LITTLE SMILES DENTALOFFICE #4 (NPI# 1073874723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073874723 |
Entity Type | Organization |
Organization Name | LITTLE SMILES DENTALOFFICE #4 |
Other Organization Name | LITTLE SMILES DENTAL # 1 |
Practice Address |
1708 N Federal Hwy Lake Worth FL 33460-6668 |
Practice Telephone | 5617368755 |
Practice Fax Number | 5617363996 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |
Authorized Official Name | DR. GONZALO E CORTES (OWNER) |
Authorized Official Telephone | 3056987566 |
Authorized Official Credential | DMD |
Is Organization Subpart | Y |
Parent Organization Name | LITTLE SMILES DENTAL #1 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN16953 | FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LITTLE SMILES DENTAL # 1 | Former Legal Business Name - Organization |
Street Address |
1708 N FEDERAL HWY |
City | LAKE WORTH |
State | FL |
Zip Code | 33460-6668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740480417 | Gonzalo Cortes | Dentist | 1708 N Federal Hwy, Lake Worth, FL 33460-6668 | 2007-07-20 |
1457822371 | Daniela Loebl | Dentist | 1708 N Federal Hwy, Lake Worth, FL 33460-6668 | 2018-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265069694 | Soma Medical Center, P.a. | Internal Medicine | 330 South Dixie Hway, Lake Worth, FL 33460 | 2020-03-25 |
1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
1710542428 | Paul Robert Ahr | Psychologist | 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 | 2019-05-08 |
1548732985 | Pickens Allison Gantt IIi | Acupuncturist | 1505 N Federal Hwy, Lake Worth, FL 33460 | 2018-12-26 |
1992297634 | Awilda Theodore | Homemaker | 824a Lake Ave, #309, Lake Worth, FL 33460 | 2018-05-30 |
1326562646 | Candy Marie Contrerez | Behavior Technician | 1306 S H St, Lake Worth, FL 33460 | 2017-07-28 |
1679003602 | Sylvia Grant | Registered Nurse | 919 12th Ave S, Lake Worth, FL 33460 | 2017-06-13 |
1720510662 | Jessica Montanez | Technician, Other | 1831 17th Court N, Lake Worth, FL 33460 | 2017-03-30 |
1629209630 | Emilia Isaza | Dentist | 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 | 2009-08-07 |
1174767909 | Cameron Bishop | Acupuncturist | 1505 North Federal Highway, Lake Worth, FL 33460 | 2009-04-23 |
Find all providers in zip 33460 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815479 | Pablo R Prado, Dmd, Pa | Clinic/Center | 6169 S Jog Rd Ste B2, Lake Worth, FL 33467-6514 | 2020-06-09 |
1780225862 | Francy J Arciniegas Dmd, Pa | Clinic/Center | 325 S Dixie Hwy Ste 5, Lake Worth, FL 33460-4423 | 2019-09-30 |
1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
1275196396 | Cagigas Dental Service LLC | Clinic/Center | 2311 10th Ave N Ste 14, Lake Worth, FL 33461-6605 | 2019-04-15 |
1932658978 | Lake Worth Orthodontics | Clinic/Center | 6045 Hagen Ranch Rd, Suite 2, Lake Worth, FL 33467-7251 | 2016-10-03 |
1275706566 | Serene Dental Center | Clinic/Center | 2411 10th Ave N, Lake Worth, FL 33461-3128 | 2008-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376525 | Hoffmann Holdings Inc | Clinic/Center | 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 | 2020-11-06 |
1811598238 | Dental Plus Management, LLC | Clinic/Center | 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 | 2020-11-03 |
1750981452 | Smillie Dental Pllc | Clinic/Center | 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 | 2020-10-30 |
1609476027 | R & R Dentistry Pa | Clinic/Center | 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 | 2020-10-26 |
1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
Find all providers with the same taxonomy |
City | LAKE WORTH |
Zip Code | 33460 |
Please comment or provide details below to improve the information on LITTLE SMILES DENTALOFFICE #4.
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.