Provider Demographics
NPI:1639814445
Name:S.C. DENTAL, INC
Entity Type:Organization
Organization Name:S.C. DENTAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE CHRISTINE
Authorized Official - Middle Name:STEPHIE
Authorized Official - Last Name:CASTERA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:305-498-1426
Mailing Address - Street 1:18900 SW 106TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7701
Mailing Address - Country:US
Mailing Address - Phone:786-633-0330
Mailing Address - Fax:786-633-0331
Practice Address - Street 1:18900 SW 106TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-7701
Practice Address - Country:US
Practice Address - Phone:786-633-0330
Practice Address - Fax:786-633-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty