Provider Demographics
NPI:1558370791
Name:ALDO J BENDANA DDS INC
Entity type:Organization
Organization Name:ALDO J BENDANA DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:BENDANA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-559-5700
Mailing Address - Street 1:8500 W FLAGLER ST
Mailing Address - Street 2:SUITE # B-205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2054
Mailing Address - Country:US
Mailing Address - Phone:305-559-5700
Mailing Address - Fax:305-226-8093
Practice Address - Street 1:8500 W FLAGLER ST
Practice Address - Street 2:SUITE # B-205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2054
Practice Address - Country:US
Practice Address - Phone:305-559-5700
Practice Address - Fax:305-226-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN119311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015056OtherDELTA DENTAL PMI
FL600035OtherCOMPBENEFITS
FL699256OtherUNITED CONCORDIA
FL0710164 00Medicaid
FL69172OtherBLUE CROSS& BLUE SHIELD
FL5060OtherSASFEGUARD INS.
FL251740OtherCIGNA DENTAL