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

South Miami Dental Service PA

Organization Health Maintenance Organization · NPI 1104274471

South Miami Dental Service PA is a Health Maintenance Organization in Key Biscayne, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

240 Crandon Blvd Ste 104
Key Biscayne, FL 33149
Phone: (305) 361-0351
Fax: (305) 361-2180
Show map & directions

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

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence DN18909 (FL)

Record details

NPI number1104274471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayra Perez — Admnistrator · (305) 361-5493
Other names Illustradent Key Biscayne
NPI enumeratedMay 27, 2016
Last updated in NPPESMay 27, 2016
Mailing address240 Crandon Blvd, Suite 104, Key Biscayne, FL 33149