Provider Demographics
NPI:1255472619
Name:OSCAR G CASCANTE DMD PA
Entity Type:Organization
Organization Name:OSCAR G CASCANTE DMD PA
Other - Org Name:ADVANCED CENTER FOR COSMETIC AND IMPLANT DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT DENITST
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:GILBERTO
Authorized Official - Last Name:CASCANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-279-9005
Mailing Address - Street 1:8501 SW 124TH AVE
Mailing Address - Street 2:#107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4627
Mailing Address - Country:US
Mailing Address - Phone:305-279-9005
Mailing Address - Fax:305-271-1599
Practice Address - Street 1:8501 SW 124TH AVE
Practice Address - Street 2:#107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4627
Practice Address - Country:US
Practice Address - Phone:305-279-9005
Practice Address - Fax:305-271-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00122871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL073438100Medicaid