Provider Demographics
NPI:1023180171
Name:GARCIA, OSCAR VICENTE (DMD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:VICENTE
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15501 NW 67TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2123
Mailing Address - Country:US
Mailing Address - Phone:305-823-8831
Mailing Address - Fax:786-577-4968
Practice Address - Street 1:15501 NW 67TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2123
Practice Address - Country:US
Practice Address - Phone:305-823-8831
Practice Address - Fax:786-577-4968
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210571223P0221X
FLDN163411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry