Provider Demographics
NPI:1730955113
Name:CASTHELY ORTHODONTICS AND DENTAL LLC
Entity type:Organization
Organization Name:CASTHELY ORTHODONTICS AND DENTAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCK- LUCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTHELY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MPH, MS
Authorized Official - Phone:305-940-4911
Mailing Address - Street 1:1400 NE MIAMI GARDENS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4843
Mailing Address - Country:US
Mailing Address - Phone:305-940-4911
Mailing Address - Fax:305-940-4911
Practice Address - Street 1:160 NE 82ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-3708
Practice Address - Country:US
Practice Address - Phone:305-756-7602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty