Provider Demographics
NPI:1982753208
Name:DENTAL HEALTH GROUP
Entity Type:Organization
Organization Name:DENTAL HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRODY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-652-6313
Mailing Address - Street 1:2905 SW 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4212
Mailing Address - Country:US
Mailing Address - Phone:954-392-7051
Mailing Address - Fax:954-237-2066
Practice Address - Street 1:2905 SW 160TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4212
Practice Address - Country:US
Practice Address - Phone:954-392-7051
Practice Address - Fax:954-237-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty