Provider Demographics
NPI:1639416852
Name:AMORES DENTAL CARE PA
Entity Type:Organization
Organization Name:AMORES DENTAL CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:AMORES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-238-1391
Mailing Address - Street 1:13617 S DIXIE HWY
Mailing Address - Street 2:SUITE 126
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7201
Mailing Address - Country:US
Mailing Address - Phone:305-238-1391
Mailing Address - Fax:305-238-1635
Practice Address - Street 1:13617 S DIXIE HWY
Practice Address - Street 2:SUITE 126
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7201
Practice Address - Country:US
Practice Address - Phone:305-238-1391
Practice Address - Fax:305-238-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental