SEA OF SMILES, INC. (NPI# 1104214865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104214865 |
| Entity Type | Organization |
| Organization Name | SEA OF SMILES, INC. |
| Practice Address |
6060 State Road 70 Suite A Bradenton FL 34203 |
| Practice Telephone | 9417270025 |
| Practice Fax Number | 9417392315 |
| Mailing Telephone | 9417270025 |
| Mailing Fax Number | 9417392315 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | DR. LISA MARIE LAPRESTI (PEDIATRIC DENTIST/ OWNER) |
| Authorized Official Telephone | 9417270025 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN14677 | Dental Providers | |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN17430 | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076529500 | 05 |
| Street Address |
6060 STATE ROAD 70 SUITE A |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| 1619227295 | Ma Lourdes Fabello | General Acute Care Hospital | 5118 Wedge Ct E, Bradenton, FL 34203 | 2012-09-11 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042713 | Aldo Yonate Del Sol Martinez | Dentist | 11649 Sr 70 East, Bradenton, FL 34202 | 2018-02-11 |
| 1184868895 | Bryan J Morgan | Dentist | 710 147th Ct Ne, Bradenton, FL 34212-5588 | 2009-04-24 |
| 1104027929 | George Joe Meadows Jr. | Dentist | 9912 E State Road 64, Bradenton, FL 34212-5303 | 2007-05-30 |
| 1861406035 | Leslie A Thompson | Dentist | 1882 59th St W, Bradenton, FL 34209-4630 | 2006-07-27 |
| 1437526308 | Smile Nation | Dentist | 6060 53rd Ave E, Suite A, Bradenton, FL 34203-9719 | 2015-08-27 |
| 1134524424 | Meadows Adult Dental Services Sr 64 LLC | Dentist | 9916 E State Road 64, Bradenton, FL 34212-5303 | 2014-10-29 |
| 1841574845 | Meadows Family Care Centers | Dentist | 9912 E State Road 64, Bradenton, FL 34212-5303 | 2011-10-10 |
| 1558409169 | Ronald S Acquaro | Dentist | 5714 21st Ave W, Bradenton, FL 34209-5606 | 2007-02-03 |
| 1285785626 | Stacey Jill Lubetsky | Dentist | 4800 Lakewood Ranch Blvd, Bradenton, FL 34211-4953 | 2007-01-14 |
| 1821157314 | Jerry Robert Hynton | Dentist | 2225 59th St W, Suite A, Bradenton, FL 34209-7017 | 2006-12-08 |
| Find all providers in BRADENTON | ||||
Please comment or provide details below to improve the information on SEA OF SMILES, INC..
| 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.