OrganizationActive
Pines Dental Village Corp.
NPI 1205706074 · General Practice Dentistry · Pembroke Pines, FL
Pines Dental Village Corp. is a General Practice Dentistry organization in Pembroke Pines, FL (NPI 1205706074).
Provider details
- NPI number
- 1205706074
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Liveisys Pedraza, Owner(786) 337-1013
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12558 Pines Blvd
Pembroke Pines, FL 33027-1713
Phone: (954) 639-6998
Street-level locationGet directions
Mailing address
12558 Pines Blvd
Pembroke Pines, FL 33027-1713
Registry dates
- Enumerated
- 2025-11-07
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Frequently asked questions
- What is Pines Dental Village Corp.'s NPI number?
- Pines Dental Village Corp.'s National Provider Identifier (NPI) is 1205706074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pines Dental Village Corp.?
- Pines Dental Village Corp. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pines Dental Village Corp. located?
- Pines Dental Village Corp.'s practice location on file with NPPES is 12558 Pines Blvd, Pembroke Pines, FL 33027-1713.
- What is Pines Dental Village Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Pines Dental Village Corp. is (954) 639-6998.
- Who is the authorized official for Pines Dental Village Corp.?
- The authorized official listed on Pines Dental Village Corp.'s NPPES record is Liveisys Pedraza, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pines Dental Village Corp.'s NPI active?
- Yes — Pines Dental Village Corp.'s NPI (1205706074) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.