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

Miramar Modern Dentistry, PA

Organization General Practice Dentistry · NPI 1821667684

Miramar Modern Dentistry, PA is a General Practice Dentistry in Miramar, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12621 Miramar Pkwy Bay 102
Miramar, FL 33027-2910
Phone: (954) 621-1496
Fax: (954) 666-6199
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1821667684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minh Pham — Owner · (954) 621-1496
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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