Organization
PHANORD & ASSOCIATES PA
Active
Organization
PHANORD & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER J PHANOD DMD (OWNER AND DOCTOR)
(305) 685-7863
Entity
Organization
Contact information
Practice address
1245 NW 119 ST, MIAMI, FL 33167
(305) 685-7863
(305) 687-7603
Mailing address
1245 NW 119 ST, MIAMI, FL 33167
(305) 685-7863
(305) 687-7603
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN0011339
FL
1223P0221X
Pediatric Dentistry
DN0014809
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0011236
FL
Other
Enumeration date
07/05/2006
Last updated
09/11/2025
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