Provider Demographics
NPI:1588960926
Name:UNLIMITED DENTAL CARE,CORP
Entity type:Organization
Organization Name:UNLIMITED DENTAL CARE,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-389-9005
Mailing Address - Street 1:11498 QUAIL ROOST DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6575
Mailing Address - Country:US
Mailing Address - Phone:305-232-4469
Mailing Address - Fax:305-232-4487
Practice Address - Street 1:11498 QUAIL ROOST DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6575
Practice Address - Country:US
Practice Address - Phone:305-232-4469
Practice Address - Fax:305-232-4487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1831320282Medicaid
FL1760702575Medicaid
FL1649408469Medicaid