Provider Demographics
NPI:1881706406
Name:DAYSY PINERO, D.M.D., P.A.
Entity type:Organization
Organization Name:DAYSY PINERO, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAYSY
Authorized Official - Middle Name:EMILIA
Authorized Official - Last Name:PINERO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-796-3355
Mailing Address - Street 1:10212 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3940
Mailing Address - Country:US
Mailing Address - Phone:954-796-3355
Mailing Address - Fax:954-796-8855
Practice Address - Street 1:10212 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3940
Practice Address - Country:US
Practice Address - Phone:954-796-3355
Practice Address - Fax:954-796-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 164201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty