| Go Smile Group | |
|
5745 Park Blvd N Pinellas Park FL 33781-3332 | |
| (727) 698-6684 | |
| Not Available |
| Full Name | Go Smile Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5745 Park Blvd N, Pinellas Park, Florida |
| Authorized Official Name and Position | Dorothy Lynne Cataldo (PEDIATRIC DENTIST/ CO-OWNER) |
| Authorized Official Contact | 7276986684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Smile Group 5745 Park Blvd N Pinellas Park FL 33781-3332 Ph: (727) 698-6684 | Go Smile Group 5745 Park Blvd N Pinellas Park FL 33781-3332 Ph: (727) 698-6684 |
| NPI Number | 1528704988 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528704988 | NPI | - | NPPES |
| 1659533883 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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