Provider Demographics
NPI:1184499030
Name:SKY DENTAL CORP
Entity type:Organization
Organization Name:SKY DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-641-3784
Mailing Address - Street 1:5040 NW 7TH ST STE 632
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3437
Mailing Address - Country:US
Mailing Address - Phone:305-342-2020
Mailing Address - Fax:305-441-2883
Practice Address - Street 1:5040 NW 7TH ST STE 632
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3437
Practice Address - Country:US
Practice Address - Phone:305-342-2020
Practice Address - Fax:305-441-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental