Provider Demographics
NPI:1174866339
Name:OPPENHEIMER, ELI CHAYIM (DMD)
Entity type:Individual
Prefix:
First Name:ELI
Middle Name:CHAYIM
Last Name:OPPENHEIMER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 NAUTILUS DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2821
Mailing Address - Country:US
Mailing Address - Phone:786-390-8042
Mailing Address - Fax:
Practice Address - Street 1:4213 NAUTILUS DR
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2821
Practice Address - Country:US
Practice Address - Phone:786-390-8042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN201551223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery