| Smile So Big LLC | |
|
7586 Sw 61st Ave Ocala FL 34476-8310 | |
| (352) 484-0262 | |
| Not Available |
| Full Name | Smile So Big LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7586 Sw 61st Ave, Ocala, Florida |
| Authorized Official Name and Position | Jonathan Aalona Montoya (OWNER) |
| Authorized Official Contact | 9193217824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile So Big LLC 2112 Sw 34th St # 418 Gainesville FL 32608-1204 | Smile So Big LLC 7586 Sw 61st Ave Ocala FL 34476-8310 Ph: (352) 484-0262 |
| NPI Number | 1750158879 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750158879 | NPI | - | NPPES |
| 1801413265 | Other | DENTIST | |
| 1932266210 | Other | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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