| The Smile Store-palm Beach Gardens, P.a. | |
|
4362 Northlake Blvd Ste 114 Palm Beach Gardens FL 33410-6269 | |
| (561) 658-4100 | |
| (866) 333-2309 |
| Full Name | The Smile Store-palm Beach Gardens, P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4362 Northlake Blvd Ste 114, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Nicholas J. Savastano (OWNER/DOCTOR) |
| Authorized Official Contact | 5616584100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Store-palm Beach Gardens, P.a. 4362 Northlake Blvd Ste 114 Palm Beach Gardens FL 33410-6269 Ph: (561) 658-4100 | The Smile Store-palm Beach Gardens, P.a. 4362 Northlake Blvd Ste 114 Palm Beach Gardens FL 33410-6269 Ph: (561) 658-4100 |
| NPI Number | 1396492898 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396492898 | NPI | - | NPPES |
| 105737100 | Medicaid | FL | |
| 1154348233 | Other | FL | TYPE 1 NPI PROVIDER ID DR. SAVASTANO |
| 1518505692 | Other | FL | NPI 2 OF OLD TIN/LLC NAME FOR SAME DOCTOR, SAME LOCATION |
| DN15487 | Other | FL | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Charles H Etheredge Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3365 Burns Rd Ste 212, Palm Beach Gardens, FL 33410 Phone: 561-627-9056 Fax: 561-625-0910 | |
Drs Etheredge & Schry Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3365 Burns Rd, Suite 212, Palm Beach Gardens, FL 33410 Phone: 561-627-9056 | |
Carr & Carr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3385 Burns Road, Suite 104, Palm Beach Gardens, FL 33410 Phone: 561-626-9400 | |
Dentist In Palm Beach Gardens Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3385 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 Phone: 561-795-7668 | |
Prestige Periodontal And Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11641 Kew Gardens Ave, Suite 209, Palm Beach Gardens, FL 33410 Phone: 561-693-3236 | |
Peter M. Habashy, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4595 Northlake Blvd, Suite 103 And 114, Palm Beach Gardens, FL 33418 Phone: 561-427-7711 | |
Jonathan B. Murray D.m.d., M.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2517 Burns Rd, Palm Beach Gardens, FL 33410 Phone: 561-775-7999 |