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

South Dental Doral, Spa, Inc

Organization Dentist · NPI 1164685996

South Dental Doral, Spa, Inc provides Dentist services in Doral, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3655 NW 107th Ave Ste 103
Doral, FL 33178-4327 Not confirmed with CMS for 18 years — call before visiting
Phone: (305) 388-7599
Fax: (305) 388-1315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13563 (FL)

Record details

NPI number1164685996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jahn Oppenheimer — Owner · (305) 388-7599
NPI enumeratedJuly 2, 2008
Last updated in NPPESJuly 2, 2008
Mailing address3655 Nw 107th Ave, Suite 103, Doral, FL 33178-4327

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