SUPREME SMILES OF SARASOTA NPI 1629433800

NPI Information

NPI: 1629433800
Provider Name: SUPREME SMILES OF SARASOTA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2345 BEE RIDGE RD
SUITE 4
SARASOTA, FL
ZIP 34239
Phone: (941) 923-7060
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SUPREME SMILES OF SARASOTA is a dental clinic center in Sarasota, FL. SUPREME SMILES OF SARASOTA NPI is 1629433800. The provider is registered as an organization entity type.

The provider's business location address is:

2345 BEE RIDGE RD
SUITE 4
SARASOTA, FL
ZIP 34239-251
Phone: (941) 923-7060
Fax: (941) 925-4724

The provider's authorized official is Melvin Mathew Korattiyil .
The authorized official title is Dentist and has the following contact phone number (941) 923-7060.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 12/15/2015.

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
1	261QD0000X	Clinic/Center	Dental	DN18851	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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