| Best Smile Dental Care Corp | |
|
1961 Ne 196th Ter Miami FL 33179-3629 | |
| (786) 251-5818 | |
| Not Available |
| Full Name | Best Smile Dental Care Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1961 Ne 196th Ter, Miami, Florida |
| Authorized Official Name and Position | Maria C Vidal (PRESIDENT) |
| Authorized Official Contact | 7862515818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Smile Dental Care Corp 8000 Biscayne Blvd Miami FL 33138-4621 Ph: (786) 517-6127 | Best Smile Dental Care Corp 1961 Ne 196th Ter Miami FL 33179-3629 Ph: (786) 251-5818 |
| NPI Number | 1710275185 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 3678980232 |
|---|---|
| Medicare Enrollment ID | O20210325002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710275185 | NPI | - | NPPES |
| 075443900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN16229 (Florida) | Primary |
| Provider Name | Maria C Vidal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780749473 PECOS PAC ID: 7315244514 Enrollment ID: I20210325002678 |
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