# ASTORIA DENTAL AT THE BEACH INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912500547
- **Authorized official:** MR. EVAN JUSTIN WILKES MANAGER (MANAGER)
- **Authorized official phone:** (305) 467-7490

## Contact information

- **Practice address:** 1235 ALTON RD, MIAMI BEACH, FL 33139-3809
- **Practice address phone:** (305) 674-0200
- **Practice address fax:** (305) 674-7346
- **Mailing address:** 1235 ALTON RD, MIAMI BEACH, FL 33139-3809
- **Mailing address phone:** (305) 674-0200
- **Mailing address fax:** (305) 674-7346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 11/17/2020