Provider Demographics
NPI:1558957027
Name:NAHON DENTAL GROUP LLC
Entity Type:Organization
Organization Name:NAHON DENTAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-531-1633
Mailing Address - Street 1:400 W 41ST ST STE 502
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3500
Mailing Address - Country:US
Mailing Address - Phone:305-531-1633
Mailing Address - Fax:
Practice Address - Street 1:400 W 41ST ST STE 502
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3500
Practice Address - Country:US
Practice Address - Phone:305-531-1633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental