandra DAlexandra D Gherbali Dds Pa(305) 512-0066Prov No 0000004399567415 Miami Lakes DrMiami Lakes FL 33014Gender FemaleNPI 1386841690License DN17624License Type DBP DentistBoard Certified Not ReportedEmail adolfoall-dentalgroupcomFax (305) 826-5466Accepts New Patients YHospital Affiliation NA

GONZALEZ GiovanniDental Excellence Partners Llc(786) 507-3454Prov No 0000129715325190 Nw 167th StMiami Lakes FL 33014Language SpanishGender MaleNPI 1417436189License DN23529License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)GONZALEZ SusanaSweet Smile Dental(786) 536-9411Prov No 00001262399616010 Nw 57th Ave Ste 130Miami Lakes FL 33014Language SpanishGender FemaleNPI 1457654824License DN17960License Type DBP DentistBoard Certified Not ReportedEmail sweetsmiledrggmailcomFax (305) 515-3997Accepts New Patients YHospital Affiliation NA

HERNANDEZ Rutsie AMiami Lakes Dental Associates(305) 392-1158Prov No 0000125601077975 Nw 154th St Ste 260Miami Lakes FL 33016Language SpanishGender FemaleNPI 1245338565License DN14185License Type DBP DentistBoard Certified Not ReportedEmail infomiamilakessmilescomFax (786) 631-3524Accepts New Patients YHospital Affiliation NA

HERNANDEZ Stephanie MDental Excellence Partners Llc(786) 507-3454Prov No 0000129777215190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1669751871License DN19522License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

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 SpanishGender FemaleNPI 1699020347License DN19881License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

LABRADA LiudmilaLiudmila Labrada(305) 231-1820Prov No 00000018986915525 Bull Run RdMiami Lakes FL 33014Gender FemaleNPI 1972670123License DN15573License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 231-1838Accepts New Patients YHospital Affiliation NA

MADERAL Martha EPalmetto Smile Center(305) 827-3926Prov No 0000000183026500 Cow Pen Rd Ste 104 Miami Lakes FL 33014Gender FemaleNPI 1497870083License DN11118License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)MARTINEZ ErnestoRobert A Del Castillo Dmd(305) 556-7010Prov No 0000020881357735 Nw 146th St Ste 104 Miami Lakes FL 33016Language SpanishGender MaleNPI 1740341106License DN17582License Type DBP DentistBoard Certified Not ReportedEmail welcomecenterdrperionetFax (305) 231-3984Accepts New Patients YHospital Affiliation NA

NAVARRO RebeccaRobert A Del Castillo Dmd(305) 556-7010Prov No 0000122042657735 Nw 146th St Ste 104Miami Lakes FL 33016Gender FemaleNPI 1689083834License DN20999License Type DBP DentistBoard Certified Not ReportedEmail welcomecenterdrperionetFaxAccepts New Patients YHospital Affiliation NA

PERALTA Johnny LMiami Lakes CosmeticDentistryProv No 0000127041016600 Cow Pen Rd Ste 240 Miami Lakes FL 33014Language SpanishGender MaleNPI 1396179701License DN20996License Type DBP DentistBoard Certified Not ReportedEmail miamilakescosmeticdentistrygmailcomFaxAccepts New Patients YHospital Affiliation NA

239GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)QUILICHINI Carlos ACarlos Quilichini Dds(305) 557-5775Prov No 00000037422315436 Nw 77th Ct Miami Lakes FL 33016Gender MaleNPI 1700079399License DN11673License Type DBP DentistBoard Certified Not ReportedEmail miguetrustdental netFax (305) 557-7284Accepts New Patients YHospital Affiliation NA

QUINTERO Juan MBest Family Dental(305) 624-4114Prov No 0000121734925190 Nw 167th St Ste 216Miami Lakes FL 33014Language SpanishGender MaleNPI 1710298302License DN19085License Type DBP DentistBoard Certified Not ReportedEmail larizadentalgmailcomFax (305) 624-4319Accepts New Patients YHospital Affiliation NA

REYES Christina MDental Excellence Partners Llc(786) 507-3454Prov No 0000129777225190 Nw 167th StMiami Lakes FL 33014Language SpanishGender FemaleNPI 1679931000License DN22999License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)REYES Miguel ADental Excellence Partners Llc(786) 507-3454Prov No 0000129656675190 Nw 167th StMiami Lakes FL 33014Gender MaleNPI 1407948482License DN11150License Type DBP DentistBoard Certified Not ReportedEmail ourmemberservicescanohealthcomFaxAccepts New Patients YHospital Affiliation NA

RIVERA Lina NEast Coast Family Dental Pa(305) 914-9740Prov No 0000128665185190 Nw 167th St Ste 109Miami Lakes FL 33014Language SpanishGender FemaleNPI 1760908743License DN23007License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Nury ELakes Dental Pa(305) 646-1630Prov No 0000015349306710 Main St Ste 131Miami Lakes FL 33014Gender FemaleNPI 1649472150License DN17930License Type DBP DentistBoard Certified Not ReportedEmail lakesdentalyahoocomFax (305) 646-1284Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI LAKES (Cont)SOROPOULOS GeorgeMiami Lakes Dental HealthCenter(305) 557-7775Prov No 00000063164315450 New Barn Rd Ste 101 Miami Lakes FL 33014Gender MaleNPI 1255472783License DN15874License Type DBP DentistBoard Certified Not ReportedEmail miamilakesdentalattnetFaxAccepts New Patients YHospital Affiliation NA

STREETT RosarioDental Excellence Partners Llc(305) 914-9740Prov No 0000130955065190 Nw 167th St Ste 109Miami Lakes FL 33014Language SpanishGender FemaleNPI 1801230768License DN21495License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 946-1478Accepts New Patients YHospital Affiliation NA

UCROS Maria JLakes Dental Pa(305) 646-1630Prov No 0000128408076710 Main St Ste 131Miami Lakes FL 33014Language SpanishGender FemaleNPI 1366833212License DN21212License Type DBP DentistBoard Certified Not ReportedEmail lakesdentalyahoocomFax (305) 646-1284Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES

BUSTILLO CynthiaMiami Shores ModernDentistry(786) 310-4816Prov No 0000129877029503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1457871733License DN22795License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCES CarolinaMiami Shores ModernDentistry(786) 310-4816Prov No 0000127013619503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GONZALES Nathaniel SMiami Shores ModernDentistry(714) 845-8500Prov No 0000130391669503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1528416302License DN23881License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

240 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES (Cont)GONZALES Nathaniel SMiami Shores ModernDentistry(786) 310-4816Prov No 0000130391669503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1528416302License DN23881License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

KEANE ChrisMiami Shores ModernDentistry(714) 845-8500Prov No 0000128675789503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

MAUSKAR Sagar SMiami Shores ModernDentistry(714) 845-8500Prov No 0000125899059503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1477800985License DN19913License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES (Cont)NIN Frederick JDr Frederick Nin(305) 758-8755Prov No 0000000189759425 Ne 6th Ave Miami Shores FL 33138Language SpanishGender MaleNPI 1326256934License DN13234License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 758-8740Accepts New Patients YHospital Affiliation NA

PEREZ Nelly RMiami Shores ModernDentistry(786) 310-4816Prov No 0000129835459503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

PEREZ Nelly RMiami Shores ModernDentistry(786) 310-4816Prov No 0000129835459503 Ne 2nd AveMiami Shores FL 33138Gender FemaleNPI 1063709533License DN21780License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SHORES (Cont)PHAM Minh BMiami Shores ModernDentistry(714) 845-8500Prov No 0000124511649503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1922193754License DN21177License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

SHIMANSKY Daniel AMiami Shores ModernDentistry(786) 310-4816Prov No 0000130108149503 Ne 2nd AveMiami Shores FL 33138Gender MaleNPI 1134634967License DN23092License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIAMI SPRINGS

ALVAREZ Maria JDental Group of South FloridaIII(305) 885-1357Prov No 000002160489101 Westward Dr Miami Springs FL 33166Language SpanishGender FemaleNPI 1124165303License DN17638License Type DBP DentistBoard Certified Not ReportedEmail dentalgroupsf101gmailcomFax (786) 431-5691Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

MIAMI SPRINGS (Cont)LEWKOWICZ EstherSprings Dental(305) 885-9721Prov No 000000018953657 South Dr Ste 301 Miami Springs FL 33166Gender FemaleNPI 1114097904License DN8408License Type DBP DentistBoard Certified Not ReportedEmail miamispringsdentalgmailcomFax (305) 885-9722Accepts New Patients YHospital Affiliation NA

ZAYAS FrancoisFrancois Zayas Dds Pa(305) 888-1742Prov No 000012130140373 Westward Dr Miami Springs FL 33166Language Other(Non-English) SpanishGender MaleNPI 1649453978License DN12850License Type DBP DentistBoard Certified Not ReportedEmail metricdental1stofficegmailcomFax (305) 223-8022Accepts New Patients YHospital Affiliation NA

NARANJA

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001210298913805 Sw 264th StNaranja FL 33032Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

241GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001207739113805 Sw 264th StNaranja FL 33032Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001315775213805 Sw 264th StNaranja FL 33032Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00000034159213805 Sw 264th StNaranja FL 33032Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)LANG TomasCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00000104442613805 Sw 264th StNaranja FL 33032Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001249725113805 Sw 264th StNaranja FL 33032Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedNaranja Health Center(305) 258-6813Prov No 00000085848613805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 257-5971Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)MIRANDA AlejandraNaranja Health Center(305) 258-6813Prov No 00001205980813805 Sw 264th StNaranja FL 33032Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 257-5971Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001207109813805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001268321013805 Sw 264th StNaranja FL 33032Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001307154613805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00000099751313805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

SARMIENTO Jeffrey ECommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001247389713805 Sw 264th StNaranja FL 33032Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

242 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NARANJA (Cont)WATSON-HAMILTON Sheri SNaranja Health Center(305) 258-6813Prov No 00000073552313805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 257-5971Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 258-6813Prov No 00001206019213805 Sw 264th StNaranja FL 33032Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 258-9858Accepts New Patients YHospital Affiliation NA

NORTH MIAMI

ADLER Robert MBorinquen Health Care CenterInc(786) 433-8815Prov No 000012259046708 Ne 125th StNorth Miami FL 33161Gender MaleNPI 1508996851License DN1171License Type DBP DentistBoard Certified Not ReportedEmail gtabetborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)ALDAMA-ESPINOSA EvelynAldama Dental Group Pa(786) 542-0421Prov No 000012657163645 Ne 127th StNorth Miami FL 33161Gender FemaleNPI 1275976771License DN17045License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ALVAREZTORRE GloriaGloria Alvareztorre(305) 892-1515Prov No 00000002538611645 Biscayne Blvd Ste 4 06North Miami FL 33181Gender FemaleNPI 1336225259License DN13515License Type DBP DentistBoard Certified Not ReportedEmail dralvareztorre406gmailcomFax (305) 893-0886Accepts New Patients YHospital Affiliation NA

BAKER Amira MRonia Baker Dds(305) 899-7979Prov No 0000039103391075 Ne 125th St Ste 201North Miami FL 33161Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmail beautifulsmileslesliegmailcomFax (305) 899-2880Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)BERNKRANT ShannaShanna Bernkrant(305) 893-4801Prov No 00001212726112404 W Dixie HwyNorth Miami FL 33161Language SpanishGender FemaleNPI 1366730236License DN19628License Type DBP DentistBoard Certified YEmail allsmiles33161gmailcomFax (305) 675-3743Accepts New Patients YHospital Affiliation NA

CERRUD Ginette HMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251814611645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender FemaleNPI 1720093412License DN12873License Type DBP DentistBoard Certified NEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

GONZALEZ Carmen LMiami Beach CommunityHealth Center Inc(305) 538-8835Prov No 00001315711911645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender FemaleNPI 1285110718License DN23700License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 938-4044Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)GONZALEZ Jovani MMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001306929211645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1700362076License DN23653License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

GUTIERREZ Carlos ABorinquen Health Care CenterInc(786) 433-8815Prov No 000012260541708 Ne 125th StNorth Miami FL 33161Gender MaleNPI 1861756603License DN19839License Type DBP DentistBoard Certified YEmail gtabetborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

IRVING Bizu NMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251781511645 Biscayne Blvd Ste 2 07North Miami FL 33181Gender FemaleNPI 1245588664License DN20237License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 532-5766Accepts New Patients NHospital Affiliation NA

243GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)IRVING Bizu NMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001263630411645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender FemaleNPI 1245588664License DN20237License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

JOFFRE John AMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251812511645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1841348208License DN8881License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

LAURENCE PeterMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251833711645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1700962065License DN6875License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)LOPEZ EdgarBiscayne Dental Center amp Spa(305) 945-7745Prov No 00000153630514550 Biscayne Blvd North Miami FL 33181Gender MaleNPI 1598712432License DN16385License Type DBP DentistBoard Certified NEmail biscaynedentalhotmailcomFax (305) 945-7740Accepts New Patients NHospital Affiliation NA

OSPINA Angela MSamar Dental Solutions Llc(786) 332-4500Prov No 0000129575951313 Ne 125th StNorth Miami FL 33161Gender FemaleNPI 1508042649License DN17493License Type DBP DentistBoard Certified Not ReportedEmail samardentalsolutionsgmailcomFaxAccepts New Patients YHospital Affiliation NA

PEREZ ALAMO JenniferBiscayne Dental Center and Spa(305) 945-7745Prov No 00001279908814550 Biscayne Blvd North Miami FL 33181Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmail biscaynedentalhotmailcomFax (305) 945-7740Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)RODRIGUEZ Hernan MMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001249503411645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1003950502License DN15859License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

SINILO-KATZ Elena MElena Katz Dmd(305) 892-0008Prov No 00000023470812955 Biscayne Blvd Ste 210North Miami FL 33181Gender FemaleNPI 1427494137License DN 15913License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 892-0018Accepts New Patients YHospital Affiliation NA

SOHEIL Michelle MBorinquen Health Care CenterInc(786) 433-8815Prov No 000012260540708 Ne 125th StNorth Miami FL 33161Gender FemaleNPI 1215014394License DN16074License Type DBP DentistBoard Certified Not ReportedEmail gtabetborinquenhealthorgFax (786) 476-2818Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)SUDACK Peter AMiami Beach Comm HealthCenter(305) 538-8835Prov No 00001251807511645 Biscayne Blvd Ste 401-403North Miami FL 33181Gender MaleNPI 1659691764License DN19564License Type DBP DentistBoard Certified Not ReportedEmail pbalthazarmiamibeachcommunityhealthcentercomFax (786) 629-5113Accepts New Patients YHospital Affiliation NA

URBINO RafaelBiscayne Dental Center Inc(305) 945-7745Prov No 00001287452014550 Biscayne Blvd North Miami FL 33181Gender MaleNPI 1629086335License DN16865License Type DBP DentistBoard Certified Not ReportedEmail biscaynedentalhotmailcomFax (305) 945-7740Accepts New Patients YHospital Affiliation NA

VOLTAPETTI Clifford EClifford E Voltapetti Dds Pa(305) 895-2191Prov No 00000001918112550 Biscayne Blvd Ste 3 07North Miami FL 33181Gender MaleNPI 1457512931License DN10187License Type DBP DentistBoard Certified Not ReportedEmail receptionvoltdentistrycomFax (305) 895-5915Accepts New Patients YHospital Affiliation NA

244 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI (Cont)WEBB MichelleDentalvana Llc(786) 516-2882Prov No 00001268478412417 Biscayne Blvd North Miami FL 33181Gender FemaleNPI 1912312554License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail infodentalvanaco mFaxAccepts New Patients YHospital Affiliation NA

NORTH MIAMI BEACH

ABDEL-JABBAR Sana HSage Dental of North MiamiBeach(305) 654-9399Prov No 000012457907850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

ADELMAN David MDavid M Adelman Dds Pa(305) 944-6669Prov No 00000001951916680 Ne 10th Ave North Miami Beach FL 33162Gender MaleNPI 1215053160License DN3881License Type DBP DentistBoard Certified Not ReportedEmail dadelmanddscomcastnetFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)AZARI Scott JSage Dental of North MiamiBeach(305) 654-9399Prov No 000001956175850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of North MiamiBeach(305) 654-9399Prov No 000004029473850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

BRATMAN JerryNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746327850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)CASAS Silvia BC amp C Dental Inc(305) 493-9371Prov No 000003379242951 Ne 167th St Ste 104North Miami Beach FL 33162Gender FemaleNPI 1912295387License DN19495License Type DBP DentistBoard Certified Not ReportedEmail cwilma516aolcomFax (305) 493-9428Accepts New Patients YHospital Affiliation NA

CASAS Silvia BC amp C Dental Inc(305) 705-2798Prov No 00001231407816777 N Miami AveNorth Miami Beach FL 33169Gender FemaleNPI 1912295387License DN19495License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 749-6890Accepts New Patients YHospital Affiliation NA

CASTILLO Juan INorthwestern ManagementServices Llc(305) 654-9399Prov No 000012151738850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)CHILDERS Carmen DNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746917850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

CORONADO EfrainNorthwestern ManagementServices Llc(305) 654-9399Prov No 000001540170850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of North MiamiBeach(305) 654-9399Prov No 000003916236850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

245GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)CRUZ Antonio RSage Dental of North MiamiBeach(305) 654-9399Prov No 000001771610850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of North MiamiBeach(305) 654-9399Prov No 000004589944850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MBdc Dental Health Inc(305) 949-2766Prov No 00001213019016125 Ne 18th AveNorth Miami Beach FL 33162Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail infonextdentalcarecomFax (305) 949-4118Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)DOOLEY Jill CSage Dental of North MiamiBeach(305) 654-9399Prov No 000012436408850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of North MiamiBeach(305) 654-9399Prov No 000001958459850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

Drubi MartinMartin Drubi(305) 948-8882Prov No 00001301428918140 Ne 19th AveNorth Miami Beach FL 33162Language SpanishGender MaleNPI 1265952642License DN22671License Type DBP DentistBoard Certified Not ReportedEmail drubidentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)DUARTE BeatrizSage Dental of North MiamiBeach(305) 654-9399Prov No 000012110542850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of North MiamiBeach(305) 654-9399Prov No 000001772229850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

EDDERAI Jean JJean-Jacques Edderai Dds Pa(305) 947-7999Prov No 00000014500117101 Ne 19th Ave Ste 104North Miami Beach FL 33162Language French HebrewSpanishGender MaleNPI 1598981227License DN12836License Type DBP DentistBoard Certified NEmail infodrjjedderaic omFax (305) 949-2913Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)ELPERIN AlexeiTin Wai Hui Dmd Pa(305) 940-9888Prov No A0000001836316209 Ne 13th Ave North Miami Beach FL 33162Gender MaleNPI 1295930063License DN15966License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

ESPINAL Licette FMlv Dental MedicalManagement Company Inc(305) 493-9371Prov No 000001234567951 Ne 167th St Ste 104North Miami Beach FL 33162Gender FemaleNPI 1629378203License DN19212License Type DBP DentistBoard Certified Not ReportedEmail cwilma516aolcomFax (305) 493-9428Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of North MiamiBeach(305) 654-9399Prov No 000012561649850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

246 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)ESPINET KUSNIER ElaineNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746950850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of North MiamiBeach(305) 654-9399Prov No 000011551579850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of North MiamiBeach(305) 654-9399Prov No 000000425271850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)FRIEND Michael JU Smile of Nmb Llc(305) 956-9996Prov No 0000126548131400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Gender MaleNPI 1518975390License DN15822License Type DBP DentistBoard Certified Not ReportedEmail lilyusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

FRIEND Michael JUsmile of Nmb Llc(305) 956-9996Prov No 0000126548131400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Gender MaleNPI 1518975390License DN15822License Type DBP DentistBoard Certified Not ReportedEmail lauradentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

GALBUT Kimberly AAli Farrokhi(305) 760-2740Prov No 0000121301802040 Ne 163rd St Ste 206 North Miami Beach FL 33162Language HebrewGender FemaleNPI 1649580747License DN15823License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 760-2740Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of North MiamiBeach(305) 654-9399Prov No 000001146386850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of North MiamiBeach(305) 654-9399Prov No 000000417557850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of North MiamiBeach(305) 654-9399Prov No 000012091374850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)GONZALES AngelicaSage Dental of North MiamiBeach(305) 654-9399Prov No 000012195159850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

GOODWIN Sharon RTin Wai Hui Dmd Pa(305) 940-9888Prov No 00001220901016209 Ne 13th Ave North Miami Beach FL 33162Gender FemaleNPI 1174800163License DN19313License Type DBP DentistBoard Certified NEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of North MiamiBeach(305) 654-9399Prov No 000012204451850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

247GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)GRUENBERG AlexJacqueline Cogan(305) 947-3439Prov No 00001282677716235 Ne 11th Ct North Miami Beach FL 33162Language Russian SpanishGender MaleNPI 1255844924License DN22951License Type DBP DentistBoard Certified Not ReportedEmail 163rddentalgmailcomFax (305) 940-0790Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of North MiamiBeach(305) 654-9399Prov No 000001216103850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

HASAN VERRETT HajarMlv Dental MedicalManagement Company Inc(305) 493-9371Prov No 000001136107951 Ne 167th St Ste 104North Miami Beach FL 33162Gender FemaleNPI 1386894715License DN18479License Type DBP DentistBoard Certified Not ReportedEmail cwilma516aolcomFax (305) 493-9428Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)HERNANDEZ RIVERA Ricardo NLeung Dental Care Inc(305) 760-2950Prov No 00001219244116200 Ne 13th AveNorth Miami Beach FL 33162Language SpanishGender MaleNPI 1730516931License DN20264License Type DBP DentistBoard Certified NEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

HODSON ShaneHodson amp Meister Pa(305) 974-6157Prov No 00001299810718333 Ne 19th AveNorth Miami Beach FL 33179Gender Not ReportedNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail infonmborthocomFax (786) 573-8120Accepts New Patients YHospital Affiliation NA

HORWITZ StevenNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746437850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)HUI Tin Wai WTin Wai Hui Dmd Pa(305) 940-9888Prov No 00000001812516209 Ne 13th Ave North Miami Beach FL 33162Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

HUTCHINSON PaulaPaula Hutchinson Dds Inc(786) 235-5120Prov No 000013039633100 Nw 170th St Ste 306North Miami Beach FL 33169Gender FemaleNPI 1801196936License DN19291License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012510150850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)JAFFE Avery CLeung Dental Care Inc(305) 760-2950Prov No 00001254160316200 Ne 13th Ave North Miami Beach FL 33162Gender FemaleNPI 1699023770License DN19941License Type DBP DentistBoard Certified NEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

JUMA ZaileenNorthwestern ManagementServices Llc(305) 654-9399Prov No 000011331755850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

LAMB NicoleNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746947850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

248 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)LEA PLAZA RodolfoLeung Dental Care Inc(305) 760-2950Prov No 00001221209716200 Ne 13th Ave North Miami Beach FL 33162Language SpanishGender MaleNPI 1932407103License DN19240License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of North MiamiBeach(305) 654-9399Prov No 000012444958850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of North MiamiBeach(305) 654-9399Prov No 000012176943850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)LONDONO Jennifer DSage Dental of North MiamiBeach(305) 654-9399Prov No 000012142473850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

LOPEZ Alexander OAstoria Dental(305) 948-8882Prov No A0000001960818140 Ne 19th AveNorth Miami Beach FL 33162Gender MaleNPI 1326224130License DN13015License Type DBP DentistBoard Certified Not ReportedEmail ewilkes14yahooco mFax (305) 948-1132Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of North MiamiBeach(305) 654-9399Prov No 000011551129850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)MOHR Eric ESage Dental of North MiamiBeach(305) 654-9399Prov No 000011771140850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany INorthwestern ManagementServices Llc(305) 654-9399Prov No 000012819509850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of North MiamiBeach(305) 654-9399Prov No 000001279595850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)NARVAEZ Jose AAntonio V Narvaez(305) 947-6453Prov No 00001233630668 Ne 167th St Ste B North Miami Beach FL 33162Gender MaleNPI 1548270184License DN13134License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of North MiamiBeach(305) 654-9399Prov No 000012128535850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of North MiamiBeach(305) 654-9399Prov No 000002023760850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

249GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)RAPPAPORT David BSage Dental of North MiamiBeach(305) 654-9399Prov No 000012172813850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

REICH Alice FU Smile of Nmb Llc(305) 956-9996Prov No 0000126548161400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Gender FemaleNPI 1497104269License DN21903License Type DBP DentistBoard Certified Not ReportedEmail lilyusmiledentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

RIEGER Eric RNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012066730850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)RING Stephen GSage Dental of North MiamiBeach(305) 654-9399Prov No 000001549141850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of North MiamiBeach(305) 654-9399Prov No 000000453870850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012523936850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)SCARFONE MelanieSage Dental of North MiamiBeach(305) 654-9399Prov No 000012175311850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

SHATHER Meriam ITin Wai Hui Dmd Pa(305) 940-9888Prov No 00000043107216209 Ne 13th Ave North Miami Beach FL 33162Gender FemaleNPI 1790973873License DN15867License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcarecenteryahoocomFax (305) 945-3354Accepts New Patients YHospital Affiliation NA

SMITH Pierre-Michel MBdc Dental Health Inc(305) 949-2766Prov No 00001213827616125 Ne 18th AveNorth Miami Beach FL 33162Gender MaleNPI 1407993322License DN9323License Type DBP DentistBoard Certified Not ReportedEmail infonextdentalcarecomFax (305) 949-4118Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)SNIDER Erica MSage Dental of North MiamiBeach(305) 654-9399Prov No 000000704671850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of North MiamiBeach(305) 654-9399Prov No 000012163509850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012454310850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

