| Celebrity Smiles Dental | |
|
13801 Tamiami Trl Ste B North Port FL 34287-2017 | |
| (941) 426-1134 | |
| (941) 423-2396 |
| Full Name | Celebrity Smiles Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13801 Tamiami Trl Ste B, North Port, Florida |
| Authorized Official Name and Position | Joseph A Gaeta (OWNER) |
| Authorized Official Contact | 9414261134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrity Smiles Dental 13801 Tamiami Trl Ste B North Port FL 34287-2017 Ph: (941) 426-1134 | Celebrity Smiles Dental 13801 Tamiami Trl Ste B North Port FL 34287-2017 Ph: (941) 426-1134 |
| NPI Number | 1093155236 |
|---|---|
| Provider Enumeration Date | 07/02/2013 |
| Last Update Date | 07/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093155236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11262 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN7845 (Florida) | Secondary |
Shore Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 White Ibis Drive, North Port, FL 34287 Phone: 941-474-9548 | |
North Port Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13801 Tamiami Trl Ste B, North Port, FL 34287 Phone: 941-500-5812 | |
North Port Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14500 Tamiami Trl, North Port, FL 34287 Phone: 941-200-5812 |