| Heavenly Smiles | |
|
135 S Us Highway 27 South Bay FL 33493-2213 | |
| (561) 996-0033 | |
| (561) 996-0044 |
| Full Name | Heavenly Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 135 S Us Highway 27, South Bay, Florida |
| Authorized Official Name and Position | Silvia Menendez (ADMINISTRATOR) |
| Authorized Official Contact | 5619960033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Smiles 135 S Us Highway 27 South Bay FL 33493-2213 Ph: (561) 996-0033 | Heavenly Smiles 135 S Us Highway 27 South Bay FL 33493-2213 Ph: (561) 996-0033 |
| NPI Number | 1871861443 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871861443 | NPI | - | NPPES |
| 071862900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12108 (Florida) | Primary |
Baldwin Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Us Highway 27 S, South Bay, FL 33493 Phone: 561-996-0033 Fax: 561-996-0044 |