Provider Demographics
NPI:1992853584
Name:MAUTNER, DDS AND OPPENHEIMER, DDS, PA
Entity Type:Organization
Organization Name:MAUTNER, DDS AND OPPENHEIMER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPENHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-531-0841
Mailing Address - Street 1:925 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3325
Mailing Address - Country:US
Mailing Address - Phone:305-531-0841
Mailing Address - Fax:
Practice Address - Street 1:925 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE 207
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3325
Practice Address - Country:US
Practice Address - Phone:305-531-0841
Practice Address - Fax:305-531-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL73831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty