| Designer Smiles Pa | |
|
5030 Sr 46 Ste 108 Sanford FL 32771-9247 | |
| (407) 894-3571 | |
| (407) 895-5511 |
| Full Name | Designer Smiles Pa |
|---|---|
| Speciality | Dentist |
| Location | 5030 Sr 46 Ste 108, Sanford, Florida |
| Authorized Official Name and Position | Emelia Ospina (CLINICAL MANAGER) |
| Authorized Official Contact | 4078943571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Designer Smiles Pa Po Box 130 Osteen FL 32764-0030 Ph: (407) 894-3571 | Designer Smiles Pa 5030 Sr 46 Ste 108 Sanford FL 32771-9247 Ph: (407) 894-3571 |
| NPI Number | 1003276007 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003276007 | NPI | - | NPPES |
| 1255352142 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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