250 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)SUAREZ AlbertoLeung Dental Care Inc(305) 760-2950Prov No 00001204873916200 Ne 13th AveNorth Miami Beach FL 33162Gender MaleNPI 1427347392License DN10843License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 816-6057Accepts New Patients YHospital Affiliation NA

SWANSON Wendy EAli Farrokhi(305) 760-2740Prov No 0000121275582040 Ne 163rd St Ste 206 North Miami Beach FL 33162Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 760-2740Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012462659850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)VAZANA Todd ASage Dental of North MiamiBeach(305) 654-9399Prov No 000012146182850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

VERA Anny BNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746453850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of North MiamiBeach(305) 654-9399Prov No 000002156186850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)VILA GabrielaSage Dental of North MiamiBeach Pa(305) 654-9399Prov No 000013042970850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1164805537License DN21369License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

YANEZ BRAVO Maria AMaria A Yanez Bravo Dds(305) 945-9333Prov No 000001637445909 N Miami Beach Blvd StE 501North Miami Beach FL 33162Gender FemaleNPI 1891074183License DN19497License Type DBP DentistBoard Certified Not ReportedEmail infobravodentalc omFax (305) 945-9444Accepts New Patients YHospital Affiliation NA

YU Cynthia WNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012746719850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)YU Joyce WNorthwestern ManagementServices Llc(305) 654-9399Prov No 000012485403850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

ZEIG Dana AUsmile of Nmb Llc(305) 956-9996Prov No 0000126548151400 Ne Miami Gardens DrSte 215North Miami Beach FL 33179Language HebrewGender FemaleNPI 1497131122License DN21255License Type DBP DentistBoard Certified Not ReportedEmail lauradentalcenterscomFax (305) 956-9997Accepts New Patients YHospital Affiliation NA

ZUNIGA Juan CMiami Risa Dental Center(305) 932-6600Prov No 0000042497171829 Ne Miami Gardens DrNorth Miami Beach FL 33179Gender MaleNPI 1033384235License DN14804License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 856-3552Accepts New Patients YHospital Affiliation NA

251GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

NORTH MIAMI BEACH (Cont)ZYLBERING Jason MSage Dental of North MiamiBeach(305) 654-9399Prov No 000001194149850 Ives Dairy Rd Ste T6North Miami Beach FL 33179Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 654-9359Accepts New Patients YHospital Affiliation NA

OPA LOCKA

BARCIA Antonio RJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683024490 Opa Locka BlvdOpa Locka FL 33054Gender MaleNPI 1306052626License DN11213License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

FANDINO MayraShiny Smile Dental Care(305) 687-6880Prov No 000012192458482 Fisherman StOpa Locka FL 33054Gender FemaleNPI 1396775557License DN15967License Type DBP DentistBoard Certified Not ReportedEmail ndccorpyahoocomFax (305) 688-1661Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

OPA LOCKA (Cont)FEIZ Maria TJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012946783490 Opa Locka BlvdOpa Locka FL 33054Language SpanishGender FemaleNPI 1932615929License DN23140License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

GEORGE Deborah VJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683021490 Opa Locka BlvdOpa Locka FL 33054Gender FemaleNPI 1720149180License DN12903License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

LEBRON Vanessa EJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683039490 Opa Locka BlvdOpa Locka FL 33054Language SpanishGender FemaleNPI 1619336369License DN21713License Type DBP DentistBoard Certified Not ReportedEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

OPA LOCKA (Cont)PERDIGON-CANGAHUALA NitzaJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012683042490 Opa Locka BlvdOpa Locka FL 33054Language SpanishGender FemaleNPI 1720006174License DN10368License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

SWANSON Wendy EOpa Locka Dental Services Inc(305) 688-8393Prov No 00001215302412705 Nw 42nd Ave Ste Jj-24Opa Locka FL 33054Gender FemaleNPI 1790085819License DN19530License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RJessie Trice Community HealthSystem Inc(305) 637-6400Prov No 000012945511490 Opa Locka BlvdOpa Locka FL 33054Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail kaarteagajtchcor gFax (305) 636-5155Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY

BAKER Amira MFloridian Dental at PalmettoBay Llc(305) 255-4140Prov No 00000154709615801 S Dixie Hwy Ste SPalmetto Bay FL 33157Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BAKER Amira MFloridian Dental at PalmettoBay Llc(305) 255-4140Prov No 00001220228115801 S Dixie Hwy Ste 2 Palmetto Bay FL 33157Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmail managerfdpbgmailcomFax (305) 252-8323Accepts New Patients NHospital Affiliation NA

BAKER Amira MBeautiful Smiles Palmetto Bay(305) 459-3194Prov No 00001274722615801 S Dixie Hwy Ste BPalmetto Bay FL 33157Gender FemaleNPI 1649465089License DN18013License Type DBP DentistBoard Certified Not ReportedEmail bsmilespalmettobaygmailcomFax (305) 252-8323Accepts New Patients YHospital Affiliation NA

252 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)BUNASSAR Jenevieve MPinecrest Dentistry(714) 845-8500Prov No 00001263299013623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1982056867License DN21997License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

BUNASSAR Jenevieve MPinecrest Dentistry(305) 330-9882Prov No 00001263299013623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1982056867License DN21997License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

FERNANDEZ Aurelio JAurelio Fernandez(305) 235-8912Prov No 0000000609989299 Sw 152nd St Ste 204Palmetto Bay FL 33157Gender MaleNPI 1609880145License DN13931License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 235-8916Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)GARCES CarolinaPinecrest Dentistry(305) 330-9882Prov No 00001297830513623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1215134952License DN18384License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

GARCIA CristinaCristina Garcia(305) 233-6575Prov No 0000007068039275 Sw 152nd St Ste 106 Palmetto Bay FL 33157Gender FemaleNPI 1871617886License DN14303License Type DBP DentistBoard Certified Not ReportedEmail dentalcareassociationgmailcomFax (786) 802-1844Accepts New Patients YHospital Affiliation NA

KEANE ChrisPinecrest Dentistry(305) 330-9882Prov No 00001303700313623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender MaleNPI 1831543909License DN22387License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)LOPEZ AnabelleAnabelle Lopez Dds(305) 235-8912Prov No 0000004336139299 Sw 152nd St Ste 204 Palmetto Bay FL 33157Gender FemaleNPI 1063606143License DN17093License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 235-8912Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LPinecrest Dentistry(305) 330-9882Prov No 00001257077613623 S Dixie Hwy Ste 147Palmetto Bay FL 33176Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmail credentialingpacdencomFax (714) 845-8890Accepts New Patients YHospital Affiliation NA

SIMMONDS Shirley FDr Shirley F Simmonds(305) 253-7670Prov No 0000000191079000 Sw 152nd St Ste 208 Palmetto Bay FL 33157Gender FemaleNPI 1538299185License DN13171License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PALMETTO BAY (Cont)VINUELA LarryFloridian Dental at PalmettoBay Llc(305) 459-3194Prov No 00000118097315801 S Dixie Hwy Ste B Palmetto Bay FL 33157Language SpanishGender MaleNPI 1356515035License DN19253License Type DBP DentistBoard Certified Not ReportedEmail managerfdpbgmailcomFax (305) 252-8323Accepts New Patients YHospital Affiliation NA

PERRINE

CAMPBELL LisaCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001210245118255 Homestead AvePerrine FL 33157Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001207739618255 Homestead AvePerrine FL 33157Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

253GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(305) 238-2438Prov No 00001306266318255 Homestead AvePerrine FL 33157Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001264240618255 Homestead AvePerrine FL 33157Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

LANG TomasCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00000104442718255 Homestead AvePerrine FL 33157Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)LAU VicenteCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001249725018255 Homestead AvePerrine FL 33157Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00000043898818255 Homestead AvePerrine FL 33157Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIRANDA AlejandraCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001205972018255 Homestead AvePerrine FL 33157Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001203957818255 Homestead AvePerrine FL 33157Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001268321618255 Homestead AvePerrine FL 33157Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001307154518255 Homestead AvePerrine FL 33157Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)RUIZ Sarabel MCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001212723218255 Homestead AvePerrine FL 33157Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001248458218255 Homestead AvePerrine FL 33157Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

WATSON-HAMILTON Sheri SCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00000073551818255 Homestead AvePerrine FL 33157Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

254 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

PERRINE (Cont)WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(305) 234-7676Prov No 00001206211418255 Homestead AvePerrine FL 33157Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmail larodriguezchisouthflorgFax (305) 234-9656Accepts New Patients YHospital Affiliation NA

PINECREST

BAILEY Michael WCalm Care Dental AssociatesInc(786) 842-3132Prov No 00001256140712531 S Dixie HwyPinecrest FL 33156Gender MaleNPI 1174735310License DN14973License Type DBP DentistBoard Certified Not ReportedEmail infopinecrestsouthdixiedentalcomFaxAccepts New Patients YHospital Affiliation NA

BENJAMIN Yehuda JSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001317172712695 S Dixie HwyPinecrest FL 33156Gender MaleNPI 1023320066License DN18632License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PINECREST (Cont)COSTOYA TaidyTaidy Costoya Dmd Pllc(305) 235-0020Prov No 00000154575811507 S Dixie Hwy Pinecrest FL 33156Language SpanishGender FemaleNPI 1497088835License DN17603License Type DBP DentistBoard Certified Not ReportedEmail pinecrestfamilydentalgmailcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001273784912695 S Dixie HwyPinecrest FL 33156Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CUARTERO Mercedes FSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001298890512695 S Dixie HwyPinecrest FL 33156Gender FemaleNPI 1588981922License DN18937License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PINECREST (Cont)ELPERIN AlexeiTin Wai Hui Dmd Pa(305) 670-1486Prov No 00001209124912651 S Dixie Hwy Ste 400 Pinecrest FL 33156Gender MaleNPI 1295930063License DN15966License Type DBP DentistBoard Certified Not ReportedEmail cindypremieredentalcaregmailcomFax (305) 670-1485Accepts New Patients YHospital Affiliation NA

GONZALEZ Maria FSouth Dixie Dental Llc(786) 842-3132Prov No 00001306568612531 S Dixie HwyPinecrest FL 33156Gender FemaleNPI 1518244862License DN13836License Type DBP DentistBoard Certified NEmail infopinecrestsouthdixiedentalcomFax (786) 870-4283Accepts New Patients YHospital Affiliation NA

HUI Tin Wai WTin Wai Hui Dmd Pa(305) 670-1486Prov No 00000001812112651 S Dixie Hwy Ste 400 Pinecrest FL 33156Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmail cindypremieredentalcaregmailcomFax (305) 670-1485Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

PINECREST (Cont)PINO Raquel CSage Dental of Pinecrest Pllc(305) 853-8559Prov No 00001277672212695 S Dixie HwyPinecrest FL 33156Language SpanishGender FemaleNPI 1912310665License DN20670License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

Sepulveda Isabel CTin Wai Hui Dmd Pa(305) 670-1486Prov No 00001212723112651 S Dixie Hwy Ste 400 Pinecrest FL 33156Language SpanishGender FemaleNPI 1790111763License DN20070License Type DBP DentistBoard Certified Not ReportedEmail cindypremieredentalcaregmailcomFax (305) 670-1485Accepts New Patients YHospital Affiliation NA

SOUTH MIAMI

CAMPBELL LisaCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125469556350 Sunset DrSouth Miami FL 33143Language SpanishGender FemaleNPI 1659594497License DN19206License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

255GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)CHIN-THOMPSON Angella RCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125475686350 Sunset DrSouth Miami FL 33143Language SpanishGender FemaleNPI 1215150909License DN11945License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

FAINE RobertAa South Florida Dentistry Pa(305) 661-9556Prov No 0000123272516280 Sunset Dr Ste 401South Miami FL 33143Gender MaleNPI 1114074366License DN5193License Type DBP DentistBoard Certified Not ReportedEmail smileaasouthfloridadentistrycomFax (305) 663-9949Accepts New Patients YHospital Affiliation NA

FERNANDEZ MalenaCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000130624196350 Sunset DrSouth Miami FL 33143Gender FemaleNPILicense Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)GAINES David SDavid Gaines Dds(305) 661-9556Prov No 0000000196716280 Sunset Dr Ste 401South Miami FL 33143Gender MaleNPI 1255506150License DN5708License Type DBP DentistBoard Certified Not ReportedEmail smileaasouthfloridadentistrycomFax (305) 663-9949Accepts New Patients YHospital Affiliation NA

GAINES David SDavid S Gaines(305) 661-9556Prov No 0000127466926280 Sunset Dr Ste 40South Miami FL 33143Gender MaleNPI 1255506150License DN5708License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 663-9949Accepts New Patients YHospital Affiliation NA

JOHNSON Robert BCommunity Health of SouthDade(786) 293-5500Prov No 0000125473506350 Sunset DrSouth Miami FL 33143Gender MaleNPI 1275600686License DN10538License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)LANG TomasCommunity Health of SouthDade(786) 293-5500Prov No 0000125546636350 Sunset DrSouth Miami FL 33143Gender MaleNPI 1386758886License DN11108License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

LAU VicenteCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125416496350 Sunset DrSouth Miami FL 33143Language SpanishGender MaleNPI 1932653334License DN22283License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

LOPEZ DE VICTORIA MilliedCommunity Health of SouthDade(786) 293-5500Prov No 0000125468086350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1467405423License DN17815License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)MIRANDA AlejandraCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125469206350 Sunset DrSouth Miami FL 33143Language SpanishGender FemaleNPI 1558328823License DN13131License Type DBP DentistBoard Certified NEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MUNGUBA Bozena ZCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125546626350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1043530462License DN19016License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

RAMEAU RejaneCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000126832146350 Sunset DrSouth Miami FL 33143Language French Other(Non-English)Gender FemaleNPI 1659541175License DN20570License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

256 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)RAMIREZ GONZALEZ CarmenCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000130715496350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1134659543License DN22552License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

RUIZ-CESTERO Sarabel MCommunity Health of SouthDade(786) 293-5500Prov No 0000125504276350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1992718282License DN10385License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

SARMIENTO JeffreyCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125401846350 Sunset DrSouth Miami FL 33143Gender MaleNPI 1184177560License DN22214License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

SOUTH MIAMI (Cont)WATSON-HAMILTON Sheri SCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125473736350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1053580639License DN14396License Type DBP DentistBoard Certified Not ReportedEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

WILLIAMS Tosha RCommunity Health of SouthFlorida Inc(786) 293-5500Prov No 0000125546516350 Sunset DrSouth Miami FL 33143Gender FemaleNPI 1609009463License DN19661License Type DBP DentistBoard Certified NEmailFax (786) 293-5508Accepts New Patients YHospital Affiliation NA

SWEETWATER

HERNANDEZ Norberto JJ M Dental Group(305) 584-8666Prov No 0000000394131470 Nw 107th Ave Ste G Sweetwater FL 33172Language SpanishGender MaleNPI 1285693267License DN14451License Type DBP DentistBoard Certified Not ReportedEmail jmdentalgrouphotmailcomFaxAccepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

WEST MIAMI

APONTE-BARRIOS SecilSecil Aponte-Barrios(305) 265-6120Prov No 0000121351961350 Sw 57th Ave Ste 106West Miami FL 33144Language SpanishGender FemaleNPI 1164714176License DN20182License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 265-6121Accepts New Patients YHospital Affiliation NA

BOBADILLA Patricia MAlpha Dental Groups Inc(305) 392-1261Prov No 0000130299205870 Sw 8th St Ste 4West Miami FL 33144Gender FemaleNPI 1124039672License DN14173License Type DBP DentistBoard Certified NEmail alphadentalgroupgmailcomFax (786) 536-4766Accepts New Patients YHospital Affiliation NA

JAUREGUI RODRIGUEZ Guillermo CDr Jauregui Dental Care Corp(305) 269-1781Prov No 0000126830285757 Sw 8th St Ste 115West Miami FL 33144Gender MaleNPI 1124375647License DN21055License Type DBP DentistBoard Certified Not ReportedEmailFax (305) 262-3030Accepts New Patients YHospital Affiliation NA

MIAMI-DADE COUNTY (Cont)

WEST MIAMI (Cont)MOLINA Rolando Jesus JRolando J Molina Dds Pa(305) 262-0505Prov No 0000000337185991 Sw 8th St West Miami FL 33144Language SpanishGender MaleNPI 1689700221License DN14344License Type DBP DentistBoard Certified Not ReportedEmail rolandomolina1aolcomFax (305) 262-5075Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY

ATLANTIS

KELMAN AlanAlan Kelman Dds(561) 967-6453Prov No 0000004282715909 S Congress AveAtlantis FL 33462Gender MaleNPI 1760639223License DN17054License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BELLE GLADE

ABDEL-JABBAR Sana HGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012457919427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

257GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)AZARI Scott JGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001956165427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000004028912427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerryGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012127520427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)CASTILLO Juan IGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012151630427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012152957427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000365182427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)COWAN Marc AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000003916229427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001771620427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000004589994427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)DRISCOLL Allison RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001958450427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012110500427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001772261427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

258 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)ESPINET KUSNIER ElaineGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012585931427 Se 2nd StBelle Glade FL 33430Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000011551578427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000425275427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)GARCIA-PORRAS MarcelaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001146412427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000414294427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012091356427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)GONZALES AngelicaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012195411427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlyGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012204411427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001216107427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)HORWITZ StevenGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012099111427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012510209427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000009396000427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

259GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)LAMB NicoleGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012100707427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012444790427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012176926427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)LONDONO Jennifer DGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000365186427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000011550452427 Se 2nd StBelle Glade FL 33430Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric EGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000011552061427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)MONCRIEFFE Tiffany IGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012816354427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012128544427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000002023744427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)RAPPAPORT David BGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012172803427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012066673427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000397010427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

260 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)RODRIGUEZ Margarita MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000453861427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SALAZAR Manuel ABelle Glade Dental Group(561) 996-6165Prov No 00001212751517 W Canal St NBelle Glade FL 33430Gender MaleNPI 1699097261License DN18913License Type DBP DentistBoard Certified Not ReportedEmail bellegladedentalgmailcomFax (561) 983-8154Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012175319427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)SNIDER Erica MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000000704657427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012163499427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012454389427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)URCUYO Jacqueline CGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012462664427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012146174427 Se 2nd StBelle Glade FL 33430Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012094380427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BELLE GLADE (Cont)VIGNOLA Jennifer AGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000002156177427 Se 2nd StBelle Glade FL 33430Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000012019354427 Se 2nd StBelle Glade FL 33430Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MGentle Dental of Belle Glade Pa(561) 996-6006Prov No 000001194154427 Se 2nd StBelle Glade FL 33430Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

261GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON

ABDEL-JABBAR Sana HSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124579449874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124579491200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALARCON MARIMON FrankMarianna Zadov Dds(561) 241-7656Prov No 0000126455591905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender MaleNPI 1710417837License DN22660License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ANTEZANA MauricioMarianna Zadov Dds(561) 241-7656Prov No 0000126595801905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

AREVALO Oscar AArfa Dent Inc(561) 391-6066Prov No 0000122536397301 W Palmetto Park Rd STe 203BBoca Raton FL 33433Language SpanishGender MaleNPI 1457443285License DN19448License Type DBP DentistBoard Certified Not ReportedEmail managergatorstoothteamcomFax (561) 393-7361Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000019561671200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)AZARI Scott JSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000019561799874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

BAGHDASSARIAN RosemaryHab Dental Inc(561) 270-6494Prov No 000013023822341 E Yamato Rd Ste ABoca Raton FL 33431Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail doreenhabdentalflacomFax (561) 903-7994Accepts New Patients YHospital Affiliation NA

BENTSI ENCHILL FloraMarianna Zadov Pa(561) 241-7656Prov No 0000125998551905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)BETANCUR Alvaro LTowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000124591403401 N Federal Hwy Ste 101Boca Raton FL 33431Language SpanishGender MaleNPI 1750586079License DN12267License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

BLAND GiancarloGiancarlo Bland Dmd Pllc(561) 347-7006Prov No 0000121977551865 Nw Boca Raton Blvd STe 102Boca Raton FL 33432Gender MaleNPI 1104911015License DN16134License Type DBP DentistBoard Certified Not ReportedEmail cleotahotmailcomFax (561) 347-7008Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000040294691200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

262 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)BOCKIAN Joshua ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000040294809874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000008590649874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

BROGGI Edward PMarianna Zadov Pa(561) 241-7656Prov No 0000125832611905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender MaleNPI 1215955190License DN10457License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)BROWN KevinBeacon Square Family Dentistry(561) 998-0901Prov No 0000130649637805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1851848295License DN16672License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

CAPELLAN JessicaBoca Smile Center(561) 487-4555Prov No 0000129081498177 Glades Rd Ste 23Boca Raton FL 33434Gender FemaleNPI 1043579972License DN20283License Type DBP DentistBoard Certified Not ReportedEmail frontdeskbocasmilecentercomFax (561) 487-5251Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121516729874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)CASTILLO Juan IAnderson Andrew K(561) 997-9930Prov No 0000121790551200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121529821200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121529939874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)CHOURAQUI JonathanTowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000124473183401 N Federal Hwy Ste 101Boca Raton FL 33431Gender MaleNPI 1780024620License DN20472License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000003644501200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000015570679874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

263GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)COWAN Marc ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000039162301200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000039163589874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000017716049874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)CRUZ Antonio RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000017716221200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000045899779874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000045900101200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)DELGADO Angela LSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000127498711200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1447270491License DN15430License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124355471200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124363779874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)DRISCOLL Allison RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000019584361200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000019584669874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121105549874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

264 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)DURKAN Marcia ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000017722259874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000017722621200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000125858549874 Yamato Rd Ste 116Boca Raton FL 33434Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ESPINET KUSNIER ElaineSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125860721200 Nw 51st St Ste A4Boca Raton FL 33431Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000115515779874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000119953921200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)FOX Jeffrey MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000004252761200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000015931419874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

FRIAS Bernarda IBeacon Square Family Dentistry(561) 998-0901Prov No 0000130649867805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender FemaleNPI 1578658332License DN16164License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GARCIA-PORRAS MarcelaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000008590829874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000011463341200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000004142711200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

265GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GARRISON Harvey BSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133299874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

GHALLOUB Melad NMichael D Selzer Dds(561) 487-4555Prov No 0000002584728177 Glades RdBoca Raton FL 33434Gender MaleNPI 1962609628License DN16343License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 487-5251Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120913779874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GHATTAS Maureen ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121125731200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GILSON Seth AMounir Albert Dds(561) 394-6200Prov No 0000130726832200 N Dixie HwyBoca Raton FL 33431Gender MaleNPI 1386916211License DN19464License Type DBP DentistBoard Certified NEmail albertmounir32gmailcomFax (561) 394-6099Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121952029874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GONZALES AngelicaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121954121200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000122044121200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000122046649874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)GUERRERO Luis ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000012161149874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

HANDEL Michelle SChildrens Dental Place of BocaRaton(561) 470-1109Prov No 00000003518020401 State Road 7 Ste 7Ste G 14Boca Raton FL 33498Gender FemaleNPI 1083649347License DN14584License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HELMY James MIsmile Dental(561) 417-3335Prov No 0000051788231956 Ne 5th Ave Ste 2Boca Raton FL 33431Gender MaleNPI 1730370818License DN18118License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

266 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)HERMAN Lee ELee E Herman Dds(561) 488-9288Prov No 0000000394458903 Glades Rd Ste A7 Boca Raton FL 33434Gender MaleNPI 1376565424License DN14006License Type DBP DentistBoard Certified Not ReportedEmail leeherman17yahoocmFaxAccepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120991179874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125101151200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)IRAVANI Mina FSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000125102019874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

JACOBS LeonardLeonard Jacobs Dds Pa(561) 362-8308Prov No 0000000199347301A W Palmetto Park RdSte 203ABoca Raton FL 33433Gender MaleNPI 1043259385License DN13570License Type DBP DentistBoard Certified Not ReportedEmail infocjdentistryc omFax (561) 362-7654Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000111164691200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)JUMA ZaileenSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000113317949874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

KLEIN Lawrence MLawrence M Klein Dds Pa(561) 391-1114Prov No 0000001567437301A W Palmetto Park Rd Ste 204ABoca Raton FL 33433Gender MaleNPI 1922115716License DN7992License Type DBP DentistBoard Certified Not ReportedEmail bdsedationgroupgmailcomFaxAccepts New Patients YHospital Affiliation NA

KLEIN Samuel LSamuel L Klein Dds(561) 997-8300Prov No 0000001333215601 N Federal HwyBoca Raton FL 33487Gender MaleNPI 1497974430License DN10776License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 997-9112Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)KRYKHTIN PavelMarianna Zadov Pa(561) 241-7656Prov No 0000104002001905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender MaleNPI 1235394172License DN18905License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

LAGO-SANCHEZ IdelbisMarianna Zadov Dds(561) 241-7656Prov No 0000125687901905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121007099874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

267GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)LEMINH Chau JSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124447911200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124449499874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121766519874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)LEPORE KrystinaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121769271200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000003644961200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133309874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)LY Danny TDanny T Ly Dmd(561) 395-3290Prov No 0000002670101610 N Federal HwyBoca Raton FL 33432Gender MaleNPI 1174534572License DN16018License Type DBP DentistBoard Certified Not ReportedEmailFax (866) 734-4315Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000115504541200 Nw 51st St Ste A4Boca Raton FL 33431Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000115511409874 Yamato Rd Ste 116Boca Raton FL 33434Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)MARQUEZ Jaime RJaime Marquez(561) 990-9359Prov No 0000121233987301A W Palmetto Park RdSte 204ABoca Raton FL 33433Gender MaleNPI 1750442992License DN20355License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 391-2944Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMarianna Zadov Pa(561) 241-7656Prov No 0000125896651905 Clint Moore Rd Ste 200Boca Raton FL 33496Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000115520251200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

