Provider Demographics
NPI:1063991040
Name:DENTAL CARE & MORE, CORP
Entity type:Organization
Organization Name:DENTAL CARE & MORE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-389-9005
Mailing Address - Street 1:11541 QUAIL ROOST DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6566
Mailing Address - Country:US
Mailing Address - Phone:786-389-9005
Mailing Address - Fax:
Practice Address - Street 1:11541 QUAIL ROOST DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6566
Practice Address - Country:US
Practice Address - Phone:786-389-9005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD0000X
FLDN189831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008292900Medicaid