Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mgm Dental PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1396043576

Mgm Dental PA is an Oral and Maxillofacial Surgery (Dentist) in Miami, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15659 SW 88th St
Miami, FL 33196
Phone: (786) 558-7315
Fax: (786) 558-7318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN20484 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1396043576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Mogollon — Owner · (786) 597-1636
NPI enumeratedMarch 11, 2011
Last updated in NPPESJuly 2, 2018
Mailing address15659 Sw 88th St, Miami, FL 33196-1103

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