268 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)MOHR Eric ESage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000117711459874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000128168921200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 997-9949Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000128173519874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)MONTANO Halina SHalina Montano(561) 394-2467Prov No 000000447722900 Glades Rd Ste 1DBoca Raton FL 33431Gender FemaleNPI 1720128424License DN14113License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 394-2470Accepts New Patients YHospital Affiliation NA

MONTILLA Miguel ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125940591200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1477664407License DN8580License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000012796159874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)NGUYEN ChiMarianna Zadov Pa(561) 241-7656Prov No 0000130684441905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1811482656License DN23511License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

NGUYEN JosieMarianna Zadov Pa(561) 241-7656Prov No 0000127031101905 Clint Moore Rd Ste 200Boca Raton FL 33496Language VietnameseGender FemaleNPI 1548790801License DN22692License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Dds(561) 241-7656Prov No 0000134915901905 Clint Moore Rd Ste 200Boca Raton FL 33496Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)NOVAK Stephen PBeacon Square Family Dentistry(561) 998-0901Prov No 0000129912267805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1497267025License DN23031License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

ORTIZ Ana MariaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000128515261200 W Yamato RdBoca Raton FL 33431Gender FemaleNPI 1982807541License DN17095License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121284179874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

269GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)PLANES Alex ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121287211200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PYSER Douglas NTowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000124855463401 N Federal Hwy Ste 101Boca Raton FL 33431Gender MaleNPI 1194728162License DN9139License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000020237291200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)QUICK James RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000020237629874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121728041200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121728409874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)RIEGER Eric RSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133249874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000003966271200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121133339874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)RODRIGUEZ Margarita MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000004538671200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000015566279874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000125239339874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

270 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ROQUE-RUANO MaikelSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000125260511200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SALAMON Gary GSalamon amp Yanover Dental Pl(561) 883-2786Prov No 0000000183278221 Glades Rd Ste 4 Boca Raton FL 33434Gender MaleNPI 1336294255License DN13981License Type DBP DentistBoard Certified Not ReportedEmail salamonyanovergmailcomFax (561) 883-6594Accepts New Patients YHospital Affiliation NA

SANCHEZ Jairo ABeacon Square Family Dentistry(561) 998-0901Prov No 0000130301407805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1376994236License DN22032License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SANTIAGO-HERZOG Tatiana ETowncare Dental of Boca RatonPllc(561) 750-6790Prov No 0000120543233401 N Federal Hwy Ste 101Boca Raton FL 33431Gender FemaleNPI 1396041703License DN18993License Type DBP DentistBoard Certified Not ReportedEmailFax (954) 416-6160Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121752979874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121753201200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SCARFONE MelanieSage Dental of Boca Raton Pllc(561) 330-8330Prov No 0000129451441200 W Yamato RdBoca Raton FL 33431Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SELZER Michael DMichael D Selzer Dds(561) 487-4555Prov No 0000000184378177 Glades Rd Ste 23 Boca Raton FL 33434Gender MaleNPI 1457594434License DN7417License Type DBP DentistBoard Certified Not ReportedEmail frontdeskbocasmilecentercomFaxAccepts New Patients YHospital Affiliation NA

SHAPIRO Dari PBeacon Square Family Dentistry(561) 998-0901Prov No 0000124284267805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender FemaleNPI 1801099643License DN15490License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SHAPIRO Seth ABeacon Square Family Dentistry(561) 998-0901Prov No 0000123321637805 Nw Beacon Square BlvDBoca Raton FL 33487Gender MaleNPI 1114136223License DN15327License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

SHAPIRO Seth ABeacon Square Family Dentistry(561) 998-0901Prov No 0000129568007805 Nw Beacon Square BlvD Ste 101Boca Raton FL 33487Gender MaleNPI 1528285665License DN15327License Type DBP DentistBoard Certified Not ReportedEmail shapirosmileaolc omFax (561) 998-0903Accepts New Patients YHospital Affiliation NA

SMITH Larysa KLarysa K Smith Enterprises Inc(561) 482-6446Prov No 00001274667811435 W Palmetto Park RdSte IBoca Raton FL 33428Gender FemaleNPI 1710036819License DN17497License Type DBP DentistBoard Certified Not ReportedEmail drsmithpalmettodentistcomFaxAccepts New Patients YHospital Affiliation NA

271GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)SNIDER Erica MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000007046921200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000019562629874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121635001200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)STEINER Samantha LSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121635309874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124542881200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124543159874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)STRONG Shanice De OnaSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000130677481200 W Yamato RdBoca Raton FL 33431Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

TCHOU LuisaMini Mouths(561) 218-4012Prov No 0000122100109181 Glades Rd Ste 120Boca Raton FL 33434Language SpanishGender FemaleNPI 1124315270License DN19419License Type DBP DentistBoard Certified Not ReportedEmail managermini-mouthcomFax (954) 595-1859Accepts New Patients YHospital Affiliation NA

UCROS GermanGerman Ucros(561) 910-1862Prov No 0000121817229840 Sandalfoot BlvdBoca Raton FL 33428Gender MaleNPI 1558570499License DN19260License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 910-1862Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)URCUYO Jacqueline CSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124626349874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124626391200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000121461289874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

272 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)VEGA Ivan EVage Brauti Gam Dental(561) 392-6844Prov No 0000004264552499 Glades Rd Ste 208 Boca Raton FL 33431Gender MaleNPI 1023208147License DN17333License Type DBP DentistBoard Certified Not ReportedEmail staffvegasmilestudiocomFaxAccepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120942169874 Yamato Rd Ste 116 Boca Raton FL 33434Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000120942731200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 997-9949Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)VIGNOLA Jennifer ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000021561481200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000021561889874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

YANOVER Clifford JSalamon amp Yanover Dental Pl(561) 883-2786Prov No 0000000183308221 Glades Rd Ste 4 Boca Raton FL 33434Gender MaleNPI 1245373745License DN 13703License Type DBP DentistBoard Certified Not ReportedEmail salamonyanovergmailcomFax (561) 883-6594Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)YU Cynthia WSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000120193769874 Yamato Rd Ste 116Boca Raton FL 33434Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121125761200 Nw 51st St Ste A4Boca Raton FL 33431Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000124853971200 Nw 51st St Ste A4Boca Raton FL 33431Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)YU Joyce WSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000124856559874 Yamato Rd Ste 116Boca Raton FL 33434Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ZADOV MariannaMarianna Zadov Pa(561) 241-7656Prov No 0000003653271905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1104903301License DN16481License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

ZAMANI AzinMarianna Zadov Pa(561) 241-7656Prov No 0000124991631905 Clint Moore Rd Ste 200Boca Raton FL 33496Gender FemaleNPI 1588046049License DN21707License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

273GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOCA RATON (Cont)ZYLBERING Jason MSage Dental of West Boca RatonPllc(561) 488-1688Prov No 0000008590489874 Yamato Rd Ste 116Boca Raton FL 33434Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 477-1002Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000011941571200 Nw 51st St Ste A4Boca Raton FL 33431Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCA ROTAN

BRATMAN JerrySage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121125791200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA ROTAN (Cont)DUARTE BeatrizSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121105051200 Yamato Rd Ste A4Boca Rotan FL 33431Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

GUERRERO Luis ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000012161081200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

HORWITZ StevenSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000120989991200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

LAMB NicoleSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121110161200 Yamato Rd Ste A4Boca Rotan FL 33431Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOCA ROTAN (Cont)RIEGER Eric RSage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000120904321200 Yamato Rd Ste A4Boca Rotan FL 33431Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

VAZANA Todd ASage Dental of Boca Raton Pllc(561) 997-9930Prov No 0000121461751200 Yamato Rd Ste A4Boca Rotan FL 33431Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients NHospital Affiliation NA

BOYNTON BEACH

ABDEL-JABBAR Sana HSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012457922556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ABDEL-JABBAR Sana HSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124579511790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALARCON MARIMON FrankMarianna Zadov Pa(561) 292-0155Prov No 0000126455381301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender MaleNPI 1710417837License DN22660License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

ANTEZANA MauricioMarianna Zadov Dds(561) 292-0155Prov No 0000126599301301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

274 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)AZARI Scott JSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001956171556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714371790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAGHDASSARIAN RosemaryHab Dental(561) 270-6494Prov No 00001213010912453 Hagen Ranch Rd Unit101Boynton Beach FL 33437Language Arabic ArmenianFrench Greek PortugueseSpanishGender FemaleNPI 1184846867License DN14712License Type DBP DentistBoard Certified Not ReportedEmail dorreenhabdentalflacomFax (561) 364-2967Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)BALLY Kurt OModern Dental Smiles(561) 732-2400Prov No 0000007196882280 N Congress Ave Boynton Beach FL 33426Gender MaleNPI 1497870034License DN17659License Type DBP DentistBoard Certified Not ReportedEmail shawnhayesmoderndentalsmilesorgFaxAccepts New Patients YHospital Affiliation NA

BENTSI ENCHILL FloraMarianna Zadov Pa(561) 292-0155Prov No 0000125998861301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

BERGLASS Michael ENorthwestern ManagementServices Llc(561) 732-3124Prov No 000013271273556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1457425787License DN17207License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)BOCKIAN Joshua ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000004029439556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714391790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000000018920556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)BRATMAN JerrySage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714401790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(561) 732-6900Prov No 000012440702930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BROGGI Edward PMarianna Zadov Pa(561) 292-0155Prov No 0000126005121301 N Congress Ave Ste 110Boynton Beach FL 33426Gender MaleNPI 1215955190License DN10457License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

275GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CALVO Lourdes MAn Ocean Dental Studio(561) 732-2711Prov No 0000007163032860 S Seacrest BlvdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1811065840License 22792License Type DBP DentistBoard Certified Not ReportedEmail teagle24gmailcomFax (561) 732-0287Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121516321790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012151639556 E Woolbright Rd Boynton Beach FL 33435Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CERRA Frank ACoast Dental-Boynton Beach(561) 868-0900Prov No 0000124221794756 N Congress Ave Ste 106Boynton Beach FL 33426Gender MaleNPI 1598876435License DN8482License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHANG Ricardo KSmile Perfection Dental ofBoynton Beach(561) 244-7022Prov No 00001287787610075 S Jog Rd Ste 102Boynton Beach FL 33437Gender MaleNPI 1902059348License DN16950License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121529841790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CHILDERS Carmen DSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012153001556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CHOKSHI Payal PPayal Chokshi(561) 364-8700Prov No 0000120619081501 Corporate Dr Ste 140Boynton Beach FL 33426Gender FemaleNPI 1770714578License DN18713License Type DBP DentistBoard Certified Not ReportedEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

COHEN Michael ADental Health Group Pa(561) 732-6900Prov No 000012908633930 N Congress Ave Ste 200Boynton Beach FL 33426Language SpanishGender MaleNPI 1528484102License DN21088License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CORONADO EfrainSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001540175556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714431790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000003916225556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

276 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)COWAN Marc ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715411790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001771637556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715321790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)CUNHA Renata FGreat Expressions DentalCenters(561) 732-6900Prov No 000012105127930 N Congress Ave Ste 20 0Boynton Beach FL 33426Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 732-6255Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000004589938556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714701790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DEYAB TimQuantum Dental of BoyntonBeach(561) 249-2585Prov No 0000033792431034 Gateway Blvd Ste 101 Boynton Beach FL 33426Gender MaleNPI 1124119474License DN17323License Type DBP DentistBoard Certified NEmail quatumdentalfloridagmailcomFax (561) 318-8040Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CDental Health Group Pa(561) 732-6900Prov No 000005178799930 N Congress Ave Ste 200Boynton Beach FL 33426Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124355571790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DOOLEY Jill CSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012436437556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001958453556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715551790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

277GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DUARTE BeatrizSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012110512556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121105271790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001772280556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)DURKAN Marcia ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715561790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

EDUARDO Jose FCoast Dental-Boynton Beach(561) 868-0900Prov No 0000127879244756 N Congress Ave Ste 106Boynton Beach FL 33426Gender MaleNPI 1033105986License DN15816License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012585930556 E Woolbright RdBoynton Beach FL 33435Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ESPINET KUSNIER ElaineSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000125860741790 N Congress Ave Ste 100Boynton Beach FL 33426Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011551574556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715331790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)FOX Jeffrey MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001593136556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715341790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000000859083556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

278 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GARCIA-PORRAS MarcelaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714541790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012056035556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714551790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GHATTAS Maureen ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012091368556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121122581790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012195369556 E Woolbright Rd Boynton Beach FL 33435Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GONZALES AngelicaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121953851790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000122044141790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012204443556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)GUERRA CHICO Jose ASmile Perfection Dental ofBoynton Beach(561) 244-7022Prov No 00001294626610075 S Jog Rd Ste 102Boynton Beach FL 33437Language SpanishGender MaleNPI 1760862874License DN21222License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001216113556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715541790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

279GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)HAMARNAH SallyHamarnah Dds Pllc(561) 249-2585Prov No 0000127755261034 Gateway Blvd Ste 101 Boynton Beach FL 33426Gender FemaleNPI 1780103911License DN23000License Type DBP DentistBoard Certified Not ReportedEmail quatumdentalfloridagmailcomFax (561) 318-8040Accepts New Patients YHospital Affiliation NA

HARRIS Ana MGreat Expressions DentalCenters(561) 732-6900Prov No 000012917402930 N Congress Ave Ste 20 0Boynton Beach FL 33426Gender FemaleNPI 1265605323License DN17620License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 732-6255Accepts New Patients YHospital Affiliation NA

HENDOUS KhaledHab Dental Inc(561) 270-6494Prov No 00001287287412453 Hagen Ranch RdBoynton Beach FL 33437Gender MaleNPI 1811132384License DN17343License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)HORWITZ StevenSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120989721790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012098984556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012510196556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)IRAVANI Mina FSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000125102291790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IURCOVICH Maximillian ODental Health Group Pa(561) 732-6900Prov No 000001102976930 N Congress Ave Ste 200Boynton Beach FL 33426Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

JEAN HuguesCoast Dental-Boynton Beach(561) 868-0900Prov No 0000127599134756 N Congress Ave Ste 106Boynton Beach FL 33426Language FrenchGender MaleNPI 1700329968License DN23067License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)JUMA ZaileenSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011331664556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714481790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAGO-SANCHEZ IdelbisMarianna Zadov Pa(561) 292-0155Prov No 0000125998631301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

280 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)LAMB NicoleSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012100708556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121105261790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012444749556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)LEMINH Chau JSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124447931790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121769291790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012212343556 E Woolbright Rd Boynton Beach FL 33435Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)LONDONO Jennifer DSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714471790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012112956556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MA RobertSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011551126556 E Woolbright RdBoynton Beach FL 33435Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)MA RobertSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715351790 N Congress Ave Ste 100Boynton Beach FL 33426Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MCCOWN Michael GDental Health Group Pa(561) 732-6900Prov No 000005605389930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMarianna Zadov Pa(561) 292-0155Prov No 0000125998871301 N Congress Ave Ste 110Boynton Beach FL 33426Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

281GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)MOHR Eric ESage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000011552126556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715371790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany INorthwestern ManagementServices Llc(561) 732-3124Prov No 000012817352556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)MONCRIEFFE Tiffany ISage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000128195071790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(561) 732-6900Prov No 000012683705930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

NGUYEN ChiMarianna Zadov Pa(561) 292-0155Prov No 0000130683431301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1811482656License DN23511License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)NGUYEN JosieMarianna Zadov Pa(561) 292-0155Prov No 0000127031571301 N Congress Ave Ste 110Boynton Beach FL 33426Language VietnameseGender FemaleNPI 1548790801License DN22692License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Dds(561) 292-0155Prov No 0000134923381301 N Congress Ave Ste 110Boynton Beach FL 33426Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012128413556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)PLANES Alex ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121285461790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000002023749556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714321790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

282 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RANGEL RaulDental Health Group Pa(561) 732-6900Prov No 000012589015930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1629154216License DN13743License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121728061790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012172824556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RIEGER Eric RSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012066680556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120897781790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001549144556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RING Stephen GSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714691790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001556624556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715431790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)RODRIGUEZ Narda SDental Health Group Pa(561) 732-6900Prov No 000012640018930 N Congress Ave Ste 200Boynton Beach FL 33426Gender FemaleNPI 1548570831License DN20013License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ROMERO IngridSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000127257731790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1619494952License DN23024License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelNorthwestern ManagementServices Llc(561) 732-3124Prov No 000012523926556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

283GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ROQUE-RUANO MaikelSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000125260521790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(561) 732-6900Prov No 000012965924930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012175294556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)SCARFONE MelanieSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121753221790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SEMEAH YvesFlorida Dental amp DentureCenter(561) 738-5974Prov No 0000000190901901 S Federal Hwy Boynton Beach FL 33435Language SpanishGender MaleNPI 1326152463License DN13168License Type DBP DentistBoard Certified Not ReportedEmail fldentalbellsouth netFax (561) 738-2116Accepts New Patients YHospital Affiliation NA

SHKOLNIK SeanDevshil Pa(561) 364-8700Prov No 0000127769441501 Corporate Dr Ste 140Boynton Beach FL 33426Gender MaleNPI 1730589474License DN20779License Type DBP DentistBoard Certified Not ReportedEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)SHVETS AnkitaDeushil(561) 364-8700Prov No 0000132778871501 Corporate Dr Ste 140Boynton Beach FL 33426Language Hindi RussianGender FemaleNPI 1316322092License DN21743License Type DBP DentistBoard Certified Not ReportedEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

SILVER Richard MBoynton Implant and CosmeticSolutions L(561) 734-0505Prov No 0000125141963695 W Boynton Beach Blvd Ste 5Boynton Beach FL 33436Gender MaleNPI 1013017599License DN7158License Type DBP DentistBoard Certified Not ReportedEmail boyntonimplantandcosmeticgmailcomFax (561) 734-0506Accepts New Patients YHospital Affiliation NA

SMITH Gordon JGordon J Smith Dds(561) 732-9727Prov No 0000000194561250 S Federal Hwy Ste 101Boynton Beach FL 33435Gender MaleNPI 1538250089License DN 8620License Type DBP DentistBoard Certified Not ReportedEmail infodentistboyntonbeachflcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)SNIDER Erica MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001956261556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120714731790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SPINGARN Joseph HDental Health Group Pa(561) 732-6900Prov No 000010903165930 N Congress Ave Ste 200Boynton Beach FL 33426Gender MaleNPI 1508886136License DN5044License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

284 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)STEINER Samantha LSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121635021790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012163514556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124542901790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)STRONG Shanice De OnaSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012454298556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

TRUONG Xen TRiverwalk Dental Group -Boyton(561) 364-8700Prov No 0000124344801501 Corporate Dr Ste 140Boynton Beach FL 33426Language VietnameseGender FemaleNPI 1376973388License DN20399License Type DBP DentistBoard Certified NEmail boyntonmailriverwalkdentalgroupcomFax (561) 364-1816Accepts New Patients YHospital Affiliation NA

UMOREN Anne-Marie USage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012738047556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1942616453License 20750License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)URCUYO Jacqueline CSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124626411790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of East BoyntonBeach Pllc(561) 732-3124Prov No 000012462649556 E Woolbright Rd Boynton Beach FL 33435Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012146136556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)VAZANA Todd ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121461771790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120941921790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BNorthwestern ManagementServices Llc(561) 732-3124Prov No 000012094264556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 738-2566Accepts New Patients YHospital Affiliation NA

285GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)VIGNOLA Jennifer ASage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000002156180556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121123601790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012019363556 E Woolbright RdBoynton Beach FL 33435Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)YU Cynthia WSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000120715511790 N Congress Ave Ste 100Boynton Beach FL 33426Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000124854091790 N Congress Ave Ste 100Boynton Beach FL 33426Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000012485416556 E Woolbright RdBoynton Beach FL 33435Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ZADOV MariannaMarianna Zadov Pa(561) 292-0155Prov No 0000126214191301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1104903301License DN16481License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

ZAKI Fady AHab Dental Inc(561) 270-6494Prov No 00001302899512453 Hagen Ranch Rd Unit101Boynton Beach FL 33437Gender MaleNPI 1831322304License DN20041License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

ZAMANI AzinMarianna Zadov Pa(561) 292-0155Prov No 0000126156071301 N Congress Ave Ste 110Boynton Beach FL 33426Gender FemaleNPI 1588046049License DN21707License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

BOYNTON BEACH (Cont)ZYLBERING Jason MSage Dental of East BoyntonBeach Pllc(561) 795-8900Prov No 000001194164556 E Woolbright RdBoynton Beach FL 33435Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Central BoyntonBeach Pllc(561) 572-3555Prov No 0000121123611790 N Congress Ave Ste 100Boynton Beach FL 33426Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DELRAY BEACH

ABDEL-JABBAR Sana HSage Dental of East Delray Pllc(561) 404-6044Prov No 000012457923551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

286 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)ABDEL-JABBAR Sana HSage Dental of West Delray Pa(561) 272-9198Prov No 00001245794513722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

ARCINIEGAS Francy JDelray Family Dentistry(561) 498-3181Prov No 00001251846115300 S Jog Rd Ste 207Delray Beach FL 33446Gender FemaleNPI 1457791345License DN20126License Type DBP DentistBoard Certified Not ReportedEmail infodelrayfamilydentistrycomFax (561) 498-3144Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of West Delray Pa(561) 272-9198Prov No 00000195617013722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)AZARI Scott JSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071560551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAUER Richard CFamily amp Cosmetic Dentistry ofDelray Beach(561) 243-8833Prov No 0000128415182915 S Federal Hwy Ste D1Delray Beach FL 33483Gender MaleNPI 1922200500License DN14529License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of West Delray Pa(561) 272-9198Prov No 00000402947013722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)BOCKIAN Joshua ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071562551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRADY TiffanySupersmiles Pediatric Dentistryand Orthodontics(561) 277-3361Prov No 0000125165934800 Linton Blvd Ste D505Delray Beach FL 33445Gender FemaleNPI 1407292824License DN21459License Type DBP DentistBoard Certified Not ReportedEmail infosupersmilesfl comFax (954) 473-6922Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Delray(561) 921-6555Prov No 00001204713413722 Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)BRATMAN JerrySage Dental of East Delray Pllc(561) 404-6044Prov No 000012071578551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Delray Pa(561) 272-9198Prov No 00001296027913722 S Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(561) 276-5800Prov No 0000124406751640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

287GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CASTILLO Juan ISage Dental of East Delray Pllc(561) 404-6044Prov No 000012151620551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Delray(561) 921-6555Prov No 00001215167313722 Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialinggentledentalgroupcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of West Delray Pa(561) 272-9198Prov No 00001278438313722 S Jog Rd Ste BDelray Beach FL 33446Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CHILDERS Carmen DSage Dental of West Delray Pa(561) 272-9198Prov No 00001215299113722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of East Delray Pllc(561) 404-6044Prov No 000012153002551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COHEN Michael ADental Health Group Pa(561) 276-5800Prov No 0000121831041640 S Federal HwyDelray Beach FL 33483Language SpanishGender MaleNPI 1528484102License DN21088License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CORONADO EfrainSage Dental of West Delray Pa(561) 272-9198Prov No 00000154016813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071581551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of West Delray Pa(561) 272-9198Prov No 00000391623213722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)COWAN Marc ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071583551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Delray Pa(561) 272-9198Prov No 00000177160613722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012152661551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

288 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)CUNHA Renata FDental Health Group Pa(561) 276-5800Prov No 0000121050001640 S Federal HwyDelray Beach FL 33483Gender FemaleNPI 1366761389License DN19528License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001292172914560 S Military Trl SteB2Delray Beach FL 33484Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of West Delray Pa(561) 272-9198Prov No 00000458993613722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DAROJAT Zuhdiyah MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012113002551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CDental Health Group Pa(561) 276-5800Prov No 0000051793981640 S Federal HwyDelray Beach FL 33483Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of West Delray Pa(561) 272-9198Prov No 00001243638113722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DOOLEY Jill CSage Dental of East Delray Pllc(561) 404-6044Prov No 000012436442551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of West Delray Pa(561) 272-9198Prov No 00000195844813722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071505551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DUARTE BeatrizSage Dental of East Delray Pllc(561) 404-6044Prov No 000012110488551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Delray Pa(561) 272-9198Prov No 00001211051113722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of West Delray Pa(561) 272-9198Prov No 00000177222613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

289GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)DURKAN Marcia ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012152656551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ELEFANT Jacob IEledent Pa(561) 272-2424Prov No 000000018414801 Se 6th Ave Ste 105Delray Beach FL 33483Gender MaleNPI 1154511376License DN12892License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Delray(561) 272-9198Prov No 00001258585513722 Jog Rd Ste B Delray Beach FL 33446Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of West Delray Pa(561) 272-9198Prov No 00001155157313722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of East Delray Pllc(561) 404-6044Prov No 000012152660551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FESTA AntonioLaser and Cosmetic Dentistry ofDelray(561) 499-6664Prov No 00000043967215300 S Jog Rd Ste 210 Delray Beach FL 33446Gender MaleNPI 1710106315License DN13568License Type DBP DentistBoard Certified Not ReportedEmail lasercosmeticdentistrygmailcomFax (561) 498-2521Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)FIGUEROA Juan ALaser and Cosmetic Dentistry ofDelray(561) 499-6664Prov No 00000038926715300 S Jog Rd Ste 210 Delray Beach FL 33446Gender MaleNPI 1841419447License DN16545License Type DBP DentistBoard Certified Not ReportedEmail lasercosmeticdentistrygmailcomFax (561) 498-2521Accepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001292185014560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of West Delray Pa(561) 272-9198Prov No 00000042526813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)FOX Jeffrey MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071585551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of West Delray Pa(561) 272-9198Prov No 00000114637313722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071586551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

290 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GARRISON Harvey BSage Dental of West Delray Pa(561) 272-9198Prov No 00000041440413722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071587551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of West Delray Pa(561) 272-9198Prov No 00001209136113722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GHATTAS Maureen ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012113003551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012195194551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Delray Pa(561) 272-9198Prov No 00001219520313722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GREEN BeverlySage Dental of West Delray Pa(561) 272-9198Prov No 00001220442113722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of East Delray Pllc(561) 404-6044Prov No 000012204444551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of West Delray Pa(561) 272-9198Prov No 00000121610013722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)GUERRERO Luis ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071484551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GULTZ Jerrold PSage Dental of East Delray Pllc(561) 404-6044Prov No 000012436444551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1851326581License DN10295License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HARRIS Richard HDelray Family Dentistry(561) 498-3181Prov No 00000124997815300 S Jog Rd Ste 207Delray Beach FL 33446Gender MaleNPI 1528119724License DN12508License Type DBP DentistBoard Certified Not ReportedEmail infodelrayfamilydentistrycomFax (561) 498-3144Accepts New Patients YHospital Affiliation NA

291GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)HARRIS Richard HDelray Famil Dentistry(561) 498-3181Prov No 00001271711015300 S Jog Rd Ste 207Delray Beach FL 33446Gender MaleNPI 1528119724License DN12508License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

HERMAN Mark AMark A Herman Dmd Pa(561) 498-0015Prov No 0000000180855329 W Atlantic Ave Ste 2 01Delray Beach FL 33484Gender MaleNPI 1356554711License DN14310License Type DBP DentistBoard Certified Not ReportedEmail lvom5329gmailcomFax (561) 496-6336Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of East Delray Pllc(561) 404-6044Prov No 000012098985551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)HORWITZ StevenSage Dental of West Delray Pa(561) 272-9198Prov No 00001209911313722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of East Delray Pllc(561) 404-6044Prov No 000012510197551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of West Delray Pa(561) 272-9198Prov No 00001251020213722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)IURCOVICH Maximillian ODental Health Group Pa(561) 276-5800Prov No 0000006943881640 S Federal HwyDelray Beach FL 33483Gender FemaleNPI 1366776965License DN18839License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of West Delray Pa(561) 272-9198Prov No 00001133166213722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071494551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)LAMB NicoleSage Dental of West Delray Pa(561) 272-9198Prov No 00001210070613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of East Delray Pllc(561) 404-6044Prov No 000012100714551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of East Delray Pllc(561) 404-6044Prov No 000012444750551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

292 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)LEMINH Chau JSage Dental of West Delray(561) 272-9198Prov No 00001244495013722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Delray Pa(561) 272-9198Prov No 00001274724513722 S Jog Rd Ste BDelray Beach FL 33446Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Delray Pa(561) 272-9198Prov No 00001217682213722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)LEPORE KrystinaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012176936551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of West Delray Pa(561) 272-9198Prov No 00001204714713722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071496551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MA RobertSage Dental of West Delray Pa(561) 272-9198Prov No 00001155112413722 Jog Rd Ste B Delray Beach FL 33446Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071497551 Linton Blvd Ste C2Delray Beach FL 33444Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertNorthwestern ManagementServices Llc(561) 272-9198Prov No 00001274724613722 S Jog Rd Ste BDelray Beach FL 33446Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MCCOWN Michael GDental Health Group Pa(561) 276-5800Prov No 0000056055791640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1407836612License DN14339License Type DBP DentistBoard Certified NEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

MILANES ChristianDavid Craig Winer Dds Pa(561) 498-0015Prov No 0000128959715329 W Atlantic Ave Ste 2 01Delray Beach FL 33484Gender MaleNPI 1578947610License DN21356License Type DBP DentistBoard Certified Not ReportedEmail lvom5329gmailcomFax (561) 496-6336Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of West Delray Pa(561) 272-9198Prov No 00001155204813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

293GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MOHR Eric ESage Dental of East Delray Pllc(561) 404-6044Prov No 000012071491551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Delray Pa(561) 272-9198Prov No 00001281689413722 S Jog Rd Ste BDelray Beach FL 33446Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of East Delray Pllc(561) 404-6044Prov No 000012819502551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)MORALES Alexis OAdvanced Prosthodontic ampImplant Dentistry(561) 370-6688Prov No 0000122353183100 S Federal Hwy Ste 5Delray Beach FL 33483Language SpanishGender MaleNPI 1336498476License DN19924License Type DBP DentistBoard Certified NEmail floridadentalrejuvenationgmailcomFaxAccepts New Patients YHospital Affiliation NA

MORALES Ronald JDental Health Group Pa(561) 276-5800Prov No 0000124225481640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1215156260License DN13551License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

MUNOZ Numa FDental Health Group Pa(561) 276-5800Prov No 0000126830411640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1427115310License DN20523License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)NAGUIB Michelle ASage Dental of West Delray Pa(561) 272-9198Prov No 00000127959013722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

NGO Tuong TNobel Dental Pa(561) 894-4299Prov No 0000007215382275 S Federal Hwy Ste 310Delray Beach FL 33483Gender FemaleNPI 1548421340License DN16583License Type DBP DentistBoard Certified Not ReportedEmail 2275dentalgmailc omFax (561) 894-4277Accepts New Patients YHospital Affiliation NA

PEREZ ReinaldoCare One Dental Llc(561) 894-4299Prov No 0000130520452275 S Federal Hwy Ste 310Delray Beach FL 33483Language SpanishGender MaleNPI 1447764931License DN22768License Type DBP DentistBoard Certified Not ReportedEmail 2275dentalgmailc omFax (561) 894-4277Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)PLANES Alex ASage Dental of West Delray Pa(561) 272-9198Prov No 00001212841913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012128551551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

POULERIGUEN AlainLaser and Cosmetic Dentistry ofDelray(561) 499-6664Prov No 00000038663315300 S Jog Rd Ste 210 Delray Beach FL 33446Gender MaleNPI 1710106307License DN12610License Type DBP DentistBoard Certified Not ReportedEmail lasercosmeticdentistrygmailcomFax (561) 498-2521Accepts New Patients YHospital Affiliation NA

294 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)QUICK James RSage Dental of West Delray Pa(561) 272-9198Prov No 00000202373913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071513551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of East Delray Pllc(561) 404-6044Prov No 000012172776551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RAPPAPORT David BSage Dental of West Delray Pa(561) 272-9198Prov No 00001217283813722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

REUM Eric DDental Health Group Pa(561) 276-5800Prov No 0000124363621640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1730530106License DN21848License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of West Delray Pa(561) 272-9198Prov No 00001206667913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RIEGER Eric RSage Dental of East Delray Pllc(561) 404-6044Prov No 000012090434551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001303700714560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Delray Pa(561) 272-9198Prov No 00000154913713722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RING Stephen GSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071511551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Delray Pa(561) 272-9198Prov No 00000045386913722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071512551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

295GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)RODRIGUEZ-MARTIN Henry ABrilliant Smiles Dental Pa(561) 272-2131Prov No 0000121712032100 Lake Ida Rd Ste 2ADelray Beach FL 33445Gender MaleNPI 1467549444License DN15860License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 272-8141Accepts New Patients YHospital Affiliation NA

ROMERO IngridSage Dental of West Delray Pa(561) 272-9198Prov No 00001281328513722 S Jog Rd Ste BDelray Beach FL 33446Gender FemaleNPI 1619494952License DN23024License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFaxAccepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of East Delray Pllc(561) 404-6044Prov No 000012523927551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)ROQUE-RUANO MaikelSage Dental of West Delray Pa(561) 272-9198Prov No 00001252604913722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

SAN JORGE AlejandroDental Health Group Pa(561) 276-5800Prov No 0000129659271640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1518234780License DN10618License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of East Delray Pllc(561) 404-6044Prov No 000012175295551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001315832414560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Delray Pa(561) 272-9198Prov No 00000070466713722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071571551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 323-7264Prov No 00001303701114560 S Military Trl SteB2Delray Beach FL 33484Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmail naarakatsurcomFax (561) 257-0604Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of East Delray Pllc(561) 404-6044Prov No 000012163490551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of West Delray Pa(561) 272-9198Prov No 00001216352813722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

296 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)STRONG Shanice De OnaSage Dental of East Delray Pllc(561) 404-6044Prov No 000012454299551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of West Delray Pa(561) 272-9198Prov No 00001245431613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

SUTNICK Steven ADental Health Group Pa(561) 276-5800Prov No 0000102131141640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1922447374License DN10650License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)URCUYO Jacqueline CSage Dental of West Delray Pa(561) 272-9198Prov No 00001246263513722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of East Delray Pllc(561) 404-6044Prov No 000012462650551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Delray Pa(561) 272-9198Prov No 00001212641313722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)VAZANA Todd ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012146137551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Delray Pa(561) 272-9198Prov No 00001209426313722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of East Delray Pllc(561) 404-6044Prov No 000012094265551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)VERDECCHIA Dana JDental Health Group Pa(561) 276-5800Prov No 0000132166111640 S Federal HwyDelray Beach FL 33483Gender FemaleNPI 1245724848License DN23510License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Delray Pa(561) 272-9198Prov No 00000215617513722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of East Delray Pllc(561) 404-6044Prov No 000012071577551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

297GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)WILNER Jason MCare One Dental Llc(561) 894-4299Prov No 0000128640722275 S Federal Hwy Ste 310Delray Beach FL 33483Gender MaleNPI 1790210201License DN22956License Type DBP DentistBoard Certified Not ReportedEmail 2275dentalgmailc omFax (561) 894-4277Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of West Delray Pa(561) 272-9198Prov No 00001205624613722 Jog Rd Ste B Delray Beach FL 33446Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of East Delray Pllc(561) 404-6044Prov No 000012071487551 Linton Blvd Ste C2Delray Beach FL 33444Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)YU Joyce WSage Dental of West Delray Pa(561) 272-9198Prov No 00001248565613722 Jog Rd Ste B Delray Beach FL 33446Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of East Delray Pllc(561) 404-6044Prov No 000012493568551 Linton Blvd Ste C2Delray Beach FL 33444Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZUSSELMAN ArnoldDental Health Group Pa(561) 276-5800Prov No 0000015580741640 S Federal HwyDelray Beach FL 33483Gender MaleNPI 1134347172License DN13888License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 276-2054Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

DELRAY BEACH (Cont)ZYLBERING Jason MSage Dental of West Delray Pa(561) 272-9198Prov No 00000119414613722 Jog Rd Ste B Delray Beach FL 33446Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingnorthwesternmanagementcomFax (561) 265-0852Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of East Delray Pllc(561) 404-6044Prov No 000012113005551 Linton Blvd Ste C2Delray Beach FL 33444Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREENACRES

FIFFE EliseoGreenacres Dental Service(561) 838-7937Prov No 0000129562843098 S Jog Rd Ste BGreenacres FL 33467Language SpanishGender MaleNPI 1760737480License DN22223License Type DBP DentistBoard Certified Not ReportedEmail greenacresdentalservicegmailcomFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

GREENACRES (Cont)FIGUEROA Fernando Luis LFernando L Figueroa Dds Pa(561) 432-1718Prov No 0000001367454750 S Jog RdGreenacres FL 33467Gender MaleNPI 1316135205License DN15400License Type DBP DentistBoard Certified Not ReportedEmail elite-dentalhotmailcomFax (561) 432-1748Accepts New Patients YHospital Affiliation NA

MICHEL RaynaldMillake Dental Pa(561) 357-1009Prov No 0000124659256137 Lake Worth RdGreenacres FL 33463Language FrenchGender MaleNPI 1376859306License DN19473License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 969-7624Accepts New Patients YHospital Affiliation NA

REDDY AnithaAnitha Reddy Dmd(561) 965-1254Prov No 0000001741555700 Lake Worth Rd Ste 102Greenacres FL 33463Gender FemaleNPI 1003939489License DN16053License Type DBP DentistBoard Certified Not ReportedEmail dr_anitha_reddyyahoocomFax (561) 965-1810Accepts New Patients YHospital Affiliation NA

298 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

GREENACRES (Cont)REDDY AnithaAnitha Reddy Dmd(561) 965-1254Prov No 0000129740405700 Lake Worth Rd 101amp102Greenacres FL 33463Gender FemaleNPI 1003939489License DN16053License Type DBP DentistBoard Certified Not ReportedEmail dr_anitha_reddyyahoocomFaxAccepts New Patients YHospital Affiliation NA

STEIN IlyaLakeworth Family Dental(561) 649-6446Prov No 0000004612296427 Lake Worth Rd Greenacres FL 33463Gender MaleNPI 1235260407License DN14972License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 649-6445Accepts New Patients YHospital Affiliation NA

VICTOME Robert GMillake Dental Pa(561) 357-1009Prov No 0000000190286137 Lake Worth Rd Greenacres FL 33463Language French SpanishGender MaleNPI 1437238516License DN 13708License Type DBP DentistBoard Certified Not ReportedEmail millakedentalgmailcomFax (561) 969-7624Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER

ABDEL-JABBAR Sana HSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012457903451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124579041695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

ALVAREZ Jose FTowncare Dental of Jupiter Pa(561) 627-6090Prov No 0000003595245440 Military Trl Ste 11Jupiter FL 33458Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 627-6088Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ALVAREZ Jose FJupiter Dental Group Pa(561) 745-3118Prov No 000001148641175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000364400451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018197711695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BALLY Kurt OKurt O Bally Dmd Pa(561) 691-6055Prov No 0000004169064050 S Us Highway 1 Ste 3 22Jupiter FL 33477Gender MaleNPI 1497870034License DN17659License Type DBP DentistBoard Certified Not ReportedEmail moderndentalsmilesgmailcomFax (561) 691-6054Accepts New Patients YHospital Affiliation NA

BATES Barbara AOasis Family Dental Spa Llc(561) 427-0070Prov No 0000121540141096 W Indiantown Rd Ste200Jupiter FL 33458Gender FemaleNPI 1841331535License DN15804License Type DBP DentistBoard Certified Not ReportedEmail bbdmdpsdaolcomFax (561) 427-0435Accepts New Patients YHospital Affiliation NA

BENGOCHEA ArmandoJupiter Dental Group(561) 745-3118Prov No 000013004123175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender MaleNPI 1487094678License DN21590License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

299GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BENTSI ENCHILL FloraJupiter Dental Group Pa(561) 745-3118Prov No 000002228453175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

BIDKAR VibhorPayal Chokshi(561) 744-3646Prov No 000012688293759 Parkway Ste 102Jupiter FL 33477Gender MaleNPI 1477953677License DN20961License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 748-5123Accepts New Patients YHospital Affiliation NA

BLOCK Michael JJupiter Dental Group Pa(561) 745-3118Prov No 000007193229175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1104999267License DN16136License Type DBP DentistBoard Certified NEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BOCKIAN Joshua ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000004029433451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000040294411695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

BOSCIO Isabel CDentistry By Design(561) 406-6070Prov No 0000122343613889 Military TrlJupiter FL 33458Gender FemaleNPI 1467429316License DN17855License Type DBP DentistBoard Certified Not ReportedEmail infodbdflcomFax (561) 406-6072Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)BRATMAN JerrySage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018197751695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Jupiter Pllc(561) 427-6850Prov No 000012113795451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Jupiter Pllc(561) 427-6850Prov No 000012151624451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)CASTILLO Juan ISage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121516251695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012153006451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121530071695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

300 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)CHOKSHI Payal PPayal P Chokshi Dmd(561) 744-3646Prov No 000001540415759 Parkway Ste 102Jupiter FL 33477Gender FemaleNPI 1770714578License DN18713License Type DBP DentistBoard Certified Not ReportedEmail drchokshiriverwalkdentalgroupcomFaxAccepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000361107451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018197811695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)COWAN Marc ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000039162261695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000003916228451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000001771623451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)CRUZ Antonio RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017716331695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000045899401695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000004589942451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)DELGADO JudithJupiter Dental Group(561) 745-3118Prov No 000012926431175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1568983716License DN23194License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Jupiter(561) 427-6850Prov No 000012435571451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 427-6860Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124355751695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

301GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)DRISCOLL Allison RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000001958435451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000019584551695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012110539451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)DUARTE BeatrizSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121105401695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000001772265451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017722701695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ESPINET KUSNIER ElaineSage Dental of Indiantown Pllc(561) 741-7142Prov No 0000125841151695 W Indiantown Rd Ste32Jupiter FL 33458Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012586069451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Jupiter Pllc(561) 427-6850Prov No 000011551568451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000115515751695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

FOTEK Ilona PIlona P Fotek Dmd(561) 626-6116Prov No 0000121498524600 Military Trl Ste 210Jupiter FL 33458Language PolishGender FemaleNPI 1053519041License DN17982License Type DBP DentistBoard Certified Not ReportedEmail mailboxprestigeperiocomFax (561) 627-6914Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000425277451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

302 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)FOX Jeffrey MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017720621695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017720631695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012113798451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GARRISON Harvey BSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000414319451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000017720641695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GELDRES Juana MJuand M Geldres(561) 653-1163Prov No 000000444235425 Greenwich Cir Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1649212796License DN16169License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 653-1164Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GHATTAS Maureen ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000012091370451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120913721695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121951561695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GONZALES AngelicaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012195198451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Jupiter Pllc(561) 427-6850Prov No 000012204448451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000122044491695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

303GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)GUERRERO Luis ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000001216109451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012098988451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120989891695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)IRAVANI Mina FSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012510183451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000125101851695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Jupiter Pllc(561) 427-6850Prov No 000011331669451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)KACHAM SharadaShadara Kacham Dds(561) 844-0715Prov No 0000003378354600 Military Trl Ste 219Jupiter FL 33458Gender FemaleNPI 1801181458License DN15993License Type DBP DentistBoard Certified Not ReportedEmail smilecometruegmailcomFax (561) 776-4878Accepts New Patients YHospital Affiliation NA

KALOGLIAN SILVA MichelleJupiter Dental Group Pa(561) 745-3118Prov No 000012910493175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1245551217License DN23312License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

KLOPENSTINE Geoffrey AJupiter Dental Group Pa(561) 745-3118Prov No 000001171589175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1306951793License DN19238License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LAMB NicoleSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012100717451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121007181695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

LEIBOVICI JacobDental Spa at Abacoa Inc(561) 420-8888Prov No 0000000454431155 Main St Ste 105Jupiter FL 33458Gender MaleNPI 1386736767License DN14459License Type DBP DentistBoard Certified Not ReportedEmail dentalspacomcast netFax (561) 420-8330Accepts New Patients YHospital Affiliation NA

304 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LEIN Bruce NBruce Lein Dds(561) 744-6121Prov No 000000398812825 S Us Highway 1 Ste 25 0Jupiter FL 33477Gender MaleNPI 1902920598License DN17633License Type DBP DentistBoard Certified Not ReportedEmail bruceleinddsgmailcomFax (561) 401-9367Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012444755451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124449551695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LEPORE KrystinaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012176940451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121769411695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018201611695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)LONDONO Jennifer DSage Dental of Jupiter(561) 427-6850Prov No 000012113799451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 427-6860Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000115504511695 W Indiantown Rd Ste32Jupiter FL 33458Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Jupiter Pllc(561) 427-6850Prov No 000011551128451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)MCCOSH FernandaJupiter Dental Group Pa(561) 745-3118Prov No 000012074404175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1427305150License DN19819License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Jupiter Pllc(561) 427-6850Prov No 000011552064451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000117711371695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

305GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)MONCRIEFFE Tiffany ISage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000128195041695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Jupiter Pllc(561) 427-6850Prov No 000012819508451 University Blvd Ste 101 Bldg 3Jupiter FL 33458Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000001279608451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)NAGUIB Michelle ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018201581695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

NGUYEN ChiMarianna Zadov Pa(561) 295-1566Prov No 0000134921791025 Military Trl Ste 210Jupiter FL 33458Gender FemaleNPI 1548452626License Not ReportedLicense Type Not ReportedBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Pa(561) 295-1566Prov No 0000134916441025 Military Trl Ste 210Jupiter FL 33458Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)PATEL Aditi KKa Dental Group Jupiter Pa(561) 795-1404Prov No 0000122139003755 Military Trl Ste B2Jupiter FL 33458Gender FemaleNPI 1518212877License DN 19875License Type DBP DentistBoard Certified NEmail contactkadentalgroupcomFax (561) 743-2639Accepts New Patients YHospital Affiliation NA

PATEL Krunal DKa Dental Group Jupiter Pa(561) 795-1404Prov No 0000122138983755 Military Trl Ste B2Jupiter FL 33458Gender MaleNPI 1225384472License DN19874License Type DBP DentistBoard Certified NEmail contactkadentalgroupcomFax (561) 743-2639Accepts New Patients YHospital Affiliation NA

PECORA Jefferson MJupiter Dental Group Pa(561) 745-3118Prov No 000012434954175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1831396282License DN13729License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)PEREZ ALAMO JenniferJupiter Dental Group Pa(561) 745-3118Prov No 000012577533175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000012128532451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121285331695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

306 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)QUICK James RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000020237271695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000002023745451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012172810451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)RAPPAPORT David BSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121728111695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

REZAIE AzadehJupiter Dental Group Pa(561) 745-3118Prov No 000012204703175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1740663848License DN21393License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012066727451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)RIEGER Eric RSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120667281695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000364379451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018198471695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)RODRIGUEZ Margarita MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000453868451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018198491695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012523930451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

307GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ROQUE-RUANO MaikelSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000125239311695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

RUDNICK AndrewDonald Ross Dental(561) 493-8299Prov No 0000000334835440 Military Trl Ste 11 Jupiter FL 33458Gender MaleNPI 1154416626License DN14987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 493-7496Accepts New Patients YHospital Affiliation NA

SALEHI MojganDentistry By Design(561) 406-6070Prov No 0000125924643889 Military TrlJupiter FL 33458Gender FemaleNPI 1285860056License DN16437License Type DBP DentistBoard Certified Not ReportedEmail infodbdflcomFax (561) 406-6072Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)SCARFONE MelanieSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012175291451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121753051695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

SHIFLET Jennifer LJupiter Dental Group Pa(561) 745-3118Prov No 000013018941175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1043705205License DN23159License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)SNIDER Erica MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000000704687451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000018198951695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012163506451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)STEINER Samantha LSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121635071695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

STRAUSS William ADonald Ross Dental(561) 493-8299Prov No 0000003652015440 Military Trl Ste 11 Jupiter FL 33458Gender MaleNPI 1386739365License DN15748License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 493-7496Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012454306451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

308 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)STRONG Shanice De OnaSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124543071695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012462655451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124626561695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)VARGAS AndresJupiter Dental Group Pa(561) 745-3118Prov No 000001243602175 Toney Penna Dr Ste 105Jupiter FL 33458Gender MaleNPI 1861515025License DN17711License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000012140203451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012094210451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)VERA Anny BSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120942111695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

VERA Anny BJupiter Dental Group Pa(561) 745-3118Prov No 000012184176175 Toney Penna Dr Ste 105Jupiter FL 33458Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Jupiter Pllc(561) 427-6850Prov No 000002156178451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)VIGNOLA Jennifer ASage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000021561821695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

YOUNG Lisa BJupiter Dental Group Pa(561) 745-3118Prov No 000001214788175 Toney Penna Dr Ste 105Jupiter FL 33458Gender FemaleNPI 1285717066License DN17516License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012019365451 University Blvd Bldg3 Ste 101Jupiter FL 33458Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

309GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

JUPITER (Cont)YU Cynthia WSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000120193661695 W Indiantown Rd Ste32Jupiter FL 33458Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012485399451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000124854001695 W Indiantown Rd Ste32Jupiter FL 33458Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ZASLAVSKY JuliaJupiter Dental Group(561) 745-3118Prov No 000013067949175 Toney Penna Dr Ste 105Jupiter FL 33458Language RussianGender FemaleNPI 1225481302License DN21923License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 745-2440Accepts New Patients YHospital Affiliation NA

ZELAZEK Bruce SSage Dental of Jupiter Pllc(561) 427-6850Prov No 000012820323451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1053433144License DN10210License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Jupiter Pllc(561) 427-6850Prov No 000001194158451 University Blvd Bldg3 Ste 101Jupiter FL 33458Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

JUPITER (Cont)ZYLBERING Jason MSage Dental of JupiterIndiantown Pllc(561) 741-7142Prov No 0000121138071695 W Indiantown Rd Ste32Jupiter FL 33458Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail sfljupiterindiantownfrontdeskmysagedentalcomFax (561) 741-7914Accepts New Patients YHospital Affiliation NA

LAKE PARK

BARRETT StevenGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130140271230 Northlake BlvdLake Park FL 33403Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130122731230 Northlake BlvdLake Park FL 33403Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE PARK (Cont)FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130121021230 Northlake BlvdLake Park FL 33403Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130121201230 Northlake BlvdLake Park FL 33403Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients NHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130121171230 Northlake BlvdLake Park FL 33403Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients NHospital Affiliation NA

310 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE PARK (Cont)RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130298121230 Northlake BlvdLake Park FL 33403Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

ROYZMAN AnnaRoyzman Anna(561) 848-0087Prov No 0000120448121535 Prosperity Farms RdLake Park FL 33403Gender FemaleNPI 1962744102License DN 17148License Type DBP DentistBoard Certified NEmailFax (561) 848-0987Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 536-4463Prov No 0000130370211230 Northlake BlvdLake Park FL 33403Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH

ABDEL-JABBAR Sana HSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124579051922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ABDEL-JABBAR Sana HSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124579506626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

AGREDA AngelAngel Agreda Dds(561) 253-0158Prov No 0000001958172311 10th Ave N Ste 14 Lake Worth FL 33461Gender MaleNPI 1699883199License DN11416License Type DBP DentistBoard Certified Not ReportedEmail infointegraldentalcomFax (561) 253-0159Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)AKEL RasmiBig Smile Dentistry(561) 331-3013Prov No 0000065120174481 Lake Worth Rd Ste B Lake Worth FL 33461Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail dentistrybigsmilegmailcomFax (561) 331-3015Accepts New Patients YHospital Affiliation NA

AKEL RasmiBig Smile Dentistry II Inc(561) 530-3325Prov No 0000124972833935 S Jog Rd Ste 16Lake Worth FL 33467Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail smilesbusinessmanagergmailcomFaxAccepts New Patients YHospital Affiliation NA

AKEL RasmiBig Smile Dentistry II Inc(561) 235-0995Prov No 0000126175503911 S Jog Rd Ste 16Lake Worth FL 33467Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail mspgold25yahooco mFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)ANDERSON MarcSerene Dental Center(561) 304-1414Prov No 0000003821632411 10th Ave N Lake Worth FL 33461Language SpanishGender MaleNPI 1669592598License DN16898License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 304-1416Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000003425256626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000019561731922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

311GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)BARRETT StevenGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128171957725 Lake Worth RdLake Worth FL 33467Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000040294356626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000040294431922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)BRATMAN JerrySage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121125946626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121138051922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121516261922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CASTILLO Juan ISage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121516316626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121529836626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121530081922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CORONADO EfrainSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000015401676626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000015401691922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

CORREA AliDr Claude Barosy(561) 223-3501Prov No 0000125388341702 S Dixie Hwy Ste C1Lake Worth FL 33460Language Portuguese SpanishGender MaleNPI 1972815835License DN20957License Type DBP DentistBoard Certified Not ReportedEmail cbardentistryoutlookcomFax (561) 223-3562Accepts New Patients YHospital Affiliation NA

312 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CORTES Astrid IBig Smiles Dentistry(561) 331-3012Prov No 0000083607214481 Lake Worth Rd Ste B Lake Worth FL 33461Language SpanishGender FemaleNPI 1346689155License DN20122License Type DBP DentistBoard Certified Not ReportedEmail dentistrybigsmilegmailcomFax (561) 331-3015Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000039162336626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000039162391922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)CRUZ Antonio RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000017716071922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000017716086626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128967727725 Lake Worth RdLake Worth FL 33467Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DAROJAT Zuhdiyah MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000045900081922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000045900116626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124355781922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DOOLEY Jill CSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124480236626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000019584471922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000019584566626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

313GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DUARTE BeatrizSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121105066626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121105411922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000017722271922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)DURKAN Marcia ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000017722286626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000125860701922 Lake Worth Rd Lake Worth FL 33461Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000125860736626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)FERNANDEZ EllysSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000127038376626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1093159923License DN22382License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000115515656626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000115515831922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)FINE DavidDavid Fine(561) 968-7050Prov No 0000004424427378 Lake Worth Rd Lake Worth FL 33467Gender MaleNPI 1487656526License DN17422License Type DBP DentistBoard Certified NEmail floridagardensdentalcentercomcastnetFaxAccepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000129218517725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000004252691922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

314 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)FOX Jeffrey MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000004252706626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000011463476626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000011464251922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GARRISON Harvey BSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000004142991922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121125976626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120913576626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GHATTAS Maureen ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120913731922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121951571922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121954156626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GREEN BeverlySage Dental of Boynton BeachPa(561) 433-9600Prov No 0000122044136626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Lake Worth Pa(561) 547-5597Prov No 0000122046811922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128162277725 Lake Worth RdLake Worth FL 33467Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

315GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)GUERRERO Luis ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000012161011922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000012161026626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120985926626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)HORWITZ StevenSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120989901922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000125101166626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000125101871922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)JUMA ZaileenSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000111164706626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000113317531922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121005991922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)LAMB NicoleSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121007126626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

LAUER BradleyCagigas Dental Services LlcProv No 0000134916412311 10th Ave N Ste 14Lake Worth FL 33461Gender MaleNPI 1700806403License DN 7920License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124447926626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

316 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)LEMINH Chau JSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124449561922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121769286626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121769421922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)LIENDO FabiolaSerene Dental Center(561) 304-1414Prov No 0000015504892411 10th Ave N Lake Worth FL 33461Gender FemaleNPI 1780811554License DN19384License Type DBP DentistBoard Certified NEmailFax (561) 304-1416Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121122396626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121138031922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)MA RobertSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000115510976626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000115511251922 Lake Worth Rd Lake Worth FL 33461Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

Marti Bagdasarov AnjelikaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000130323481922 Lake Worth Rd Lake Worth FL 33461Language Russian SpanishGender FemaleNPI 1336591577License DN21930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)MOHR Eric ESage Dental of Lake Worth Pa(561) 547-5597Prov No 0000115520461922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Boynton BeachPa(561) 433-9600Prov No 0000117711386626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

MOLINA-WASSERMAN Jacqueline MFlorida Gardens Dntl Ctr(561) 968-7050Prov No A000000185677378 Lake Worth Rd Lake Worth FL 33467Gender FemaleNPI 1033213459License DN13861License Type DBP DentistBoard Certified Not ReportedEmail floridagardensdentalcentercomcastnetFax (561) 968-7068Accepts New Patients YHospital Affiliation NA

317GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)MONCRIEFFE Tiffany ISage Dental of Lake Worth Pa(561) 547-5597Prov No 0000128166351922 Lake Worth RdLake Worth FL 33461Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Boynton BeachPa(561) 433-9600Prov No 0000128194936626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000012795911922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)NIROUMAND FarinazGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128163637725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1265987887License DN22213License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000128163087725 Lake Worth RdLake Worth FL 33467Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121285341922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)PLANES Alex ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121285456626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PRADO Pablo RCagigas Dental Service(561) 540-4446Prov No 0000129086452311 10th Ave N Ste 14Lake Worth FL 33461Gender MaleNPI 1104207703License DN21250License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000020237381922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)QUICK James RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000020237536626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121728056626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121728121922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

318 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)RIEGER Eric RSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120666726626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120667291922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000130298207725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)RING Stephen GSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000015491391922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000015491406626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000004538606626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)RODRIGUEZ Margarita MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000004538621922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000125239346626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000125260451922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)SCARFONE MelanieSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121738681922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121753216626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000131583017725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

319GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)SEIDENFELD AlanJacqueline Molina-WassermanPa(561) 968-7050Prov No 0000129664577378 Lake Worth RdLake Worth FL 33467Gender MaleNPI 1538668199License DN22663License Type DBP DentistBoard Certified Not ReportedEmail floridagardensdentalcentercomcastnetFax (561) 968-7068Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000007046681922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000007046696626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 508-9450Prov No 0000130370177725 Lake Worth RdLake Worth FL 33467Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 508-9450Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121635016626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121635081922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)STRONG Shanice De OnaSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124542896626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124543081922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

UMOREN Anne-Marie USage Dental of Lake Worth Pa(561) 547-5597Prov No 0000128936141922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1942616453License 20750License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)URCUYO Jacqueline CSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124626406626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124626571922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000121461766626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

320 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)VAZANA Todd ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000121461811922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120942121922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120943816626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)VIGNOLA Jennifer ASage Dental of Lake Worth Pa(561) 547-5597Prov No 0000021561741922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Boynton BeachPa(561) 433-9600Prov No 0000021561836626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000120193576626 Hypoluxo Rd Ste A1Lake Worth FL 33467Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)YU Cynthia WSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000120193671922 Lake Worth Rd Lake Worth FL 33461Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000124854011922 Lake Worth Rd Lake Worth FL 33461Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000124854086626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

LAKE WORTH (Cont)ZYLBERING Jason MSage Dental of Lake Worth Pa(561) 547-5597Prov No 0000011941471922 Lake Worth Rd Lake Worth FL 33461Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 547-5886Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Boynton BeachPa(561) 433-9600Prov No 0000011941486626 Hypoluxo Rd Ste A1Lake Worth FL 33467Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 434-1186Accepts New Patients YHospital Affiliation NA

NORTH PALM BEACH

BRODY Robert AGreat Expressions DentalCenters(561) 624-2047Prov No 00001213826011682 Us Highway 1 Ste BSte 60North Palm Beach FL 33408Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5691Accepts New Patients YHospital Affiliation NA

321GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

NORTH PALM BEACH (Cont)JACKSON David CDental Health Group Pa(561) 624-2047Prov No 00001253026111682 Us Highway 1 Ste BSte 60North Palm Beach FL 33408Gender MaleNPI 1790089860License DN19084License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5290Accepts New Patients YHospital Affiliation NA

PODBIELSKI David PDr David Podbielski(561) 842-3331Prov No 000000019264429 Northlake BlvdNorth Palm Beach FL 33408Gender MaleNPI 1629245907License DN12386License Type DBP DentistBoard Certified Not ReportedEmail skifinbadaolcomFax (561) 844-0417Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Narda SGreat Expressions DentalCenters(248) 203-1119Prov No 00001270103711682 Us Highway 1 Ste BSte 60North Palm Beach FL 33408Gender FemaleNPI 1548570831License DN20013License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5691Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS

ALVAREZ Jose FJose F Alvarez Dds(561) 656-5250Prov No 00001210439511601 Kew Gardens Ave Ste107Palm Beach Gardens FL 33410Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmail appointmentsnaturalsmilegmailcomFaxAccepts New Patients YHospital Affiliation NA

BRAICH FlorianFlorian Braich Dds(561) 627-2399Prov No 0000000253979123 N Military Trl Ste 200Palm Beach Gardens FL 33410Gender MaleNPI 1457571580License DN11939License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 627-7680Accepts New Patients YHospital Affiliation NA

BRODY Robert ADental Health Group Pa(561) 624-2047Prov No 00001312143311682 Us Highway 1 Ste 60BPalm Beach Gardens FL 33408Gender MaleNPI 1295830438License DN10219License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5290Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)CHILDERS Carmen DDentists of Palm Beach Gardens(561) 323-7117Prov No 0000131557295380 Donald Ross Rd Ste 100Palm Beach Gardens FL 33418Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmailFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

COHEN Freyda BNorthlake Dental(561) 625-1991Prov No 0000020215774274 Northlake Blvd Palm Beach Gardens FL 33410Gender FemaleNPI 1073775334License DN19277License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 694-8162Accepts New Patients YHospital Affiliation NA

DOMINGUEZ Cristina CAspen Dental(561) 776-9984Prov No 0000124818483333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender FemaleNPI 1821159229License DN17518License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)GRIFFEE Justin PAspen Dental(561) 776-9984Prov No 0000124658613333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender MaleNPI 1639373830License DN18151License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

HACKBARTH Mallory JAspen Dental(561) 776-9984Prov No 0000128749053333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender FemaleNPI 1265880470License DN23245License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

KADIYALA SravanthiDental Health Group Pa(561) 624-2047Prov No 00001353786611682B Us Highway 1 Ste 60Palm Beach Gardens FL 33408Gender FemaleNPI 1952830879License DN22642License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 624-5290Accepts New Patients YHospital Affiliation NA

322 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)KIJANKA GaryGary Kijanka Dds(561) 776-3116Prov No 00000015674110333 N Military Trl SteBPalm Beach Gardens FL 33410Gender MaleNPI 1770676645License DN14241License Type DBP DentistBoard Certified Not ReportedEmail garykijankadmdgmailcomFax (561) 776-3165Accepts New Patients YHospital Affiliation NA

MA WilliamWilliam Ma Dds(561) 622-8013Prov No 0000000182134397 Northlake Blvd Ste 2 02Palm Beach Gardens FL 33410Gender MaleNPI 1912033309License DN14330License Type DBP DentistBoard Certified Not ReportedEmail williammadmdyahoocomFax (561) 622-5874Accepts New Patients YHospital Affiliation NA

MCCANN LEE Katie LDentists of Palm Beach Gardens(561) 323-7117Prov No 0000130559395380 Donald Ross Rd Ste 100Palm Beach Gardens FL 33418Gender FemaleNPI 1447571245License DN21364License Type DBP DentistBoard Certified Not ReportedEmailFax (303) 952-0892Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)NEWTON Emily TAspen Dental(561) 776-9984Prov No 0000127181233333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender FemaleNPI 1417331794License DN21425License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

QUASHA Michael DDr Michael D Quasha(561) 799-5558Prov No 0000003399864520 Donald Ross Rd Ste 105Palm Beach Gardens FL 33418Gender MaleNPI 1972674448License DN16005License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 799-9311Accepts New Patients YHospital Affiliation NA

RUDNICK AndrewNorthlake Dental(561) 625-1991Prov No 0000000334814274 Northlake Blvd Palm Beach Gardens FL 33410Gender MaleNPI 1154416626License DN14987License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 694-8162Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM BEACH GARDENS (Cont)TRAN BrianAspen Dental(561) 776-9984Prov No 0000129204503333 Northlake Blvd Ste 6Palm Beach Gardens FL 33403Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

VARGAS AndresDr Andres Vargas Dds(561) 775-0373Prov No 00000071244111380 Prosperity Farms Rd Ste 115BPalm Beach Gardens FL 33410Gender MaleNPI 1861515025License DN17711License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 775-8631Accepts New Patients YHospital Affiliation NA

WESTCOTT Michael CHometown Dentistry(561) 366-7303Prov No 00000069590210625 N Military Trl Ste 201Palm Beach Gardens FL 33410Gender MaleNPI 1528196078License DN8636License Type DBP DentistBoard Certified Not ReportedEmail frontdeskhometownteethcomFax (561) 348-9474Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM SPRINGS

AKEL RasmiSoma Smiles Inc(561) 425-5090Prov No 0000122086703580 Lake Worth RdPalm Springs FL 33461Gender MaleNPI 1801937594License DN15799License Type DBP DentistBoard Certified Not ReportedEmail perfectsmiles32gmailcomFax (561) 360-3467Accepts New Patients YHospital Affiliation NA

LAGO-SANCHEZ IdelbisIdelbis Lago-Sanchez(561) 201-8078Prov No 0000126141523729 Lake Worth RdPalm Springs FL 33461Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

MESA Tahimara CYusel Mesa Estevez(561) 429-4645Prov No 0000125975342763 S Congress AvePalm Springs FL 33461Gender FemaleNPI 1346596665License DN19855License Type DBP DentistBoard Certified Not ReportedEmail familydentalcarewpbgmailcomFax (561) 429-4699Accepts New Patients YHospital Affiliation NA

323GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

PALM SPRINGS (Cont)PEGUERO DanielSelective Dental(561) 357-4756Prov No 0000001401813401 S Congress Ave Ste 109Palm Springs FL 33461Gender MaleNPI 1952442097License DN14643License Type DBP DentistBoard Certified Not ReportedEmail selectivedentalgmailcomFax (561) 370-6074Accepts New Patients YHospital Affiliation NA

RAMOS-ABELENDA IdalmisCongress Cosmetic amp GeneralDentistry Inc(561) 434-6661Prov No A000000224881620 S Congress Ave Ste 102Palm Springs FL 33461Gender FemaleNPI 1447452958License DN17929License Type DBP DentistBoard Certified Not ReportedEmail congresscosmeticyahoocomFax (561) 434-6662Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSelective Dental(561) 357-4756Prov No 0000004666803401 S Congress Ave Ste 109Palm Springs FL 33461Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail selectivedentalgmailcomFax (561) 370-6074Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM SPRINGS (Cont)RODRIGUEZ Narda SNarda Rodriguez(561) 425-5090Prov No 0000124389933580 Lake Worth RdPalm Springs FL 33461Gender FemaleNPI 1548570831License DN20013License Type DBP DentistBoard Certified Not ReportedEmail ma2re2neaolcomFax (561) 275-7177Accepts New Patients YHospital Affiliation NA

SHANKARAIAH SreedeviPalm Springs Family Dentistry(561) 296-1010Prov No 0000002177373112 S Congress Ave Ste BPalm Springs FL 33461Gender FemaleNPI 1609854843License DN12551License Type DBP DentistBoard Certified Not ReportedEmail psfamilydentistrygmailcomFaxAccepts New Patients YHospital Affiliation NA

SUAREZ-TABARES LidiaSouth Congress Cosmetic ampGeneral Dentistry Inc(561) 434-6661Prov No 0000120465101620 S Congress Ave Ste 102Palm Springs FL 33461Gender FemaleNPI 1780976795License DN20107License Type DBP DentistBoard Certified Not ReportedEmail congresscosmeticyahoocomFax (561) 434-6662Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

PALM SPRINGS (Cont)ZAWADZKY Javier MSelective Dental(561) 357-4756Prov No 0000127926623401 S Congress Ave Ste 109Palm Springs FL 33461Gender MaleNPI 1245541507License DN19098License Type DBP DentistBoard Certified NEmail selectivedentalgmailcomFax (561) 370-6074Accepts New Patients YHospital Affiliation NA

RIVIERA BEACH

PETERS EdwardEdward Peters Dds(561) 842-8911Prov No 00000001837951 E Blue Heron BlvdRiviera Beach FL 33404Language SpanishGender MaleNPI 1255463170License DN4384License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 842-6567Accepts New Patients YHospital Affiliation NA

ROYAL PALM BEACH

DEAN Gina DTransitional Smiles(561) 753-6633Prov No 0000004684001015 N State Road 7 Ste BRoyal Palm Beach FL 33411Gender FemaleNPI 1538355359License DN11243License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)DICKINSON Scott CGriffee Dental II Pa(561) 753-6963Prov No 000011996413440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1942432729License DN16315License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 784-1474Accepts New Patients YHospital Affiliation NA

DOMINGUEZ Cristina CAspen Dental(561) 753-6963Prov No 000012214739440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1821159229License DN17518License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

GALEANO Nubia ENubia Galeano Dmd(561) 204-1719Prov No 00000063024110399 Southern Blvd Royal Palm Beach FL 33411Language SpanishGender FemaleNPI 1447388202License DN15407License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 204-3996Accepts New Patients YHospital Affiliation NA

324 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)GRIFFEE Justin PAspen Dental(561) 753-6963Prov No 000012214186440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1639373830License DN18151License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

GUERRINO Danielle SGriffee Dental II Pa(561) 753-6963Prov No 000012471891440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1114301918License DN21783License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

HACKBARTH Mallory JAspen Dental(561) 753-6963Prov No 000012874906440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1265880470License DN23245License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)ISAZA EmiliaTransitional Smiles(561) 753-6633Prov No 0000006847941015 N State Road 7 Ste BRoyal Palm Beach FL 33411Language SpanishGender FemaleNPI 1629209630License DN18767License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

KANG Bo Young YTransitional Smiles(561) 753-6633Prov No 0000004642331015 N State Road 7 Ste BRoyal Palm Beach FL 33411Gender FemaleNPI 1952443327License DN15914License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

KANNIKAL Janice JTransitional Smiles(561) 753-6633Prov No 0000121759151015 N State Road 7 Ste BRoyal Palm Beach FL 33411Gender FemaleNPI 1811228679License DN18327License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)KHOSHROU BitaDent-All(561) 333-3556Prov No 00001257838811440 Okeechobee Blvd Ste 106Royal Palm Beach FL 33411Language HindiGender FemaleNPI 1790178820License DN22448License Type DBP DentistBoard Certified Not ReportedEmail dentall11440yahoocomFax (561) 333-3441Accepts New Patients YHospital Affiliation NA

NEWTON Emily TAspen Dental(561) 753-6963Prov No 000012704065440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1417331794License DN21425License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

NILES Summer NGriffee Dental II Pa(561) 753-6963Prov No 000012465921440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender FemaleNPI 1669825113License DN22179License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 784-1474Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)PATEL Aditi KKa Dental Group Rpb Pa(561) 795-1404Prov No 0000124900791112 Royal Palm Beach Blv DRoyal Palm Beach FL 33411Gender FemaleNPI 1518212877License DN 19875License Type DBP DentistBoard Certified NEmail royalpalmbeachkadentalcomFax (561) 795-0991Accepts New Patients YHospital Affiliation NA

PATEL Krunal DKa Dental Group Rpb Pa(561) 795-1404Prov No 0000122528791112 Royal Palm Beach Blv DRoyal Palm Beach FL 33411Gender MaleNPI 1225384472License DN19874License Type DBP DentistBoard Certified NEmail royalpalmbeachkadentalcomFax (561) 795-0991Accepts New Patients YHospital Affiliation NA

RODRIGUEZ-TORRES Randall RGriffee Dental II Pa(561) 753-6963Prov No 000012104283440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1417394339License DN20396License Type DBP DentistBoard Certified NEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

325GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

ROYAL PALM BEACH (Cont)SHRAITEH Jenan AJenan Shraiteh Dmd Pa(561) 753-6633Prov No 0000124549081015 N State Road 7 Ste BRoyal Palm Beach FL 33411Language ArabicGender FemaleNPI 1699115816License DN20252License Type DBP DentistBoard Certified NEmailFax (561) 753-6391Accepts New Patients YHospital Affiliation NA

TRAN BrianAspen Dental(561) 753-6963Prov No 000012920451440 S State Road 7 Ste 100Royal Palm Beach FL 33414Gender MaleNPI 1598258451License DN23477License Type DBP DentistBoard Certified Not ReportedEmailFax (315) 454-4483Accepts New Patients YHospital Affiliation NA

SOUTH BAY

BALDWIN Anthony MBaldwin Dentistry Pa(561) 996-0033Prov No 000012884165135 Us Highway 27 SSouth Bay FL 33493Language French SpanishGender MaleNPI 1073066551License DN21975License Type DBP DentistBoard Certified Not ReportedEmail dentalheavenlysmilesgmailcomFax (561) 996-0044Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

SOUTH BAY (Cont)MENENDEZ AlexanderDental Heaven Pa(561) 996-0033Prov No 000001193966135 Us Highway 27 SSouth Bay FL 33493Gender MaleNPI 1467722546License DN12108License Type DBP DentistBoard Certified Not ReportedEmail dentalheavenlysmilesgmailcomFax (561) 996-0044Accepts New Patients YHospital Affiliation NA

TEQUESTA

DICRESCENTO Donna LLighthouse Dental of SouthFlorida(561) 745-1174Prov No 000000308265542 N Us Highway 1 Tequesta FL 33469Gender FemaleNPI 1063531879License DN14562License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFax (561) 744-9713Accepts New Patients YHospital Affiliation NA

ENGELSBERG David JLighthouse Dental of SouthFlorida Pa(561) 745-1174Prov No 000012869100542 N Us Highway 1Tequesta FL 33469Gender MaleNPI 1134302458License DN 12684License Type DBP DentistBoard Certified NEmail teqdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

TEQUESTA (Cont)KONZELA Michael JLighthouse Dental of SouthFlorida Pa(561) 745-1174Prov No 000012929669542 N Us Highway 1Tequesta FL 33469Gender MaleNPI 1417394198License DN11296License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

SCALERCIO John JLighthouse Dental of SouthFlorida Pa(561) 745-1174Prov No 000001181592542 N Us Highway 1Tequesta FL 33469Language SpanishGender MaleNPI 1942378252License DN17830License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

SNIDER Erica MLighthouse Dental of SouthFlorida(561) 745-1174Prov No 000000360689542 N Us Highway 1 Tequesta FL 33469Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail teqdentalbellsouthnetFax (561) 744-9713Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON

ABDEL-JABBAR Sana HSage Dental of Wellington Pa(561) 795-8900Prov No 00001245794313889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALLEN Melanie GMelanie G Allen-Kaplan Dds(561) 737-5530Prov No 00001269138912783 Forest Hill Blvd StE JWellington FL 33414Language SpanishGender FemaleNPI 1649291949License DN14817License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 737-5139Accepts New Patients YHospital Affiliation NA

APICELLA AnthonyAnthony J Apicella Dmd Pa(561) 839-1802Prov No 0000003168581037 S State Road 7 Ste 2 11Wellington FL 33414Gender MaleNPI 1700912169License DN16126License Type DBP DentistBoard Certified Not ReportedEmail aburkepgcdentalc omFax (561) 839-1803Accepts New Patients YHospital Affiliation NA

326 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)AZARI Scott JSage Dental of Wellington Pa(561) 795-8900Prov No 00000195617713889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011996996137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BALLY Kurt OKurt Bally(561) 791-4440Prov No 00000278287913860 Wellington Trce Ste14Wellington FL 33414Gender MaleNPI 1497870034License DN17659License Type DBP DentistBoard Certified Not ReportedEmail shawnhayesmoderndentalsmilesorgFax (561) 791-4684Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)BOCKIAN Joshua ASage Dental of Wellington Pa(561) 795-8900Prov No 00000402945313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BOCKIAN Joshua ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997018137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997021137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)BRATMAN JerrySage Dental of Wellington Pa(561) 795-8900Prov No 00001212945713889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012151669137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CASTILLO Juan ISage Dental of Wellington Pa(561) 795-8900Prov No 00001215167113889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)CHILDERS Carmen DSage Dental of Wellington Pa(561) 795-8900Prov No 00001215299013889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012221623137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORONADO EfrainSage Dental of Wellington Pa(561) 795-8900Prov No 00000024214413889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

327GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)CORONADO EfrainSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997887137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Wellington Pa(561) 795-8900Prov No 00000391623813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

COWAN Marc ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997026137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)CRANE StevenSteven Crane Dmd Pa(561) 798-0825Prov No 00000182531110111 Forest Hill Blvd Rm331Wellington FL 33414Gender MaleNPI 1730383282License DN16245License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 795-9909Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Wellington Pa(561) 795-8900Prov No 00000177161813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000010405223137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DAROJAT Zuhdiyah MSage Dental of Wellington Pa(561) 795-8900Prov No 00000458996213889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997031137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012435538137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DOOLEY Jill CSage Dental of Wellington Pa(561) 795-8900Prov No 00001243639513889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Wellington Pa(561) 795-8900Prov No 00000195844013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DRISCOLL Allison RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012000798137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

328 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DUARTE BeatrizSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012110550137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of Wellington Pa(561) 795-8900Prov No 00001211055213889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of Wellington Pa(561) 795-8900Prov No 00000177226013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)DURKAN Marcia ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997032137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of Wellington Pa(561) 795-8900Prov No 00001258585313889 Wellington Trce SteA5Wellington FL 33414Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental Group of RoyalPalm Beach(561) 202-6880Prov No 000012585913137 S State Road 7 Ste 30 1Wellington FL 33414Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)FASO Vincent SVincent S Faso Dds(561) 792-8384Prov No 0000002805351035 S State Road 7 Ste 210Wellington FL 33414Gender MaleNPI 1962625665License DN6351License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 792-8306Accepts New Patients YHospital Affiliation NA

FEINER Jaymie BSachs Dental Center(561) 434-3055Prov No 0000002403069835 Lake Worth Rd Ste 8 Wellington FL 33467Gender FemaleNPI 1740404912License DN16837License Type DBP DentistBoard Certified Not ReportedEmail sachsdentalcenteroutlookcomFax (561) 434-7037Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997034137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)FERNANDEZ-MARTINEZ MariangelSage Dental of Wellington Pa(561) 795-8900Prov No 00001217871013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Wellington Pa(561) 795-8900Prov No 00000042527413889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FOX Jeffrey MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997890137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

329GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GARCIA-PORRAS MarcelaSage Dental of Wellington Pa(561) 795-8900Prov No 00000114639913889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997038137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GARRISON Harvey BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997891137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GARRISON Harvey BSage Dental of Wellington Pa(561) 795-8900Prov No 00001211575313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GATTA Derek BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012624747137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1477880797License DN18725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012091353137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GHATTAS Maureen ASage Dental of Wellington Pa(561) 795-8900Prov No 00001209135513889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Wellington Pa(561) 795-8900Prov No 00001219520113889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012195244137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GORBATOV DmitryAdvanced Dentistry ofWellington(561) 721-9777Prov No 00000027245812012 S Shore Blvd Ste 211Wellington FL 33414Gender MaleNPI 1316025067License DN15160License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 721-9778Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012204660137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of Wellington Pa(561) 795-8900Prov No 00001220466313889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

330 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)GRILLO Miguel RMiguel R Grillo Dds Pa(561) 784-4670Prov No 0000003050469136 Forest Hill BlvdWellington FL 33411Gender MaleNPI 1801001425License DN 17351License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Wellington Pa(561) 795-8900Prov No 00000121610613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997892137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)HAGHIGHI AzinSage Dental of Wellington Pa(561) 795-8900Prov No 00001296570113889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012098981137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HORWITZ StevenSage Dental of Wellington Pa(561) 795-8900Prov No 00001209911613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1972867463License DN19814License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)IRAVANI Mina FSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012510192137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

IRAVANI Mina FSage Dental of Wellington Pa(561) 795-8900Prov No 00001251019513889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JONES Kevin ASage Dental of Wellington Pa(561) 795-8900Prov No 00001304347813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1427568195License DN23052License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)JUMA ZaileenSage Dental of Wellington Pa(561) 795-8900Prov No 00001133178713889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997053137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

KAPOOR KshitijPerfect Smile Dentistry Llc(561) 204-4494Prov No 00001246892012300 S Shore Blvd Ste 20 8Wellington FL 33414Gender MaleNPI 1215240478License DN20032License Type DBP DentistBoard Certified Not ReportedEmail psdbusiness456gmailcomFax (561) 204-2840Accepts New Patients YHospital Affiliation NA

331GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)LAMB NicoleSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012100532137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of Wellington Pa(561) 795-8900Prov No 00001210053413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012444945137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)LEMINH Chau JSage Dental of Wellington Pa(561) 795-8900Prov No 00001244494813889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012176648137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of Wellington Pa(561) 795-8900Prov No 00001217665013889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)LONDONO Jennifer DSage Dental of Wellington Pa(561) 795-8900Prov No 00000024393613889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LONDONO Jennifer DSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997054137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of Wellington Pa(561) 795-8900Prov No 00001155113913889 Wellington Trce SteA5Wellington FL 33414Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)MA RobertSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997085137 S State Road 7 Ste 30 1Wellington FL 33414Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011552030137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MOHR Eric ESage Dental of Wellington Pa(561) 795-8900Prov No 00001155203313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1275765547License DN15689License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

332 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)MONCRIEFFE Tiffany ISage Dental of Wellington Pa(561) 795-8900Prov No 00001281662813889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012819483137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of Wellington Pa(561) 795-8900Prov No 00000127960413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)NAGUIB Michelle ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997373137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NGO Tuong TThe No Family Dental Pa(561) 721-2688Prov No 00001233620711924 Forest Hill Blvd StE 10BWellington FL 33414Gender FemaleNPI 1548421340License DN16583License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 721-2680Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012128414137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)PLANES Alex ASage Dental of Wellington Pa(561) 795-8900Prov No 00001212841613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Wellington Pa(561) 795-8900Prov No 00000202373213889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

QUICK James RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997899137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)RAPPAPORT David BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012172835137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of Wellington Pa(561) 795-8900Prov No 00001217283713889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RIEGER Eric RSage Dental of Wellington Pa(561) 795-8900Prov No 00001206669813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

333GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)RIEGER Eric RSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012066736137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Wellington Pa(561) 795-8900Prov No 00000154914613889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997901137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)RODRIGUEZ Margarita MSage Dental of Wellington Pa(561) 795-8900Prov No 00000045385413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997377137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012526046137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)ROQUE-RUANO MaikelSage Dental of Wellington Pa(561) 795-8900Prov No 00001252604813889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SACHS David ASachs Dental Center(561) 434-3055Prov No 0000002127159835 Lake Worth Rd Ste 8 Wellington FL 33467Gender MaleNPI 1588790430License DN6123License Type DBP DentistBoard Certified Not ReportedEmail sachsdentalcenteroutlookcomFax (561) 434-7037Accepts New Patients YHospital Affiliation NA

SACHS Randy JSachs Dental Center(561) 434-3055Prov No 0000004143779835 Lake Worth Rd Ste 8 Wellington FL 33467Gender MaleNPI 1417080490License DN15737License Type DBP DentistBoard Certified Not ReportedEmail sachsdentalcenteroutlookcomFax (561) 434-7037Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)SCARFONE MelanieSage Dental of Wellington Pa(561) 795-8900Prov No 00001217529613889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012175317137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of Wellington Pa(561) 795-8900Prov No 00000070468113889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

334 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)SNIDER Erica MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997907137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012163525137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of Wellington Pa(561) 795-8900Prov No 00001216352713889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)STRONG Shanice De OnaSage Dental of Wellington Pa(561) 795-8900Prov No 00001245431413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

STRONG Shanice De OnaSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012454323137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

TARAS Michael ADentaras Inc(561) 204-3337Prov No 000000266061123 S State Road 7 Ste 205Wellington FL 33414Gender MaleNPI 1427131325License DN15503License Type DBP DentistBoard Certified Not ReportedEmail garesdentistryyahoocomFax (561) 204-5321Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)URCUYO Jacqueline CSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012462630137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of Wellington Pa(561) 795-8900Prov No 00001246263313889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012139744137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)VAZANA Todd ASage Dental of Wellington Pa(561) 795-8900Prov No 00001214612713889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Wellington Pa(561) 795-8900Prov No 00001209421513889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012094271137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

335GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)VIGNOLA Jennifer ASage Dental of Wellington Pa(561) 795-8900Prov No 00000215614913889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997383137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012019373137 S State Road 7 Ste 30 1Wellington FL 33414Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)YU Cynthia WSage Dental of Wellington Pa(561) 795-8900Prov No 00001201937513889 Wellington Trce SteA5Wellington FL 33414Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000012485423137 S State Road 7 Ste 30 1Wellington FL 33414Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

YU Joyce WSage Dental of Wellington Pa(561) 795-8900Prov No 00001248565413889 Wellington Trce SteA5Wellington FL 33414Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WELLINGTON (Cont)ZACHAREWICZ Shane MAnthony J Apicella Dmd Pa(561) 839-1802Prov No 0000102137451037 S State Road 7 Ste 2 11Wellington FL 33414Gender MaleNPI 1417294612License DN18547License Type DBP DentistBoard Certified NEmail aburkepgcdentalc omFax (561) 839-1803Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Wellington Pa(561) 795-8900Prov No 00000119415313889 Wellington Trce SteA5Wellington FL 33414Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of Royal PalmBeach Pllc(561) 202-6880Prov No 000011997918137 S State Road 7 Ste 30 1Wellington FL 33414Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH

ABDEL-JABBAR Sana HSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124579481937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1801248372License DN21987License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ALARCON MARIMON FrankMarianna Zadov Dds(561) 241-7656Prov No 0000126456664700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender MaleNPI 1710417837License DN22660License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

ALVAREZ Jose FDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121294723027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1275723298License DN18008License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

336 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)ANTEZANA MauricioMarianna Zadov Dds(561) 241-7656Prov No 0000126595784700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

ANTEZANA MauricioCross Country Mall Dental Pa(561) 683-6247Prov No 0000129087054288 Okeechobee Blvd West Palm Beach FL 33409Language SpanishGender MaleNPI 1063876399License DN22246License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

ARNEDO JohannaCross Country Mall Dental Pa(561) 683-6247Prov No 0000125645334288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1104213909License DN21079License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)ATKINSON William ACross Country Mall Dental Pa(561) 683-6247Prov No 0000122288194288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1942360862License DN17412License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

AZARI Scott JSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225371937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1336157361License DN15766License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BAEZ HENRY CarlianetteCross Country Mall Dental Pa(561) 683-6247Prov No 0000122369914288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1235594961License DN21645License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)BARRETT StevenGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130140564085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender MaleNPI 1811957046License DN12124License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

BENTSI ENCHILL FloraMarianna Zadov Dds(561) 241-7656Prov No 0000126191954700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1669778353License DN19227License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

BERRY Wayne LCross Country Mall Dental Pa(561) 683-6247Prov No 0000128843444288 Okeechobee Blvd West Palm Beach FL 33409Language SpanishGender MaleNPI 1053324376License DN12125License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)BOCKIAN Joshua ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225091937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1235460460License DN6296License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BRATMAN JerrySage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225331937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1134317415License DN8473License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

BROGGI Edward PPolo Dental(561) 666-9691Prov No 0000126005094700 N Congress Ave Ste 302West Palm Beach FL 33407Gender MaleNPI 1215955190License DN10457License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

337GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)BROWN John PGroup Dental of the PalmBeaches Inc(561) 683-5525Prov No 0000000181962260 Palm Beach Lakes BlvD Ste 201West Palm Beach FL 33409Gender MaleNPI 1376638445License DN9365License Type DBP DentistBoard Certified Not ReportedEmail groupdentalpbyahoocomFax (561) 686-5795Accepts New Patients YHospital Affiliation NA

BROWN KevinShapiro Family Dentistry(561) 684-2282Prov No 0000133491792247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender MaleNPI 1851848295License DN16672License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

CABRERA Rene ECross Country Mall Dental Pa(561) 683-6247Prov No 0000127703084288 Okeechobee Blvd West Palm Beach FL 33409Language SpanishGender MaleNPI 1518313675License DN21812License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)CASTILLO Juan ISage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225581937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1962651877License DN18223License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CHILDERS Carmen DSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225511937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1407247968License DN20572License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORE Enrico JGroup Dental of the PalmBeaches Inc(561) 683-5525Prov No 0000000181972260 Palm Beach Lakes BlvD Ste 201West Palm Beach FL 33409Gender MaleNPI 1679668743License DN9177License Type DBP DentistBoard Certified Not ReportedEmail groupdentalpbyahoocomFax (561) 686-5795Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)CORONADO EfrainSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225381937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1518050376License DN14839License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CORREA AliNona Diamond Dental Llc(561) 791-6494Prov No 0000130607441696 S Military Trail UniT BWest Palm Beach FL 33419Language Portuguese SpanishGender MaleNPI 1972815835License DN20957License Type DBP DentistBoard Certified Not ReportedEmail nonadiamonddentalgmailomFax (561) 791-6497Accepts New Patients YHospital Affiliation NA

CORTES Bayardo CLittle Smiles Dental of PalmBeach Llc(561) 682-9583Prov No 000012120562400 Executive Center DrWest Palm Beach FL 33401Gender MaleNPI 1174604896License DN15894License Type DBP DentistBoard Certified Not ReportedEmail littlesmilesdentalbbhotmailcomFax (561) 682-9585Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)COWAN Marc ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225701937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1780915918License DN5657License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CRUZ Antonio RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225641937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1053435156License DN12876License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

CULLEN William CCross Country Mall Dental Pa(561) 683-6247Prov No 0000121291094288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1013110535License DN7894License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

338 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DANESHPAJOUH SaraGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130140344085 N Haverhill Rd Ste C1West Palm Beach FL 33417Language FarsiGender FemaleNPI 1982836003License DN18753License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

DAROJAT Zuhdiyah MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225751937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1821318544License DN18992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DELGADO JudithTowncare Dental of Forest Hill(561) 433-4330Prov No 0000129264323027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1568983716License DN23194License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DI RE AnthonyPalm Beach Mall Dental Pa(561) 683-6247Prov No 0000129086204288 Okeechobee BlvdWest Palm Beach FL 33409Gender MaleNPI 1487764528License DN12624License Type DBP DentistBoard Certified Not ReportedEmail bacevedostomatcarecomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

DONATELLI Paul RPaul R Donatelli Dmd(561) 586-7502Prov No 0000006918941441 Forest Hill Blvd Ste 300West Palm Beach FL 33406Gender MaleNPI 1699844357License DN16240License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 547-7661Accepts New Patients YHospital Affiliation NA

DOOLEY Jill CSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124363851937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1215285473License DN19934License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DRISCOLL Allison RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225691937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1346503406License DN19728License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DUARTE BeatrizSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225651937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1144477084License DN18475License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

DURKAN Marcia ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225531937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1437111754License DN18759License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)DURVE AparnaCross Country Mall Dental Pa(561) 683-6247Prov No 0000124645764288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1437521580License DN21629License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

ESPINET KUSNIER ElaineSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000125858341937 N Military Trl Ste UWest Palm Beach FL 33409Language Portuguese SpanishGender FemaleNPI 1891047379License DN19873License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

FERNANDEZ-MARTINEZ MariangelSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000123362161937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1376857441License DN19079License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

339GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)FERRERO Patricia FCross Country Mall Dental Pa(561) 683-6247Prov No 0000126136834288 Okeechobee Blvd West Palm Beach FL 33409Language RussianGender FemaleNPI 1619407566License DN22714License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

FOREMAN Kathleen EGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130122304085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1407377724License DN22704License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

FORNOS Jorge ACross Country Mall Dental Pa(561) 683-6247Prov No 0000122477824288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1831594415License DN20945License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)FOX Jeffrey MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225821937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1497813042License DN11590License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GALINDO Olga MProfessional Dental Team Pa(561) 721-2525Prov No 0000004235935100 S Dixie Hwy Ste 2 West Palm Beach FL 33405Gender FemaleNPI 1396903746License DN18296License Type DBP DentistBoard Certified Not ReportedEmail ddsprofessionalyahoocomFax (561) 721-2531Accepts New Patients YHospital Affiliation NA

GARCIA-PORRAS MarcelaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000123362561937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1841480027License DN15154License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GARRISON Harvey BSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225411937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1194823815License DN3104License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GELDRES Juana MJuana M Geldres Dds Pa(561) 439-7400Prov No 0000002577891911 Forest Hill Blvd West Palm Beach FL 33406Language SpanishGender FemaleNPI 1649212796License DN16169License Type DBP DentistBoard Certified Not ReportedEmail juanageldresddslivecomFax (561) 439-7443Accepts New Patients YHospital Affiliation NA

GHATTAS Maureen ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225831937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1288591542License DN19543License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GOLDEN Joshua NDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121792333027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender MaleNPI 1669898573License DN21450License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

GONZALES AngelicaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225521937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1700012903License DN21604License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GONZALEZ KellyCross Country Mall Dental Pa(561) 683-6247Prov No 0000121303274288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1952717027License DN20710License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

340 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GONZALEZ KeniaCross Country Mall Dental Pa(561) 683-6247Prov No 0000102162224288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1578902813License DN20151License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

GREEN BeverlySage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225441937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1558704122License DN20478License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

GREEN George DCross Country Mall Dental Pa(561) 683-6247Prov No 0000124907014288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1609094580License DN10511License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)GREENBERG Andrew WGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130123114085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender MaleNPI 1740240696License DN7501License Type DBP DentistBoard Certified NEmailFaxAccepts New Patients YHospital Affiliation NA

GUERRA VannetteCross Country Mall Dental Pa(561) 683-6247Prov No 0000128236904288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1598184327License DN22242License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

GUERRERO Luis ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225461937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1417052705License DN17671License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)HAGHIGHI AzinSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000129656991937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1730512781License DN20549License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

HOGAN HelenaDental Center at Forest Hills Pa(561) 433-4330Prov No 0000014995683027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1851520456License DN18687License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

HUI Tin Wai WPremiere Dental Care Pc(561) 820-8898Prov No 000001229625600 S Dixie Hwy Ste 105West Palm Beach FL 33401Gender MaleNPI 1952408619License DN12723License Type DBP DentistBoard Certified Not ReportedEmail premieredentalcaregmailcomFax (561) 366-1788Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)IRAVANI Mina FSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000125102061937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1144688482License DN22331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

JOHNS Jackie CJackie Johns Dmd(561) 683-4488Prov No 0000007235908136 Okeechobee Blvd SteBWest Palm Beach FL 33411Gender MaleNPI 1447473285License DN9243License Type DBP DentistBoard Certified Not ReportedEmail jjohnsdentalgmailcomFax (561) 683-4996Accepts New Patients YHospital Affiliation NA

JUMA ZaileenSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225471937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1275890824License DN20059License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

341GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)KALOGLIAN SILVA MichelleDental Center at Forest Hills Pa(561) 433-4330Prov No 0000129104923027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1245551217License DN23312License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

KODA NAKAMOTO INABA Caroline MCross Country Mall Dental Pa(561) 683-6247Prov No 0000125968554288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1629319249License DN22389License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

KOPYNETS Viktor VCross Country Mall Dental Pa(561) 683-6247Prov No 0000120755794288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1932517042License DN20696License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)KOROL SergeySergey Korol Dmd(561) 833-1042Prov No 0000001216562315 S Dixie HwyWest Palm Beach FL 33401Gender MaleNPI 1174726921License DN15197License Type DBP DentistBoard Certified Not ReportedEmail koroldentalgmail comFaxAccepts New Patients YHospital Affiliation NA

KRASNOV RostislavCross Country Mall Dental Pa(561) 683-6247Prov No 0000018203664288 Okeechobee Blvd West Palm Beach FL 33409Language Russian SpanishUkranianGender MaleNPI 1942267935License DN16377License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

KUNSTMANN Vivian RCross Country Mall Dental Pa(561) 683-6247Prov No 0000121497184288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1104995539License DN12167License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)LAGO-SANCHEZ IdelbisMarianna Zadov Dds(561) 241-7656Prov No 0000125688014700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender FemaleNPI 1003248824License DN20246License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

LAMB NicoleSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225681937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1154660033License DN20725License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LEMINH Chau JSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124449541937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1063863322License DN21989License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)LEMINH LoanFirst Care Dental of PalmBeacvh Pa(561) 582-5273Prov No 0000003970724911 S Dixie Hwy West Palm Beach FL 33405Gender FemaleNPI 1730303850License DN12630License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 582-5255Accepts New Patients YHospital Affiliation NA

LEPORE KrystinaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225771937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1164781761License DN20075License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

LOFTUS Shamus LCross Country Mall Dental Pa(561) 683-6247Prov No 0000130482554288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1003030420License DN20425License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

342 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)LONDONO Jennifer DSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000122101411937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1952319808License DN16016License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MA RobertSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226181937 N Military Trl Ste UWest Palm Beach FL 33409Language UrduGender MaleNPI 1154391712License DN17257License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

MANIGLIA Marielba DCross Country Mall Dental Pa(561) 683-6247Prov No 0000128980104288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1063793644License DN19470License Type DBP DentistBoard Certified NEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)MCCOSH FernandaDental Center at Forest Hills Pa(561) 433-4330Prov No 0000120548323027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1427305150License DN19819License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

MCLEAN Natoya CMarianna Zadov Dds(561) 241-7656Prov No 0000124798694700 N Congress Ave Ste 302West Palm Beach FL 33407Language SpanishGender FemaleNPI 1073645271License DN17302License Type DBP DentistBoard Certified NEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

MONCRIEFFE Tiffany ISage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225721937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1972735611License DN21023License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)MORELL OmarCross Country Mall Dental Pa(561) 683-6247Prov No 0000126076294288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1659801587License DN22713License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

NAGUIB Michelle ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225741937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1215170980License DN18330License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

NARVAEZ DE V VeronicaDental Center at Forest Hills Pa(561) 433-4330Prov No 0000126458953027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1366979270License DN22539License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)NGUYEN ChiMarianna Zadov Pa(561) 666-9691Prov No 0000130676414700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1811482656License DN23511License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN JosieMarianna Zadov Pa(561) 666-9691Prov No 0000127033274700 N Congress Ave Ste 302West Palm Beach FL 33407Language VietnameseGender FemaleNPI 1548790801License DN22692License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

NGUYEN Michelle PMarianna Zadov Dds(561) 241-7656Prov No 0000134916724700 N Congress Ave Ste 302West Palm Beach FL 33407Language Russian SpanishGender FemaleNPI 1033603733License DN23454License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFaxAccepts New Patients YHospital Affiliation NA

343GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)NICHOLLS BerkeleyParamount Dental Care Pa(561) 844-7735Prov No 0000002869522051 45th St Ste 100West Palm Beach FL 33407Gender MaleNPI 1396835724License DN16407License Type DBP DentistBoard Certified Not ReportedEmail paramountdentalbellsouthnetFaxAccepts New Patients YHospital Affiliation NA

NICHOLLS BerkeleyDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121380543027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1396835724License DN16407License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

OLIVA MaidelysGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130121184085 N Haverhill Rd Ste C1West Palm Beach FL 33417Language SpanishGender FemaleNPI 1730597253License DN20636License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)OSPINA CarolinaPalm Beach Mall Dental Pa(561) 683-6247Prov No 0000134916464288 Okeechobee BlvdWest Palm Beach FL 33409Language Farsi FrenchSpanishGender FemaleNPI 1467853085License DN20909License Type DBP DentistBoard Certified Not ReportedEmail bacevedostomatcarecomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PANSURIYA DharmendraCross Country Mall Dental Pa(561) 683-6247Prov No 0000125607874288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1932645736License DN22018License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PECORA Jefferson MDental Center at Forest Hills Pa(561) 433-4330Prov No 0000124350013027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1831396282License DN13729License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)PEREZ ALAMO JenniferDental Center at Forest Hills Pa(561) 433-4330Prov No 0000126020003027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1962601799License DN18087License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

PHAM QuynhnhuPalm Beach Mall Dental Pa(561) 683-6247Prov No 0000128665014288 Okeechobee BlvdWest Palm Beach FL 33409Language Russian SpanishGender FemaleNPI 1609323948License DN22702License Type DBP DentistBoard Certified Not ReportedEmail bacevedostomatcarecomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PLANES Alex ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226341937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1952643363License 20254License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)QUICK James RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226501937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1427304377License DN12388License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RAMOS-ABELENDA IdalmisIdalmis Ramos-Abelenda(561) 660-8101Prov No 000012486890951 Sansburys Way Ste 201West Palm Beach FL 33411Gender FemaleNPI 1447452958License DN17929License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RAPPAPORT David BSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226481937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1639280381License DN13947License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

344 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)REED SamanthaCross Country Mall Dental Pa(561) 683-6247Prov No 0000125638524288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1104042456License DN15142License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

REZAIE AzadehDental Center at Forest Hills Pa(561) 433-4330Prov No 0000122050463027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language SpanishGender FemaleNPI 1740663848License DN21393License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

RIBOUL SandrineCross Country Mall Dental Pa(561) 683-6247Prov No 0000127857964288 Okeechobee Blvd West Palm Beach FL 33409Language Russian SpanishGender FemaleNPI 1609227057License DN23021License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)RIEGER Eric RSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225951937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1790985067License DN12394License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

RINCON Karolina PGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130298024085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1790293595License DN22932License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

RING Stephen GSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124846811937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1407864358License DN8793License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)RODRIGUEZ IvelissCross Country Mall Dental Pa(561) 683-6247Prov No 0000130474624288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1962971200License DN23099License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

RODRIGUEZ Margarita MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226321937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1942309596License DN17331License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ROQUE-RUANO MaikelSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000125260601937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1770875684License DN20346License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SAINT AMAND LynnDental Center at Forest Hills Pa(561) 433-4330Prov No 0000124897463027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1972655587License DN17356License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

SANCHEZ Jairo AShapiro Family Dentistry(561) 684-2282Prov No 0000130294812247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender MaleNPI 1376994236License DN22032License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

SCARFONE MelanieSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225631937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1396127908License DN21305License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

345GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000131583464085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

SCARLETT Francesca CGreenberg Dental ampOrthodontics Pa(561) 284-8680Prov No 000013216596956 S Military TrlWest Palm Beach FL 33415Gender FemaleNPI 1124437884License DN20824License Type DBP DentistBoard Certified Not ReportedEmail kevinkatsurcomFax (561) 331-6008Accepts New Patients YHospital Affiliation NA

