Juan Gomez Pantoja

General Practice Dentistry · Homestead, FL

Individual Active NPI

NPI number 1447831722

Practice location

786 S Homestead Blvd
Homestead, FL 33030-7352
Phone
(305) 242-5777

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NPI record

NPI
1447831722
Entity type
Individual (Type 1)
Enumeration date
April 18, 2021
Last updated
July 26, 2023
Certified
July 26, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN28398 FL

Mailing address

3801 SW 130TH Ave
Miami, FL 33175-3313

About Juan Gomez Pantoja

Juan Gomez Pantoja is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 786 S Homestead Blvd, Homestead, FL 33030-7352. The NPI number 1447831722 was assigned on April 18, 2021 and the record was last updated on July 26, 2023.

Juan Gomez Pantoja lists a license in the registry: #DN28398 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Juan Gomez Pantoja?

The NPI number is 1447831722.

What is the phone number of Juan Gomez Pantoja?

The phone number listed for the practice location is (305) 242-5777.

Where is Juan Gomez Pantoja located?

786 S Homestead Blvd, Homestead, FL 33030-7352.

What is the taxonomy code for Juan Gomez Pantoja?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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