LIFE SMILES DENTAL, P.A.


Address: 7400 Southland Blvd., Suite 112, Orlando, FL 32809
Phone: 4078124511

LIFE SMILES DENTAL, P.A. (NPI# 1851519110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851519110
Entity Type Organization
Organization Name LIFE SMILES DENTAL, P.A.
Other Organization Name THI M. PHAM, D.D.S.
Practice Address 7400 Southland Blvd.
Suite 112
Orlando
FL 32809
Practice Telephone 4078124511
Practice Fax Number 4078124588
Mailing Telephone 4078124511
Mailing Fax Number 4078124588
Enumeration Date 2007-04-23
Last Update Date 2020-08-22
Authorized Official Name DR. THI MINH PHAM (PRESIDENT)
Authorized Official Telephone 4078124511
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
DN14922 FL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Thi M. Pham, D.D.S. Doing Business As Name - Organization

Office Location

Street Address 7400 SOUTHLAND BLVD.
SUITE 112
City ORLANDO
State FL
Zip Code 32809

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1700374212 Z Maali Dental Inc. Clinic/Center 7932 W Sand Lake Rd Ste 301, Orlando, FL 32819-7230 2018-04-30
1861943870 South Familia Dental Pa Clinic/Center 12720 S Orange Blossom Trl Ste 22, Orlando, FL 32837-6227 2016-10-14
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1285000141 Frederick Palacios Dds Pa Clinic/Center 531 S Chickasaw Trl, Orlando, FL 32825-7801 2015-08-14
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Competitor

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City ORLANDO
Zip Code 32809

Improve Information

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Dataset Information

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.

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