SEMEAH YvesFlorida Dental and DentureCenter II Inc(561) 433-1818Prov No 0000000484302596 Forest Hill Blvd West Palm Beach FL 33406Language SpanishGender MaleNPI 1326152463License DN13168License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0434Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SEMEAH YvesFlorida Dental amp DentureCenter III(561) 844-0033Prov No 0000003062442945 N Australian AveWest Palm Beach FL 33407Language SpanishGender MaleNPI 1326152463License DN13168License Type DBP DentistBoard Certified Not ReportedEmail inc1276bellsouth netFaxAccepts New Patients YHospital Affiliation NA

SHAPIRO Dari PShapiro Family Dentistry(561) 684-2282Prov No 0000003769732247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender FemaleNPI 1801099643License DN15490License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

SHAPIRO Seth AShapiro Family Dentistry(561) 684-2282Prov No 0000121378942247 Palm Beach Lakes BlvD Ste 104West Palm Beach FL 33409Gender MaleNPI 1528285665License DN15327License Type DBP DentistBoard Certified Not ReportedEmail wpbshapirosmilec omFax (561) 328-6217Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SHIFLET Jennifer LDental Center at Forest Hills Pa(561) 433-4330Prov No 0000130189393027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender FemaleNPI 1043705205License DN23159License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

SHIPPEE Rebecca HCross Country Mall Dental Pa(561) 683-6247Prov No 0000131427384288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1841778164License DN23257License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

SNIDER Erica MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226571937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1073702767License DN17837License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)SOARES Andrew NAndrew N Soares Dmd Pa(561) 689-4343Prov No 0000001681457750 Okeechobee Blvd Ste16West Palm Beach FL 33411Gender MaleNPI 1194836288License DN16449License Type DBP DentistBoard Certified Not ReportedEmail infosmilesyahooc omFax (561) 689-1646Accepts New Patients YHospital Affiliation NA

STEIN Stacy AGreenberg Dental ampOrthodontics Pa(561) 513-8031Prov No 0000130370134085 N Haverhill Rd Ste C1West Palm Beach FL 33417Gender FemaleNPI 1467637561License DN17455License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

STEINER Samantha LSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124225071937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1992193437License DN20985License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

346 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)STRONG Shanice De OnaSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124543191937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1235581125License DN22021License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

URCUYO Jacqueline CSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124626381937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1629522552License DN21756License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

UZUNOVA-DIMOVA KalinaCross Country Mall Dental Pa(561) 683-6247Prov No 0000121724714288 Okeechobee Blvd West Palm Beach FL 33409Gender FemaleNPI 1245540947License DN21066License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)VALLDERUTEN-CASTANO AlmaAlma Vallderutten Dds(561) 642-6309Prov No 0000121301481217 S Military Trl Ste CWest Palm Beach FL 33415Gender FemaleNPI 1306278510License DN20273License Type DBP DentistBoard Certified Not ReportedEmailFaxAccepts New Patients YHospital Affiliation NA

VAZANA Todd ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226331937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender MaleNPI 1710234844License DN19930License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VAZQUEZ Omar SCross Country Mall Dental Pa(561) 683-6247Prov No 0000127770914288 Okeechobee Blvd West Palm Beach FL 33409Gender MaleNPI 1578078382License DN23046License Type DBP DentistBoard Certified Not ReportedEmail veronicagerry1yahoocomFax (561) 683-6248Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)VENTO YosvanyDental Center at Forest Hills Pa(561) 433-4330Prov No 0000121517033027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1033404819License DN20591License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

VERA Anny BSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226621937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1265680706License DN15075License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

VIGNOLA Jennifer ASage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226271937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1215204771License DN 19540License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)WESTCOTT Michael CFamily Dental Care(561) 687-0006Prov No 0000000193033111 45th St Ste 7 West Palm Beach FL 33407Gender MaleNPI 1528196078License DN8636License Type DBP DentistBoard Certified Not ReportedEmail familydentalcare561gmailcomFaxAccepts New Patients YHospital Affiliation NA

WOLFF Jeffrey HJ H Wolff Dmd Pa(561) 684-3505Prov No 0000000194315766 Okeechobee BlvdWest Palm Beach FL 33417Gender MaleNPI 1376607739License DN6519License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 684-9277Accepts New Patients YHospital Affiliation NA

YU Cynthia WSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226531937 N Military Trl Ste UWest Palm Beach FL 33409Language SpanishGender FemaleNPI 1396005971License DN19992License Type DBP DentistBoard Certified NEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

347GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)YU Joyce WSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124856591937 N Military Trl Ste UWest Palm Beach FL 33409Gender FemaleNPI 1558749721License DN21379License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

ZADOV MariannaMarianna Zadov Pa(561) 666-9691Prov No 0000071926214700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1104903301License DN16481License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

ZAMANI AzinMarianna Zadov Pa(561) 666-9691Prov No 0000124991644700 N Congress Ave Ste 302West Palm Beach FL 33407Gender FemaleNPI 1588046049License DN21707License Type DBP DentistBoard Certified Not ReportedEmail inspolo-dentalco mFax (561) 948-2081Accepts New Patients YHospital Affiliation NA

PALM BEACH COUNTY (Cont)

WEST PALM BEACH (Cont)ZASLAVSKY JuliaTowncare Dental of Forest Hill(561) 433-4330Prov No 0000130679483027 Forest Hill Blvd SteA3West Palm Beach FL 33406Language RussianGender FemaleNPI 1225481302License DN21923License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

ZELAZEK Bruce STowncare Dental of Forest Hill(561) 433-4330Prov No 0000129856663027 Forest Hill Blvd SteA3West Palm Beach FL 33406Gender MaleNPI 1053433144License DN10210License Type DBP DentistBoard Certified Not ReportedEmailFax (561) 433-0099Accepts New Patients YHospital Affiliation NA

ZYLBERING Jason MSage Dental of West Palm BeachMilitary Trail Pa(561) 683-7699Prov No 0000124226521937 N Military Trl Ste UWest Palm Beach FL 33409Gender MaleNPI 1891957601License DN18248License Type DBP DentistBoard Certified Not ReportedEmail credentialingmysagedentalcomFax (561) 431-8169Accepts New Patients YHospital Affiliation NA

348 GENERAL DENTISTS (Continued)

Wheelchair AccessibleNA = Not Applicable

ABDEL-JABBAR Sana H 1 611 12 30 35 52 75 90 101111 119 127 141 175 229 245257 262 274 286 287 299 311326 336ABDELMONEM Rafah75168 175ABOLSKY Norman I 175ABRAHAMS Howard N 149ABRAHAO Thalia M 175ACOSTA-ORTIZ Rodolfo65101ADELMAN David M245ADLER Robert M 175 243AGREDA Angel 175 311AGUDELO Monica A 52 7075 106AGUILAR Lina A 176AHMADI Ahmad K75AKEL Bassil66AKEL Rasmi 311 323AKPAKA Wisdom D12ALARCON MARIMON Frank262 274 336ALAWA Abdul A149ALBERTO Juan 51 127ALDAMA-ESPINOSA Evelyn176 243ALEMAN Alex E 75ALFONSO Jossue 176ALFONZO Fara A176ALLEN Melanie G326ALVAEREZ Nolyris K136ALVARADO Yailen 71 149ALVAREZ Ariam 176ALVAREZ Elibeth127 176ALVAREZ Eric I 12ALVAREZ Jose F90 299 322336ALVAREZ Maria J 176 241ALVAREZ Nimia R 168ALVAREZ Pablo R176ALVAREZ Rosa A149ALVAREZ-PENABAD Peggy 52ALVAREZTORRE Gloria243AMSELEM Shalom 176ANAND Payal M 12ANDERSON Marc311ANENBERG Kenneth D 111ANGULO Liliana M149ANTEZANA Mauricio 90106 136 141 149 262 274 337APICELLA Anthony 326APONTE-BARRIOS Secil 3575 149 177 236 257ARCINIEGAS Francy J 287ARDILA VELOSA Leonardo 236ARENAS Jorge A66AREVALO Oscar A 262ARGUELLES Lourdes 177ARGUELLO Vigarny A 68ARNEDO Johanna90 106136 141 149 337AROCHA Josefina177AROCHA Miguelina12ARON Robert S66 177ARRIOLA Antonio J150

ARZOLA Vanessa177ASINMAZ Armand A68ASKOWITZ Ronald L52ATKINSON William A 90106 136 141 150 337ATLURI Suneetha30AVILES Ana V150AYALA Rita C 150 177AZADI Anthony A28 75AZAR Diego M12AZARI Scott J1 6 12 30 3552 76 90 101 111 119 127141 150 177 229 245 258 262275 287 299 311 327 337BACCHELLI Lara 12 35 5268 112BADDALOO Reshma M 76BAEZ HENRY Carlianette90107 136 141 150 337BAGHAEI Anoushirvan A12BAGHDADI-GEGATI MarcelB91BAGHDASSARIAN Rosemary35 73 262 275BAILEY Michael W255BAKER Amira M 243 252BAKER Ronia M 91BALDWIN Anthony M326BALLY Kurt O 275 299 327BALMIR-THEVENIN Joelle177BARBER Janetxia 136BARCIA Antonio R 150 178252BARNARD Michael R35BARO Rosemarie178BARON-SNOW Deborah B53BARRERA Martha E 178BARRETT Steven 68 310 312337BARZAGA Lizette128BATES Barbara A299BATISTA Virginia D 178BAUER Richard C 287BAUTISTA Enrico91BECERRA Maria178BEDDALL Harold L178BEHAR Mark 101BELOTSERKOVSKY Daniel 12BENAVIDES-RODRIGUEZAlina C 150BENCHIMOL Jacques 66BENDA Natalia M50BENGOCHEA Armando299BENITO Juan C53 66BENJAMIN Reenu 28 101BENJAMIN Yehuda J 255BENTSI ENCHILL Flora 262275 300 337BERGLASS Michael E275BERKOWITZ Harry D53BERNKRANT Shanna243BERQUIST Michael R178BERRY Wayne L91 107 136141 150 167 168 178 337BETANCOR Anette 76 179BETANCOURT Arely M 179BETANCOURT Mayra G150BETANCUR Alvaro L 36 262

BEYDOUN Miriam M179BIDKAR Vibhor 300BIENES Lissette Maria179BIRNS Bradley M 6BLANCO Diana R 179BLANCO Farid 91 136 150151 168 179BLANCO Jorge L136 151168 179 180BLAND Giancarlo 262BLAY Marina M 180 236 237BLOCK Michael J300BLUM Mark D 107BOBADILLA Patricia M 53151 180 257BOCKIAN Joshua A1 6 1213 30 36 53 76 91 101 112119 128 141 180 229 245 258262 263 275 287 300 312 327337BOERAS GARCIA Suibel3676 151 180 235 237BOILLOT Kathy 112BORDA Miguel F 53 66BORGES Jorge F181BOSCIO Isabel C300BOTERO Alexandra 128 151168 181BOUCHARD Cynthia R 76BOUTSIKOS Maria91BRADY Tiffany91 287BRAICH Florian322BRATMAN Jerry 1 7 13 3036 53 76 91 101 112 119 128141 181 229 245 258 263 274275 287 300 312 327 337BRETON Luis F 7 101BRETOS Alexander L13 120141 237BRODY Robert A 1 13 50 7176 120 125 128 137 181 235275 287 321 322BROGGI Edward P 263 275337BROWN John P338BROWN Kevin237 263 338BUENO Rosa128 151BUITRAGO Juan C168 181BUNASSAR Jenevieve M 253BUSTILLO Cynthia 181 240CABANZON David J137CABEZA Iliana M 182CABRERA Ladys237CABRERA Moises 182 237CABRERA Rene E 91 107137 142 151 182 338CABRERA ROCA Hector182CALDERON Erik O 76 151182CALIFF Randall T71 76CALVO Jose R36 152 182CALVO Lourdes M 276CAMPBELL Lisa147 169 182241 253 255CANELA-PICHARDODalinda A53CANO Lourdes M36 76 152182 237CAPASSO Marco 183

CAPELLAN Jessica 263CARAVIA Amanda137 152169 183CARBALLO Mauro36 76152 183 237CARBALLO Rodolfo 77 128183 237CARBONERO Aicel 128CARDENAS Elio A 152CARDENAS SARRACINOAstrid H 235CARPIO Jesus 237CARRILLO Catalina 184CARRILLO GIRALDO Ricardo184CARVALHO Sandra E 13CASADO Candida M 13CASADO Jaime7CASAS Silvia B 245CASCANTE Oscar G 184CASTANEDA Ricardo184CASTELLANOS Alina238CASTELLANOS Madeleine152CASTELLANOS Nicholas3677 152 153 184 238CASTELLO POLO Blanca M 107CASTILLO Juan I 1 7 13 3036 53 77 91 101 112 120 128142 184 229 245 258 263 276288 300 312 327 338CASTILLO Sandra M54 184CASTRO Eileen J 128 153169 185CASTRO Oscar L142CAYON Alicia B185CEDENO Rene F 185CEPERO Enrique P 185CERRA Frank A37 276CERRUD Clinio C 185CERRUD Ginette H229 243CHAMI Mona 37CHANG Ricardo K276CHAVIANO Ibis128CHECA Ximena37 185 238CHENCIN Josef 50CHENG Xiaofang 13CHILDERS Carmen D 1 7 1431 37 54 77 91 101 112 120128 142 185 229 245 258 263276 288 300 312 322 327 338CHIN-THOMPSON Angella R147 169 185 242 253 256CHIRINO Carlos 185CHIU Gordon B169 186CHOKSHI Payal P276 301CHOKSI Rachana D14CHOURAQUI Jonathan 263CHRISTOPH Victor71 77CICORTAS Florin N14 37 5468 112CIPORKIN Peter D37CLAXTON John P 102COBA Richard 186COHEN Freyda B14 322COHEN Michael A125 276288COHEN Robert J125

349ALPHABETICAL INDEX

COLLAZO Ralph C14 120142 238CONTRERAS Marco A127186CORCHO MARTELL Dayne 37 77 186 238CORDOVA-PENA Noris C186CORE Enrico J 338CORONADO Efrain 1 7 1431 37 54 77 92 102 112 120129 142 186 229 245 258 263276 288 301 312 327 328 338CORPAS Alfredo D 28 137186CORRALES-IGLESIAS Luisa Y235CORREA Ali312 338CORREA Anelys153 186 238CORREA Jacqueline186CORREA PINTO Rafaella 37CORREDOR Angelica1 112120CORREIA Philip J50CORTES Astrid I66 313CORTES Bayardo C338CORTES MORALESGuillermo129 153 169 187CORUGEDO Ada129 153169 187COSTA Manuel E 153COSTOYA Taidy255COTELO-PARDO Yanepsi 129COUTRAS Elevteria14 27 3754 68 112COWAN Marc A1 7 14 3138 54 77 92 102 112 120 129142 187 229 245 258 264 276277 288 301 313 328 338CRANE Steven328CRISCUOLO Stephen14 92112 187CROWGEY Thomas 77CRUCES Manuel I1CRUZ Antonio R 1 7 15 3138 54 77 92 102 113 120 129142 153 175 187 230 246 255258 264 277 288 301 313 328338CRUZ ELIZUNDIA Delia 188CRUZ Karen G129 153 169187CRUZ Yarelie38 78 153 188238CUARTAS Sandra P 28CUARTERO Mercedes F 255CUENCA Annie154CULLEN William C 92 107137 142 154 338CUNHA Renata F15 125 277289CUTINO Javier A 188CUTINO Juan A188DAEE Armin C 129DAGAN Shachar 71 125 235DANESHPAJOUH Sara7 5466 68 71 73 92 113 289 310313 339DANESNGAR Mehrdad 15

DAROJAT Zuhdiyah M 2 715 31 38 55 78 92 102 113120 129 142 188 230 246 258264 277 289 301 313 328 339DAVIDSON Malaika R 188DAVIDSON Philip T 188DAVIS Deborah L51DE AGUIRRE Elizabeth M129 154DE LA CRUZ Alejandro I147189DE LA RUA Lissette 71 120189DE LIMA Anacaona C 189230DE PENA Laura51DE SOUSA Marvina E 78 154DEAN Gina D 324DEFELICE Janice R 51DEL VALLE Jesus E129DEL VALLE Jose M 154DELCASTILLO Daniel A 230DELGADO Angela L 264DELGADO Judith 301 339DELGADO REY Ivette 154DEVACK Justin66 113 189DEWITT David E154DEYAB Tim277DHAM Uttma S 92DI RE Anthony 92 107 137142 154 339DIAZ Farah A189DIAZ Gertrudis189DIAZ Jany71DIAZ Maria 189DIAZ Sandra 189DIAZ VALLE Orlando154DIAZ VASQUEZ Andrea c190DIAZ Vivian 154 189DIAZ Yanet2 28 235DICKINSON Scott C78 324DICRESCENTO Donna L3868 326DIEZ Federico 38 71DIFILIPPO Steven 107DOLPHIN Tyler C78 190DOMINGUEZ Cristina C322324DOMINGUEZ Jorge L 190DOMINGUEZ Jose78DOMINGUEZ REVERONIvelisse38 78 154 155 190238DONATELLI Paul R339DOOLEY Jill C 2 7 15 31 3839 55 78 92 102 113 120 125129 142 190 230 246 264 277289 301 313 328 339DOUGHERTY Cleydes 15DOUGLAS Richard C 92DRISCOLL Allison R 2 7 1531 39 55 78 92 102 113 190230 246 258 264 277 289 302313 328 339DROBES David 238Drubi Martin 246

DUARTE Beatriz2 8 16 3139 55 66 78 93 102 113 121125 130 143 190 230 246 258264 274 278 289 302 314 329339DUARTE Ivonne J 78 191DULCEY Monica A 16 55DURAN Felicia 16DURKAN Marcia A 2 8 1631 39 55 79 93 102 113 121130 143 191 230 246 258 265278 289 290 302 314 329 339DURVE Aparna 93 107 137143 155 339DVORKIN Boris 235EAGAN Jessica C 191ECHEMENDIA Arturo155ECHEZARRAGA Milaidis191EDDERAI Jean J246EDUARDO Jose F278EDWARDS Laura C 121ELEFANT Jacob I 16 39 290ELHOSARY Princess C 79 169ELLIOTT Michael B125ELPERIN Alexei 79 246 255ENG Martha C 155 191ENGELSBERG David J 326ERRO Juan C79 238ESCOBAR Carlos F 71 79107 155ESPINAL Licette F246ESPINET KUSNIER Elaine 216 31 39 51 56 79 93 102113 121 130 143 155 191 230246 247 259 265 278 290 302314 329 339ESPINOSA Celia I 79ESPINOSA Ricardo J191ESTRADA Javier147EUGENE David 66EXPOSITO Ariel 230FAGET David 79 238FAHEY Dana A 39FAINE Robert256FALLAH R L 66FANDINO Mayra 252FASO Vincent S 329FATMI Naved 56 137 191FEINER Jaymie B28 329FEIZ Maria T 155 191 192252FELIPE Veronica M 137 192FELIX Ericka192FELTON Tanya192FEOLI Carmen A 192FERNANDEZ Aurelio J192253FERNANDEZ Carlos F192FERNANDEZ DOMINGUEZGiselle193FERNANDEZ Edith192FERNANDEZ Ellys314FERNANDEZ Lazaro C192FERNANDEZ Malena 137148 169 170 193 242 254 256FERNANDEZ Maria C 130FERNANDEZ Yeny193FERNANDEZ-ABRIL Jorge C 170 193

FERNANDEZ-MARTINEZMariangel 2 8 16 31 39 5679 93 102 113 121 130 143193 230 247 259 265 278 290302 314 329 339FERRERO Patricia F93 107137 143 155 340FESTA Antonio 290FIFFE Eliseo298FIGUEREDO Joel193FIGUEREDO Maria H 143155FIGUEROA Celia C79 155156 193 238FIGUEROA Fernando Luis L 298FIGUEROA Juan A31 290FINE David314FISH Robert J113FLEITAS PERDOMO Yariela 193FLORES Joan M 193FLORES Juan C68 193FONSECA Jacqueline 107FONTECILLA Sofia 194FOREMAN Kathleen E8 5667 69 73 290 310 314 340FORERO William A16FORNOS Eva194FORNOS Jorge A93 108 138143 156 194 340FOTEK Ilona P 302FOX Jeffrey M 2 8 17 32 4056 79 93 102 113 121 130143 194 230 247 259 265 278290 302 303 314 315 329 340FRAGA-DAVIDSON Beatriz 194FRANCO Jaime F 194FRANCO TAVERAS Luz N 114FRAND Joel I 51FRANKLIN Tim A 17 40 5669 114 194FREDERICKSON Waynerd B 40FREEDMAN Saman M56FRIAS Bernarda I265FRIEDMAN Rene J156 194195FRIEND Michael J 93 247FUERTES RUFIN Liscary 156FUNDORA Yolaivys V 29156 195GABALDON Mariana 80 156GAINES David S 256GALBUT Kimberly A247GALEANO Nubia E324GALINDO Olga M340GALLO Don A80 93 195 239GANDUL CABRERA Jans 195GANGI Yudancy P 56GARCES Carolina 17 73 80121 130 195 240 253GARCIA Armando L 2GARCIA Cristina195 253GARCIA Delio 195GARCIA FERNANDEZAliuska 80 195 196

350 ALPHABETICAL INDEX (Continued)

GARCIA Idalmes130 156170 195GARCIA Juan M156GARCIA LOPEZ Dorgis 156GARCIA Luisa F126GARCIA Maria C 17GARCIA Ricardo51 195 235GARCIA SARRIA Maria C 196GARCIA-CASTELLANOSJacqueline196GARCIA-JAM Yailin 69 156GARCIA-PORRAS Marcela 28 17 32 40 56 57 80 94 103114 121 130 143 196 231 247259 265 278 279 290 303 315330 340GARMIZO Joshua 170 196GARRISON Harvey B2 8 1732 40 57 80 94 103 114 121130 143 196 231 247 259 265266 279 291 303 315 330 340GARROTE Rogelio130 156170 196GATTA Derek B 330GELDRES Juana M303 340GEORGE Deborah V156 196197 252GERBER Jeremy40GERENA Dorene M 57GHALLOUB Melad N 266GHATTAS Maureen A3 8 1732 40 57 80 94 103 114 197247 259 266 279 291 303 315330 340GHATTAS Maureen B17GHERBALI Alexandra D 239GIL ARAUJO Eduardo F 157197GIL Lester O170 197GILSON Seth A266GILSON Steven M94GITRON BEER Mariana 231GLICKSMAN Joel E80 197GOBER Franklyn L32GODOY Yami A 80 126 157GOLDBERG Douglas A18GOLDEN Joshua N73 108340GOLDSTEIN Emily 57GOMARA Luis A 131 157170 197GOMEZ PEREZ Nils157GONCALVES CORDEROJhezanuel C3 18 126GONZALES Angelica 3 8 1832 40 41 57 80 94 103 114121 131 143 197 231 247 259266 279 291 303 315 330 340GONZALES Nathaniel S240241GONZALEZ Ana D197GONZALEZ Ana I 131GONZALEZ CACERES Ana L199GONZALEZ Carlos80 157197 198GONZALEZ Carmen L 231243

GONZALEZ Darlen18 41 5769 114GONZALEZ Edek 157GONZALEZ Giovanni 41 80157 198 239GONZALEZ Hansel157 198GONZALEZ Jovani M231243GONZALEZ Juan C 198GONZALEZ Kelly51 94 108138 144 157 340GONZALEZ Kenia94 108138 144 157 341GONZALEZ Lilian81 158199GONZALEZ Maria F 255GONZALEZ Monica G29108 199GONZALEZ Susana 239GONZALEZ Sutnamis199GONZALEZ Yanela114GONZALEZ-RUBIO Eduardo148GOODWIN Sharon R247GORBATOV Dmitry57 330GORDON Alexandra 199GOYAL Lakshay41 73 121GRAFF Brad W 41GREEN Beverly 3 8 18 3241 58 81 94 103 114 131 144199 231 247 259 266 279 291303 315 330 341GREEN George D94 108 138144 158 341GREENBERG Andrew W69310 315 341GREENSPAN-BIRNS Robin L8GRIFFEE Justin P322 325GRIGOROPOULOS Marios 170 200GRILLO Miguel R 331GRUENBERG Alex248GUERRA CHICO Jose A 279GUERRA CRESPO Beatriz D158 200GUERRA Daniel A 71 81 122131GUERRA Natalie 200GUERRA Vannette 94 108138 144 158 200 341GUERRERO Luis A3 8 1832 41 58 81 94 103 114 122131 144 200 231 248 259 266274 279 291 304 316 331 341GUERRINO Danielle S 325GUEVARA Anaely 51GUILARTE Rhona E 41GUILLERMO Ivette 200GULTZ Jerrold P18 32 291GUTIERREZ Carlos A200243GUTIERREZ Victor R200GUZMAN Nestor E 81 201HACKBARTH Mallory J 81322 325HAGHIGHI Azin41 114 331341HALEM Merritt D 201

