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

Prime Pediatric Dental Group PA

Organization Pediatric Dentistry · NPI 1730906124

Prime Pediatric Dental Group PA is a Pediatric Dentistry in Hialeah, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone: (305) 251-5390
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1730906124
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrime Pediatric Dental Group
Authorized official Jose Mellado — President · (305) 321-3790
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address4410 W 16th Ave Ste 52, Hialeah, FL 33012-7193

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