Individual provider · Type 1 NPI

Jesus Antonio Diaz, DDS

Periodontics · Hialeah, FL

NPI number 1740496892 Active

Practice location

7000 W 12th Ave, Suite 6
Hialeah, FL 33014-5154

Call (305) 557-5888 Map

Fax (305) 818-6677

Mailing address

1402 SE 17th Ave
Homestead, FL 33035-2211

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN11799 (FL)

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 1740496892

Jesus Antonio Diaz, DDS's National Provider Identifier is 1740496892, issued on May 15, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Hialeah, FL. The record was last updated on May 25, 2021.