The Smile Store-Palm Beach Gardens, P.A.
LBN: The Smile Store-Palm Beach Gardens, P.A.
The Smile Store-Palm Beach Gardens, P.A. is an health care organization with primary practice located at 4362 Northlake Blvd Ste 114 , Palm Beach Gardens FL 33410-6269. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty.
The Smile Store-Palm Beach Gardens, P.A. can be contacted via phone (561) 658-4100, or through Savastano, Nicholas J. via phone (561) 658-4100.
Contact Information
Primary practice address
4362 Northlake Blvd Ste 114
Palm Beach Gardens FL 33410-6269
Phone: (561) 658-4100
Fax: (866) 333-2309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1396492898 |
|---|---|
| LBN Legal business name | The Smile Store-Palm Beach Gardens, P.A. |
| DBA Doing business as | |
| Authorized official | Savastano, Nicholas J. DMD, MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2022 |
| Last updated | Mar 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396492898 | NPPES |
| Florida | MEDICAID | 105737100 | |
| Florida | Other | 1154348233 | |
| Florida | Other | 1518505692 | |
| Florida | Other | DN15487 |
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