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LITTLE SMILES DENTAL OFFICE # 3 NPI 1215296298


NPI Information

NPI: 1215296298
Provider Name: LITTLE SMILES DENTAL OFFICE # 3
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3469 W BOYNTON BEACH BLVD
SUITE NUMBER 20
BOYNTON BEACH, FL
ZIP 33436
Phone: (561) 736-8755
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LITTLE SMILES DENTAL OFFICE # 3 is a dental clinic center in Boynton Beach, FL. LITTLE SMILES DENTAL OFFICE # 3 NPI is 1215296298. The provider is registered as an organization entity type.

The provider's business location address is:

3469 W BOYNTON BEACH BLVD
SUITE NUMBER 20
BOYNTON BEACH, FL
ZIP 33436-611
Phone: (561) 736-8755
Fax: (561) 736-3996

The provider's authorized official is Bayardo C Cortes .
The authorized official title is Owner and has the following contact phone number (305) 698-7566.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 5/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalDN15894FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1075542702MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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