FORTUNE SMILES INC (NPI# 1982077939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982077939 |
| Entity Type | Organization |
| Organization Name | FORTUNE SMILES INC |
| Practice Address |
2879 S University Dr Davie FL 33328-1440 |
| Practice Telephone | 9544742499 |
| Practice Fax Number | 9544741966 |
| Mailing Telephone | 9544742499 |
| Mailing Fax Number | 9544741966 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | DR. MADELENE MICHELLE TRUJILLO (DENTIST) |
| Authorized Official Telephone | 3052599120 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D18770 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013776 | 05 |
| Street Address |
2879 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659521698 | University Dental Health Center | Dentist | 2879 S University Dr, Davie, FL 33328-1440 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565813 | Robert Joseph Size IIi | Dentist | 8902 Lake Park Cir S, Davie, FL 33328-7014 | 2020-07-21 |
| 1609349877 | Comfy Smile Dental | Dentist | 11356 W State Road 84, Davie, FL 33325-4007 | 2019-01-09 |
| 1205314556 | Allyson Mchugh | Dentist | 5796 S University Dr Ste 102, Davie, FL 33328-6119 | 2018-07-30 |
| 1407239023 | Yalda Davoodi | Dentist | 6000 Toscana Dr, Apt 438, Davie, FL 33314-3482 | 2015-07-01 |
| 1629467626 | Sausha Toghranegar | Dentist | 2620 S University Dr Apt 114, Davie, FL 33328-1471 | 2015-01-13 |
| 1851793640 | Ahmed Alzubaidi | Dentist | 7085 Nova Dr Apt 213, Davie, FL 33317-8107 | 2014-09-23 |
| 1457791626 | Mehulkumar Ardeshana | Dentist | 1520 Whitehall Dr, Apt # 102, Davie, FL 33324-6639 | 2013-07-02 |
| 1285074112 | Yolaivys Valcarcel Fundora | Dentist | 1875 S University Dr, Davie, FL 33324-5805 | 2013-06-25 |
| 1215374574 | Meagan Kathleen Whitehead | Dentist | 2640 S University Dr, Apt 319, Davie, FL 33328-1473 | 2013-05-28 |
| 1902140833 | Cuartas Advanced Dentistry | Dentist | 10650 W State Road 84 Ste 213, Davie, FL 33324-4235 | 2012-11-15 |
| Find all providers in DAVIE | ||||
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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.