Provider Demographics
NPI:1982213518
Name:PEOPLE FIRST DENTISTRY, PLLC
Entity Type:Organization
Organization Name:PEOPLE FIRST DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:XAVIER
Authorized Official - Last Name:VILLAVICENCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-310-3540
Mailing Address - Street 1:7165 SW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1626
Mailing Address - Country:US
Mailing Address - Phone:786-376-9610
Mailing Address - Fax:
Practice Address - Street 1:7890 SW 104TH ST UNIT B102A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2762
Practice Address - Country:US
Practice Address - Phone:786-310-3540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental