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, PLLC

Organization General Practice Dentistry · NPI 1922655950

Professional Dental Alliance of Country Walk, PLLC is a General Practice 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

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1922655950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing · (757) 576-5479
NPI enumeratedAugust 23, 2019
Last updated in NPPESAugust 23, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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