OrganizationActive
Mgm Dental PA
NPI 1396043576 · Dental Clinic/Center · Miami, FL
Provider details
- NPI number
- 1396043576
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maria Mogollon, Owner(786) 597-1636
Specialties & taxonomies
Ambulatory Health Care Facilities
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES 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
15659 Sw 88th St
Miami, FL 33196
Phone: (786) 558-7315
Fax: (786) 558-7318
Street-level locationGet directions
Mailing address
15659 Sw 88th St
Miami, FL 33196-1103
Registry dates
- Enumerated
- 2011-03-11
- Last updated
- 2018-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.