| Smile Dental Pllc | |
|
9500 Bonita Beach Rd Se Ste 301 Bonita Springs FL 34135-4698 | |
| (239) 319-2440 | |
| Not Available |
| Full Name | Smile Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9500 Bonita Beach Rd Se Ste 301, Bonita Springs, Florida |
| Authorized Official Name and Position | Samanta Andisco (MANAGER) |
| Authorized Official Contact | 2393192440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dental Pllc 9491 Cedar Creek Dr Bonita Springs FL 34135-7517 Ph: (954) 649-5588 | Smile Dental Pllc 9500 Bonita Beach Rd Se Ste 301 Bonita Springs FL 34135-4698 Ph: (239) 319-2440 |
| NPI Number | 1952815003 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952815003 | NPI | - | NPPES |
| 1114280245 | Other | NPI | |
| 1326298753 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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