Lake Mary Smiles, Pllc

LBN: Lake Mary Smiles, Pllc
Lake Mary Smiles, Pllc is an health care organization with primary practice located at 570 Rinehart Rd Ste 110 , Lake Mary FL 32746-4801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Lake Mary Smiles, Pllc can be contacted via phone (407) 333-7393, or through Kelly, Peter via phone (407) 333-7393.

Contact Information

Primary practice address
570 Rinehart Rd Ste 110 Lake Mary FL 32746-4801
Phone: (407) 333-7393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Peter
Phone: (407) 333-7393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1588314686
LBN Legal business name Lake Mary Smiles, Pllc
DBA Doing business as
Authorized official Kelly, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2022
Last updated Mar 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588314686 NPPES
Florida Other DM19430 STATE LICENSE

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