| Smiling Creations, Pa | |
|
708 Spring St Green Cove Springs FL 32043-3318 | |
| (904) 284-6688 | |
| Not Available |
| Full Name | Smiling Creations, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 708 Spring St, Green Cove Springs, Florida |
| Authorized Official Name and Position | Larry James Small (OWNER/DENTIST) |
| Authorized Official Contact | 9042846688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiling Creations, Pa 708 Spring St Green Cove Springs FL 32043-3318 Ph: (904) 284-6688 | Smiling Creations, Pa 708 Spring St Green Cove Springs FL 32043-3318 Ph: (904) 284-6688 |
| NPI Number | 1760755169 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760755169 | NPI | - | NPPES |
| 072874800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0010981 (Florida) | Primary |
April Stone Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Branscomb Rd Ste 7, Green Cove Springs, FL 32043 Phone: 904-284-6688 | |
Green Cove Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Orange Ave, Green Cove Springs, FL 32043 Phone: 904-297-8416 |