HALL Nicole L3HALLER Dustin 9 18 71HAMARNAH Sally 280HANDEL Michelle S266HARATZ Adela 126HARRIS Ana M280HARRIS Richard H 291 292HART Trevor H9HASAN VERRETT Hajar 201248HAYATE Jessica F 114HAYES Norys170 201HECHAVARRIA Mirta 201HEIDER Joseph M18HELFANT Jared19 27 42 5869 115HELMY James M 266HENDERSON Gilsa H158HENDOUS Khaled280HERDOCIA Filiberto J58 131201HEREDIA Abelardo 81 131201HERMAN Lee E 267HERMAN Mark A292HERNANDEZ ACOSTACristina M 202HERNANDEZ Daynet202HERNANDEZ Idalia 158HERNANDEZ Liliana J42HERNANDEZ Maria 202HERNANDEZ Norberto J202257HERNANDEZ RIVERARicardo N58 94 202 248HERNANDEZ Rutsie A 239HERNANDEZ Stephanie M 42 81 158 202 239HERNANDEZ-ABREU Luis235HERNANDEZ-BARCELOOdalis E32 108HERNANDEZ-JEREZ Gema 131 158 239HERRERA CASAS Sunilda158HERRERA Victoria81 202203HIDALGO-GONZALEZAllison M 203HILALI Manal108HODSON Shane 248HOGAN Helena 67 341HORESH-WEISSER Ettie 203HORWITZ Steven 3 9 19 3242 58 81 95 103 115 203 248259 267 274 280 292 304 316331HOSSAIN Marta C158 167203HOSSEINI Heather G 122HUI Tin Wai W 81 248 255341HURTADO Cesar F 203HUTCHINSON Paula248IDUATE BANOBRE Yolanda159 203

IRAVANI Mina F 3 9 19 3242 58 81 95 103 115 122 131144 159 203 204 231 248 259267 280 292 304 316 331 341IRVING Bizu N231 243 244ISAZA Emilia 325IURCOVICH Maximillian O19 126 280 292IZQUIERDO Yaneisy 204JACAS Sergio J 82JACINTO Santiago 204JACKSON David C 322JACOBS Leonard 267JACOBSOHN Henry D19 2742 58 69 115JAFFE Avery C 248JAMES Larry G 95JAMIS Juan 204JARQUIN-VALDIVIA Alvaro J204JAUREGUI RODRIGUEZGuillermo C257JEAN Hugues3 280JEAN Philippe72 82 108JOFFRE John A231 244JOHNS Jackie C 341JOHNSON Robert B138 148170 204 242 254 256JONES Kevin A331JOY Benjamin H 82JOY Jayleen M 82JUMA Zaileen 3 9 19 33 4259 82 95 103 108 115 122204 231 248 259 267 280 292304 316 331 341KACHAM Sharada 304KADIYALA Sravanthi 322KALAFATIC Frank K42KALOGLIAN SILVA Michelle304 342KAMRAN Kiani 204KANG Bo Young Y325KANNIKAL Janice J325KAPOOR Kshitij 331KAREDAN Jerry J 19KARIM Sara 19 108KARPEL Joel 67KASHLAN Rania 72 95KEANE Chris19 29 82 109115 204 241 253KELLNER Alan S20KELMAN Alan 257KHOSHROU Bita 325KIJANKA Gary 323KLEIN Lawrence M 267KLEIN Peter B95 115KLEIN Samuel L267KLOPENSTINE Geoffrey A 304KOCH Daniele 131KOCHER Jennifer29KOCHER Michael 29KODA NAKAMOTO INABACaroline M95 109 138 144159 342KONZELA Michael J 326KOPYNETS Viktor V 29 95109 115 138 144 159 342

351ALPHABETICAL INDEX (Continued)

KOREN Natalie 20 42 59 69115KOROL Sergey342KRAJEWSKI Helena J 232KRASNOV Rostislav 95 109138 144 159 342KRAVITZ Eugene 82 204KRAVITZ Lauren M159KRIKORIAN Charles R 43204KRYKHTIN Pavel267KUNSTMANN Vivian R 95109 138 144 159 342KUSHNER Bruce A59KUSNICK Steven J 205LABRADA Liudmila239LAGE Richard C 205LAGO-SANCHEZ Idelbis 267280 323 342LAMB Nicole 3 9 20 33 4359 72 82 95 103 115 122 205248 260 267 274 281 292 304316 332 342LANG Tomas 138 148 171205 242 254 256LANSTER Robert M205LANSTER Steven M205LANTIGUA Carlos A 205LANTIGUA Kelvin 59LARGEN John F 109LASKA Mario L29 43 59 96LASTRA PEREZ Annette 205LAU Vicente 138 148 171205 242 254 256LAUER Bradley 316LAURENCE Peter 232 244LAZCANO Maritza T82 103LEA PLAZA Rodolfo 171 205249LEBRON Vanessa E159 205206 252LEE Nancy V171 206LEIBOVICI Jacob 103 304LEIN Bruce N305LEIVA LOPEZ Karina 51 115LEMINH Chau J 3 9 20 3343 59 82 96 104 115 122 132144 206 232 249 260 268 281292 293 305 316 317 332 342LEMINH Loan 342LEMUS Isel G132LEONARD Thomas P20 4382LEPORE Krystina4 9 20 3343 59 60 82 96 104 116 122132 145 206 232 249 260 268281 293 305 317 332 342LEVIN Shelly206LEWIS Brad 206LEWKOWICZ Esther241LICINA Zeljka43LIENDO Fabiola 317LIZASO Susana159LLAPUR Carlos 60 126 206LLEO Pedro D159LOBAINA Karina M 206LOBAINA Yoan E27 171 206LOFTUS Shamus L96 109139 145 159 342

LONDONO Jennifer D 4 920 33 43 60 83 96 104 116122 132 145 206 232 249 260268 281 293 305 317 332 343LONDONO Laura E116LOOR Kleber A207LOPEZ Alexander O 232 249LOPEZ Anabelle 207 253LOPEZ DE VICTORIA Millied148 171 207 242 254 256LOPEZ Edgar 207 244LOPEZ Grace P44 160LOPEZ Manuel G122 132LOPEZ Maria E83LOPEZ PEREZ Victor 207LOPEZ Reinier 207LOPEZ Santiago 44LOZADA Katherine G73LUBIN Victor D 207Luis Deborah E 67LUIS Michelle E 139LUPU Matthew160LUSSIER Meghann20LY Danny T 268MA Lisa M104MA Robert4 9 21 33 44 6083 96 104 116 122 132 145207 232 249 260 268 281 293305 317 332 343MA William 323MACAGNO Jessica J 139 160MADERAL Martha E239MAHARAJ Vindra R 60 6796MANDEL Jonathan O51MANIGLIA Marielba D 8396 109 139 145 160 343MANTEL David B74MANZUR Lamya 207MARES Adolfo E 207MARINI Nohelia R 160MARQUES Nelson R 104MARQUEZ Jaime R 268MARQUEZ-IGLESIAS Felicita160 207MARRO Blanca R132 160171 207MARS Rick A 83 208Marti Bagdasarov Anjelika 2133 44 317MARTIN Ciro208MARTIN Sidney S67 96MARTINASEVIC Suncica 21MARTINEZ Amy M4 21 72MARTINEZ Claudia 132 160171 208MARTINEZ Ernesto239MARTINEZ Javier 126MARTINEZ Jeidy D208MARTINEZ Jose M 160 171235MARTINEZ Karen132MARTINEZ Miguel A132160 172 208MARTINEZ Milton F132 236MARTINEZ Tamara T160172 232MARTINEZ-MARINOAnelisse 67

MARTOS Grisel 208MASSRI Abir74MAUSKAR Sagar S 83 132241MAUTNER Steven G 69MAYA Alvaro139MAYA Martin232MAZZUCCO Maria O44MCCANN LEE Katie L 21 2944 83 109 122 208 253 323MCCOSH Fernanda 69 305343MCCOWN Michael G21 126281 293MCHUGH Allyson M29 44126 161 208MCLEAN Natoya C83 268281 343MEHLER Eric R 109MEHTA Ravindra S 44MENDEZ Antonio161 208MENDOZA Irenia 208MENENDEZ Alexander 326MENENDEZ Jorge 133MENENDEZ LLERA Vivian M9 96 116 209MENENDEZ Nancy109 167MENTRASTI-SANTANASylvia 21 167MESA Tahimara C323MESTRE Jairo F209MICHEL Raynald44 298MILANES Christian293MILANES Eliover209MIRANDA Alejandra 148172 209 242 254 256MIRANDA Nicol M83MIRANDA Pablo E83 209MODESTO Daniela O44MOHR Eric E 4 9 21 33 4445 60 84 96 104 116 209 249260 268 269 282 293 294 305317 332MOLINA ARIZA Yudisbel 210MOLINA Gustavo R 84 161MOLINA Mayling133 209MOLINA Rolando Jesus J 172257MOLINA Rosario G 161 209MOLINA-WASSERMANJacqueline M317MONCRIEFFE Tiffany I4 1021 33 45 60 84 96 104 116123 210 232 249 260 269 282294 306 318 333 343MONTANO Halina S269MONTERO Alexander 72 161MONTERO Ricardo 72 168MONTESINOS Alicia E 161MONTILLA Miguel A 269MORA Eddy A210MORA Eugenio A 210MORA Yosjany210MORALES Alexis O 294MORALES Enrique E161MORALES Maira133MORALES Ronald J22 45 6069 116 126 172 210 294MORELL Nayade 161 210

MORELL Omar97 109 139145 161 343MOSKOWITZ Harvey 116MOULINOS Sotirios S 45MOUSHATI John45MUJTABA Moneeze84MUNGUBA Bozena Z 148172 210 242 254 256MUNOZ LATORRE Sonja M133MUNOZ Numa F 22 126 282294NAGUIB Michelle A 22 8497 104 116 123 210 232 249269 294 306 318 333 343NAIERMAN Eric H45 211NARVAEZ DE V Veronica 84161 343NARVAEZ Jose A 249NAVARRETE Edgar E 123NAVARRO Jessica M 61 84NAVARRO Rebecca239NAVARRO SANCHEZMarianelys 84NAZARIO LUGO Beatriz T133 211NELSON John A 211NEWMAN Marcela P 97NEWTON Emily T 323 325NGO Tuong T294 333NGUYEN Binh T 72 84NGUYEN Chi269 282 306343NGUYEN Josie269 282 343NGUYEN Michelle P 269 282306 343NICHOLLS Berkeley344NIETO Gloria Y 61NIETO Marta211NILES Summer N325NIN Frederick J241NIROUMAND Farinaz318NOVAK Stephen P 269NOY Isabel C133NUDEL Marina45NUNES LEDOUX Joanne M211OCHOA German E 161OCHOA Luis22OJEDA JR Juan M 97 211OKLIN Richard84OLIVA Maidelys10 67 69 74310 318 344OLIVA PEREZ Anny 211OLIVA PEREZ Ilieg 162OLIVEIRA MODESTO Daniela84OLIVEIRA Paulo A 22 74 110ONGLEY Bettie Linda L 110ORAMAS Dania 162ORTA Ines A85 145ORTA Nicolas R51ORTEGA Laura O45 162 211ORTIZ Ana Maria269OSPINA Ana M211OSPINA Angela M 244OSPINA Carolina 97 116 139145 344

352 ALPHABETICAL INDEX (Continued)

OSSA GOMEZ Paola162 211212PALACIN Matilde A29PALACIOS Ana Y212PANDEY Anita212PANSURIYA Dharmendra 97110 139 145 162 344PAPIR Jessica B 85 212PARSLEY Gregory 123PASISNITCHENKO Igor85PATEL Aditi K306 325PATEL Jitendra L 116PATEL Krunal D 306 325PATEL Rohitkumar S 73PATINO Joelyz61 162PAUL Alexander D85 139PAYA Anabel 168 212PECORA Jefferson M306 344PEGUERO Daniel 324PELTON Ivan S45 61 85 212PENA Maria L232PENATE Ada L 212PERALTA Johnny L239PERDIGON-CANGAHUALANitza 162 213 252PEREIRA Ieshy 213PERELLO Rosanna B 72PEREZ ALAMO Jennifer214244 306 344PEREZ Alina J 172 213PEREZ Annabel 213PEREZ CARMONA Alba E 214PEREZ DIAZ Agueda 61PEREZ DIAZ Elizabeth 162PEREZ Diley213PEREZ Eunice 213PEREZ Idalmes 168PEREZ Laura E 133PEREZ Nelly R74 85 110 241PEREZ Reinaldo 104 294PEREZ Zaily 214PEREZ-BORROTORODRIGUEZ Daylis 85PEREZ-MURGUIA Omar 214PEREZ-SOLAR Juan E236PERKINS Lindsay B 117PERLSTEIN Robert 45PERROTTI Steven D 85 214PESATURO Ana H 214PETERS Edward 324PETRUK Mariel 22PETTIS Cyrus R 104PHAM Minh B22 30 45 7485 110 123 133 162 215 241PHAM Quynhnhu97 110139 145 162 344PINCHEVSKI Ermy 123PINE Philip A105PINNOCK Alyssa H 28PINO Raquel C 172 175 255PITA Reynaldo85 215PLANES Alex A4 10 22 3346 61 86 97 105 117 123 215233 249 260 269 270 282 294306 318 333 344PODBIELSKI David P322PORRAS Lori B233POULERIGUEN Alain294

PRADO Pablo R318PRIA Carlos215PRIETO Evelyn 86 133 162172 215PRIETO Julio 163PUENTE Katia 163 172 215PUIG Liana 215PUPO Yusimy163PYSER Douglas N 46 270QUASHA Michael D323QUESADA Pedro 86 163QUEVEDO Fernando52 61QUICK James R 4 10 22 3346 61 86 97 105 117 123 133145 215 233 249 260 270 282295 307 318 333 344QUILICHINI Carlos A46 216240QUINTANA Rafael J163QUINTANA Vilma216QUINTERO Juan M 127 173240RAJSCHMIR Silvina J 86 163RAMEAU Rejane173 242254 256RAMIREZ Carmen148 163RAMIREZ GONZALEZCarmen 133 139 148 163 173216 242 254 257RAMIREZ Mauricio 139 173216RAMIREZ Patricia H 105RAMOS Luis A 163RAMOS Yilian46 216RAMOS-ABELENDA Idalmis324 344RAND Matthew K23 28 70117 216RANGARAJAN Theyyar 233RANGEL Raul 4 72 283RAPPACCIOLI Coty 173RAPPAPORT David B4 1023 33 46 61 86 97 105 117123 133 145 216 233 250 260270 283 295 307 318 333 344REDDY Anitha 298 299REED Samantha97 110 140146 164 345REICH Alice F97 98 250REID Sharone V 98REUM Eric D295REY Tatiana S86 110REYES CANALS Osmil A134164 168 173 217REYES Christina M 46 86164 216 217 240REYES Miguel A46 86 164217 240REZAIE Azadeh 67 307 345REZAIE Yeganeh 62RIBAS Jose E217RIBOT Aliana217RIBOUL Sandrine 98 110 140146 164 345RIEGER Eric R 4 10 23 3446 47 62 86 98 105 117 123134 146 217 233 250 260 270274 283 295 307 319 333 334345

RIETTIE Lana C 98RINCON Karolina P 10 6267 74 295 311 319 345RING Stephen G4 10 23 3447 62 86 98 105 117 123 134146 217 233 250 260 270 283295 307 319 334 345RIOS KU HOP Milagritos C23 28 47 62 70 117 217 218RIVAS Miguel A 164 218RIVAS-PLATA Jessica 74RIVERA Lina N 47 218 240RIVERA-SOTOMAYORMarlene 52 117ROBINSON Sharon O98ROBISON Walter G 23ROCA-GODINEZ Lilian R4770RODRIGUEZ Alejandro 218RODRIGUEZ Amaury 134RODRIGUEZ BERNAL JesusD165RODRIGUEZ CASTRO Liliam219RODRIGUEZ Elvira 164RODRIGUEZ Esteban J 86 98173 218RODRIGUEZ Gretell218RODRIGUEZ Guillermo P 218RODRIGUEZ Hernan M 218233 244RODRIGUEZ Iveliss98 110140 146 164 345RODRIGUEZ Julieta 134RODRIGUEZ Lazaro 165 218219RODRIGUEZ Margarita M 510 23 34 47 62 87 98 105117 219 250 261 270 283 295307 319 324 334 345RODRIGUEZ Maria De LosAngeles134RODRIGUEZ Mayra L5 72236RODRIGUEZ Narda S 283322 324RODRIGUEZ Nohora I110RODRIGUEZ Nury E240RODRIGUEZ Ramon A219RODRIGUEZ Rene165RODRIGUEZ Roxana 165RODRIGUEZ Vicky165RODRIGUEZ-MARTIN HenryA74 296RODRIGUEZ-TORRESRandall R 325ROGOWSKA Kinga E62ROJAS Sandra 219ROMAY Ricardo219ROMERO Ingrid283 296ROMERO VAZQUEZ Ivet173219ROMERO-MELIS Mildred 165ROQUE-RUANO Maikel 510 23 24 34 47 62 87 98 105117 123 146 165 219 233 250270 271 283 284 296 307 308319 334 345ROSALES Salvador 219

ROSENBAUM Ronald E 87ROSENBERG Sarah L 134ROSENTHAL Allen H 110ROSS JR Charles L140ROSSEN Peter A5 220ROSTOCK Jennifer L 24 4770 117ROTHENBERG Stephen52ROTHFIELD Elizabeth A 63ROYZMAN Anna 311RUDNICK Andrew 308 323RUIZ Eliseo 165 173RUIZ FRONTARY Yarimar47RUIZ Milton 87RUIZ Saili 173RUIZ Sarabel M 148 254RUIZ-CESTERO Sarabel M174 220 242 257SABAN Jack 98SACHS David A 30 334SACHS Randy J 30 334SAENZ Manuel O 72 134220 236SAGUE Gustavo A 220SAHI Gurman K 5 72SAIDI Ardavan 233SAINT AMAND Lynn 345SALAMON Gary G271SALAZAR Cecilia I 87SALAZAR Manuel A220 261SALBO Fredericka74SALCINES Damaris G134165 174 220SALDARRIAGA Lisa74SALEHI Mojgan308SALGUEIRO Jose L220SALOMON Daniella 99SAN JORGE Alejandro 24118 127 284 296SAN JUAN Carlos M 174SANCHEZ Diego F 5 127SANCHEZ Jairo A271 345SANCHEZ Marlie 111SANCHEZ Mayra G 220SANCHEZ Pedro M134SANCHEZ Reinaldo 221SANCHEZ Zoraida T174SANTAMARINA Luis M 221SANTANA Dania 52 87 221SANTEIRO Alfredo233SANTIAGO-HERZOG TatianaE 48 63 87 221 271SANTIESTEBAN Aymara 87134 165 174 221 222SANTOS Nataly165SARDA Mariamilagros M134SARDUY Luis O135 222SARDUY Raynel 67 165SARMIENTO Jeffrey 140 148174 222 254 257SARMIENTO Jeffrey E174242SARRIA Paulo A24SAUER Mark J 233SCALERCIO John J 326SCARFONE Melanie5 10 2434 48 63 87 99 105 118 124135 146 234 250 261 271 284296 308 319 334 345

353ALPHABETICAL INDEX (Continued)

SCARLETT Francesca C 1063 67 70 74 296 319 346SCHMID HIDALGO FedericoJ48SCHOPLER Thomas A 27SCHUETZ Eric J63 127SCOTT Tessa F 222 236SEGAL Michelle A222SEGRERA Maria C48SEIDENFELD Alan 320SEIJAS Migdalia I 166SELZER Michael D271SEMEAH Yves284 346SEMPRUN-ARRIVLLAGAMaria A 24Sepulveda Isabel C87 222255SERRA-JOVENICH Manuel 222SEVEL Dennis S 48 111 118SHAFER Mindy G70SHANKARAIAH Sreedevi 324SHAPIRO Dari P 271 346SHAPIRO Seth A 271 346SHARMA Rohit 87SHATHER Meriam I 87 250SHAYAN Maria M70SHETH Bipin J 70SHIFLET Jennifer L 308 346SHIMANSKY Daniel A 111241SHIPPEE Rebecca H 99 111140 146 166 346SHKOLNIK Sean 284SHRAITEH Jenan A 5 326SHROFF Hitesh R 99SHULMAN Jared D 24SHVETS Ankita99 284SHVETS Gabriel 99SIDDIQUI Rasheed B222SIEGEL Tara L5 72 88 124236SIERRA-DUQUE Pablo J 7388 236SIGILLO Alessandra 75SILVA Sandra 222SILVER Richard M63 284SILVESTRY Ailyn223SILVESTRY Elvin J 174 223SIMBACO Walter 166 174223SIMMONDS Shirley F 253SIMON Gelsys 88 99SINGH ROY Anurupa24SINILO-KATZ Elena M 244SIPKIN Lloyd A48SIRAGE Katherine L 88 124SMITH Gordon J284SMITH Larysa K99 271SMITH Pierre-Michel M 250SNIDER Erica M 5 11 24 3448 63 88 99 105 118 124 135146 223 234 250 261 272 284296 308 320 326 334 335 346SNOW Darren B63SNYDER Brian H24SOARES Andrew N 346SOHEIL Michelle M223 244

SOLANO Jorge I 88SOLER Rosa M166SOLIS GONZALEZ Elena M 223SOROPOULOS George240SORROZA Jennifer 25 28 4863 70 118SOSA Roberto 223SOSA-ABELLA Nancy M140166 223SOTO Paola F 64 223SPINGARN Joseph H 25 284STEIN Ilya25 68 111 299STEIN Stacy A11 64 68 7075 296 311 320 346STEINER Samantha L 5 1125 34 48 49 64 88 99 105118 124 135 146 223 234 250261 272 285 296 308 320 335346STRAUSS William A 308STREETT Rosario88 166 240STRONG Shanice De Ona511 25 34 49 64 88 99 106118 124 135 146 224 234 250261 272 285 297 308 309 320335 347SUAREZ Alberto 251SUAREZ Elisa 99SUAREZ Renier 224SUAREZ Tatiana224SUAREZ-TABARES Lidia 324SUATE PEDROZA Isabel M 73 224SUDACK Peter A234 244SUTNICK Steven A297SWANSON Wendy E 73 88111 166 224 251 252SZPOGANICZ Tadeu 49TAHA Ahmed A25 127TARAS Michael A335TAVERAS Sonia D224TAYLOR Nathan M28 88TAYLOR Shelly 25TCHOU Luisa 25 88 272TELLEZ-ARMENTEROS AnaM 234TENDERO Alyne89THAKER Durgesh D118THOMAS Antony P 25 30 7589TOIRAC Maria D224TORRES Diana6 124 140TRAN Brian28 89 323 326TRAVIESAS Eladio166 224TRIANA CONCEPCIONNelcy M224TRIANA Lauren D 224TRUJILLO Madelene 30 140225TRUJILLO Zuzel225TRUONG Xen T285TYDIR Michelle 140 225UBIETA ARBESU Eduardo 225 234UCROS German272UCROS Maria J 166 225 240UMOREN Anne-Marie U285320

URBINO Rafael244URCUYO Jacqueline C 6 1125 26 34 49 64 89 100 106118 124 135 146 225 234 251261 272 285 297 309 320 335347UZUNOVA-DIMOVA Kalina 100 111 140 147 167 347VALDES CASTELLANOSLisset225VALDES Martha B118 135167 174 225VALDES Vivian225VALDMAN Vadim 30 118VALLDERUTEN-CASTANOAlma 347VALLS Sandor234VAN Jim26 174VANDENEDES William 225VARGAS Andres 309 323VASALLO Francisco 225VATHIELIL Jelena M 26VAZANA Raphael167VAZANA Todd A6 11 26 3449 64 89 100 106 118 147225 251 261 272 274 285 297309 320 321 335 347VAZQUEZ Humberto J 226VAZQUEZ Jorge E89 226VAZQUEZ Omar S 100 111140 147 167 347VEERAMACHANENIMamatha 124VEGA Ivan E273VELASCO Norka S 135VENTO Yosvany89 226 347VERA Anny B 6 11 26 34 4964 89 100 106 119 124 147226 234 251 261 273 285 297309 321 335 347VERA Rafael135VERDECCHIA Dana J 297VERMA Ganga119VICTOME Robert G 299VIDAL Maria C227VIEGO Rebeca 141 227VIGNOLA Jennifer A6 11 2634 49 65 89 100 106 119 124135 147 227 234 251 261 273286 297 309 321 336 347VILA Gabriela 65 119 124251VILLA Rodolfo 125VILLANUEVA Lourdes M227VILLAR Tania 135VILLAREAL Ruben D 68 100167 227VINUELA Larry 227 253VOLTAPETTI Clifford E 244VUELTA Floralba227VULTAGGIO Francesco P2635WATSON-HAMILTON Sheri S149 175 227 243 254 257WEBB Michelle 245WESTCOTT Michael C 323347

WILLIAMS Tosha R 89 149167 175 227 228 236 243 252255 257WILNER Jason M 65 298WILSON Dwight E228WOHLSTEIN Diana 111WOLFF Jeffrey H347WOODWARD Wyman R119YANES Marnie73 236YANEZ BRAVO Maria A251YANOVER Clifford J 273YEOSHOUA Oded70YOUNG Lisa B65 90 100 309YU Cynthia W6 11 27 35 5065 90 100 106 119 125 135147 228 234 251 261 273 286298 309 310 321 336 347YU Joyce W6 11 27 35 5065 90 100 106 119 125 136147 228 235 251 273 286 298310 321 336 348YUSMAN-WIRTH Linda 228ZACHAREWICZ Shane M 336ZADOV Marianna 273 286348ZAKI Fady A50 286ZAKKO Dalal50ZAMANI Azin 273 286 348ZAMORA Lyan T90 228 229ZARDON Ramon A 167ZASLAVSKY Julia310 348ZAWADZKY Javier M75 167324ZAYAS Francois 241ZEIG Dana A100 101 251ZELAZEK Bruce S310 348ZUNIGA Juan C 141 229 251ZUSSELMAN Arnold 27 127298ZYLBERING Jason M6 11 2735 50 65 90 101 106 119 125136 147 229 235 252 261 274286 298 310 321 336 348

354 ALPHABETICAL INDEX (Continued)

STSL700_access Printed in USA 092019

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