HAPPY SMILES OF PORT SAINT LUCIE (NPI# 1831660026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831660026 |
| Entity Type | Organization |
| Organization Name | HAPPY SMILES OF PORT SAINT LUCIE |
| Other Organization Name | HAPPY SMILES OF FORT MYERS |
| Practice Address |
2675 Winkler Ave Ste 450 Fort Myers FL 33901-9329 |
| Mailing Address |
1905 Clint Moore Rd Ste 200 Boca Raton FL 33496-2660 |
| Practice Telephone | 5612417656 |
| Mailing Telephone | 5612417656 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | MARIANNA ZADOV (OWNER) |
| Authorized Official Telephone | 5613052958 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAPPY SMILES OF PORT SAINT LUCIE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Happy Smiles of Fort Myers | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Military Trl Ste 210, Jupiter, FL 334587040 | 5612417656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862805 | Happy Smiles of Port Saint Lucie | Dentist | 1100 Sw St Lucie Blvd, 206, Port Saint Lucie, FL 34986-1780 | 2016-03-04 |
| Street Address |
2675 WINKLER AVE STE 450 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-9329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| 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 |
|---|---|---|---|---|
| 1710505359 | Ariosto Rosado | Dentist | 16960 Alico Mission Way Ste 100, Fort Myers, FL 33908-4844 | 2020-07-09 |
| 1972141430 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 16159 Myriad Ln, Fort Myers, FL 33908-3483 | 2019-12-16 |
| 1407404320 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12021 Palm Beach Blvd, Fort Myers, FL 33905-4807 | 2019-09-04 |
| 1073084307 | Mobile Dental Care of Florida LLC | Dentist | 1431 Poinciana Ave, Fort Myers, FL 33901-5926 | 2018-12-16 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1861908683 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5245 Big Pine Way Ste 103, Fort Myers, FL 33907-5924 | 2017-12-15 |
| 1346754900 | Amelia Mercedes Caceres Tejada | Dentist | 3230 Forum Blvd, Fort Myers, FL 33905-5580 | 2017-11-18 |
| 1407372824 | Erik Matthew Skates | Dentist | 10551 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6461 | 2017-08-17 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on HAPPY SMILES OF PORT SAINT LUCIE.
| 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.