Provider Demographics
NPI:1760875595
Name:MIAMI OAKS DENTAL
Entity Type:Organization
Organization Name:MIAMI OAKS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FURSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-226-8236
Mailing Address - Street 1:3850 SW 87TH AVE STE 101
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5472
Mailing Address - Country:US
Mailing Address - Phone:305-226-8236
Mailing Address - Fax:305-226-8238
Practice Address - Street 1:3850 SW 87TH AVE STE 101
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5472
Practice Address - Country:US
Practice Address - Phone:305-226-8236
Practice Address - Fax:305-226-8238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty