| Big Smiles Florida, P.a. | |
|
122 W Pine St Ste 300 Orlando FL 32801-2649 | |
| (888) 833-8441 | |
| (888) 373-9612 |
| Full Name | Big Smiles Florida, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 122 W Pine St Ste 300, Orlando, Florida |
| Authorized Official Name and Position | Paul Spurgeon (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 8888338441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Smiles Florida, P.a. Po Box 41130 Phoenix AZ 85080-1130 Ph: () - | Big Smiles Florida, P.a. 122 W Pine St Ste 300 Orlando FL 32801-2649 Ph: (888) 833-8441 |
| NPI Number | 1013752690 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013752690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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