Provider Demographics
NPI:1003568064
Name:HEALTHY SMILES P.A
Entity Type:Organization
Organization Name:HEALTHY SMILES P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:352-732-5437
Mailing Address - Street 1:206 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0964
Mailing Address - Country:US
Mailing Address - Phone:352-732-5437
Mailing Address - Fax:352-732-0390
Practice Address - Street 1:206 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0964
Practice Address - Country:US
Practice Address - Phone:352-732-5437
Practice Address - Fax:352-732-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty