BIG SMILE DENTISTRY INC (NPI# 1023453321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023453321 |
| Entity Type | Organization |
| Organization Name | BIG SMILE DENTISTRY INC |
| Other Organization Name | BIG SMILE DENTISTRY |
| Practice Address |
4481 Lake Worth Rd Ste B Lake Worth FL 33461-3929 |
| Mailing Address |
9880 Via Bernini Lake Worth FL 33467-6939 |
| Practice Telephone | 5613313013 |
| Mailing Telephone | 5613313013 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-09 |
| Authorized Official Name | MS. DAYANA YOLANI CALDERON (OFFICE MANAGER) |
| Authorized Official Telephone | 5613313013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15799 | FL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Big Smile Dentistry | Doing Business As Name - Organization |
| Street Address |
4481 LAKE WORTH RD STE B |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346689155 | Astrid Cortes | Dentist | 4481 Lake Worth Rd Ste B, Lake Worth, FL 33461-3929 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170112 | Amina Soud Adem | Dentist | 6014 Azle Ave Ste 100, Lake Worth, TX 76135-2603 | 2020-10-07 |
| 1568009025 | Michael Gott | Dentist | 6045 Hagen Ranch Rd Ste 1, Lake Worth, FL 33467-7251 | 2019-12-04 |
| 1255886446 | Yue Jiang | Dentist | 6076 Azle Ave Ste 100, Lake Worth, TX 76135-2627 | 2016-08-17 |
| 1245681246 | Tousant Jamel Plunkett | Dentist | 1325 Tropical Dr, Lake Worth, FL 33460-5343 | 2016-06-30 |
| 1588046189 | Gail Castillo Deguzman | Dentist | 6076 Azle Ave, Lake Worth, TX 76135-2603 | 2015-06-19 |
| 1689085565 | Doyle George Musselman | Dentist | 220 5th Ave S, Lake Worth, FL 33460-4620 | 2014-05-14 |
| 1750700563 | Palms Dental Care Pllc | Dentist | 8918 Lantana Rd Ste B, Lake Worth, FL 33467-6136 | 2014-04-08 |
| 1528499365 | Sachs Dental Center | Dentist | 9835-8 Lake Worth Rd, Lake Worth, FL 33467 | 2013-12-04 |
| 1538418488 | Lyle Aaron Herman | Dentist | 5747 Gelding Ct, Lake Worth, FL 33449-5416 | 2012-09-06 |
| 1033496716 | Bluebonnet Dental Care | Dentist | 3980 Boat Club Rd Ste 114, Lake Worth, TX 76135-3206 | 2011-11-09 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.