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

Pines Pediatric Dentistry and Orthodontics, PLLC

Organization Pediatric Dentistry · NPI 1710696612

Pines Pediatric Dentistry and Orthodontics, PLLC is a Pediatric Dentistry in Pembroke Pines, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

17767 SW 2nd St
Pembroke Pines, FL 33029-3924
Phone: (561) 336-6560
Fax: (561) 336-6560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1710696612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Miller — Owner · (561) 336-6560
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address17767 Sw 2nd St, Pembroke Pines, FL 33029-3924

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