Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Professional Dental Alliance of Country Walk, PLLC

Organization General Practice Dentistry · NPI 1922655950

Professional Dental Alliance of Country Walk, PLLC provides General Practice Dentistry in Miami, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15795 SW 152nd St
Miami, FL 33187-5417
Phone: (305) 547-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1922655950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing · (757) 576-5479
NPI enumeratedAugust 23, 2019
Last updated in NPPESAugust 23, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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