Provider Demographics
NPI:1992810519
Name:MIGLIORATI, CESAR AUGUSTO (DDS, MS, PHD)
Entity type:Individual
Prefix:PROF
First Name:CESAR
Middle Name:AUGUSTO
Last Name:MIGLIORATI
Suffix:
Gender:M
Credentials:DDS, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 CENTER DR STE D3-9
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3006
Mailing Address - Country:US
Mailing Address - Phone:352-294-8772
Mailing Address - Fax:352-392-5606
Practice Address - Street 1:875 UNION AVE
Practice Address - Street 2:SUITE N228
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163
Practice Address - Country:US
Practice Address - Phone:901-448-2613
Practice Address - Fax:901-448-1371
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFTP659122300000X
TNDS0000009070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL075484600Medicaid
FL075484600Medicaid