Individual provider · Type 1 NPI

Kristian Poventud, DMD

Periodontics · South Miami, FL

NPI number 1396161204 Active

Practice location

7600 S Red Rd Ste 216
South Miami, FL 33143-5408

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN24437 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1396161204

Kristian Poventud, DMD's National Provider Identifier is 1396161204, issued on Mar 16, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Miami, FL. The record was last updated on Sep 5, 2025.