# PHANORD & ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255362877
- **Authorized official:** DR. ROGER J PHANOD DMD (OWNER AND DOCTOR)
- **Authorized official phone:** (305) 685-7863

## Contact information

- **Practice address:** 1245 NW 119 ST, MIAMI, FL 33167
- **Practice address phone:** (305) 685-7863
- **Practice address fax:** (305) 687-7603
- **Mailing address:** 1245 NW 119 ST, MIAMI, FL 33167
- **Mailing address phone:** (305) 685-7863
- **Mailing address fax:** (305) 687-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DN0011339 | FL | — |
| 1223P0221X | Pediatric Dentistry | DN0014809 | FL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN0011236 | FL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 09/11/2025