Coral Ridge Smile in Ft. Lauderdale - General Practice
Coral Ridge Smile - NPI 1689794505
Coral Ridge Smile is a General Practice in Ft. Lauderdale, Florida. Coral Ridge Smile practices all healthcare services and medical treatments related to General Practice. The NPI Number for Coral Ridge Smile is 1689794505. The last update date is 2012-02-16.
Coral Ridge Smile's current location address is 2324 Ne 53rd St., Ft. Lauderdale, Florida. You can contact this provider via phone number 9549906543 and fax number 9549414876. The mailing address for Coral Ridge Smile is 2324 Ne 53rd St., Ft. Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coral Ridge Smile |
|---|---|
| Address | 2324 Ne 53rd St., Ft. Lauderdale, Florida |
| Phone Number | 9549906543 |
| Fax Number | 9549414876 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mir Esmaili Mandana |
| Credentials | D.D.S. |
| Telephone Number | 9549906543 |
NPI Number Detail
| NPI Number | 1689794505 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2012-02-16 |
Provider Mailing Address Detail
| Address | 2324 Ne 53rd St. |
|---|---|
| City | Ft. Lauderdale |
| State | Florida (FL) |
| Post Code | 33308 |
| Phone Number | 9549906543 |
| Fax Number | 9549414876 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Coral Ridge Smile by the Centers for Medicare & Medicaid Services?
The Coral Ridge Smile has been assigned the NPI (National Provider Identifier) 1689794505. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Coral Ridge Smile is physically located?
The Coral Ridge Smile is physically situated at the following address: 2324 Ne 53Rd St., Ft. Lauderdale, FL, 33308.
What is Coral Ridge Smile's area of expertise and its corresponding taxonomy classification?
The Coral Ridge Smile's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Coral Ridge Smile receive its 1689794505 assignment from the Centers for Medicare & Medicaid Services?
The Coral Ridge Smile was assigned its 1689794505 by the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date was the information pertaining to Coral Ridge Smile, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Coral Ridge Smile, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-16.