Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659691764 Individual Practitioner Male Practitioner

Dr. Peter A Sudack , DDS

Dentist - General Practice • North Miami, FL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Sudack, DDS is a registered healthcare professional specializing in Dentist - General Practice in North Miami, FL. Practice services are available at 11645 BISCAYNE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11645 Biscayne Blvd
Suite 403

North Miami, FL 331813155

Telephone 3055388835
Fax 3059384044
Associated Practice Facility / Clinic
🏢 Gloria Alvareztorre Dmd,p.a. Facility NPI 1376601989

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in North Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
18 Specialists

Practicing in North Miami, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN19564

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 055663

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003950502

Doctor of Dental Medicine

Mckenzi Payne , PA-C

Physician Assistant - Medical

NPI 1013740489

Physician Assistant (Certified)

NPI 1033180443

Doctor of Medicine (M.D.)

Estefanny Gonzalez Sosa , APRN, FNP-C

Nurse Practitioner - Family

NPI 1043138944

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Josefina Kinsey , DDS

Dentist - General Practice

NPI 1043620990

Doctor of Dental Surgery

NPI 1053518969

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2016

Registered at 11645 BISCAYNE BLVD, SUITE 403, NORTH MIAMI, FL 331813155 (Tel: 3055388835)

📍
Updated Business Mailing Address March 28, 2016

Registered at 11645 BISCAYNE BLVD, SUITE 403, NORTH MIAMI, FL 331813155 (Tel: 3055388835)

👤
Provider Name / Credentials Updated March 28, 2016

Recorded as PETER SUDACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Dentist (License #DN19564 in FL)

🟢
Initial NPI Registration & Enumeration June 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659691764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2010
Last Update: March 28, 2016
Sole Proprietor: Yes

Mailing Address

11645 Biscayne Blvd, Suite 403

North Miami, FL 331813155

Phone: 3055388835

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.