Provider Demographics
NPI:1053021360
Name:ART DENTAL INC
Entity type:Organization
Organization Name:ART DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:EUGENIO
Authorized Official - Last Name:ARTILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-971-7773
Mailing Address - Street 1:12600 SW 120TH ST STE 114
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-9116
Mailing Address - Country:US
Mailing Address - Phone:305-971-7773
Mailing Address - Fax:305-971-7882
Practice Address - Street 1:12600 SW 120TH ST STE 114
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-9116
Practice Address - Country:US
Practice Address - Phone:305-971-7773
Practice Address - Fax:305-971-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental