Provider Demographics
NPI:1760647473
Name:URI ELIAS, P.A.
Entity Type:Organization
Organization Name:URI ELIAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:URI
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-944-6969
Mailing Address - Street 1:333 NW 70TH AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2385
Mailing Address - Country:US
Mailing Address - Phone:305-944-6969
Mailing Address - Fax:
Practice Address - Street 1:1190 NE 163RD ST
Practice Address - Street 2:SUITE 305
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4521
Practice Address - Country:US
Practice Address - Phone:305-944-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL85041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty