| Smile Isle Orthodontics Pllc | |
|
14735 Sully Run Odessa FL 33556-4674 | |
| (916) 276-0700 | |
| Not Available |
| Full Name | Smile Isle Orthodontics Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14735 Sully Run, Odessa, Florida |
| Authorized Official Name and Position | Marina Kosturos (MANAGING MEMBER) |
| Authorized Official Contact | 9162760700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Isle Orthodontics Pllc 416 S Paloma Pl Tampa FL 33609-3712 Ph: () - | Smile Isle Orthodontics Pllc 14735 Sully Run Odessa FL 33556-4674 Ph: (916) 276-0700 |
| NPI Number | 1043189947 |
|---|---|
| Provider Enumeration Date | 10/30/2025 |
| Last Update Date | 10/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043189947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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