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

Professional Dental Alliance of Country Walk Ortho, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1770130684

Professional Dental Alliance of Country Walk Ortho, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Miami, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

15795 SW 152nd St
Miami, FL 33187-5417
Phone: (305) 547-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1770130684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (757) 576-5479
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 26, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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