Provider Demographics
NPI:1003589060
Name:ALL SMILES SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:ALL SMILES SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRIMAUDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-345-8580
Mailing Address - Street 1:17200 CAMELOT CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7202
Mailing Address - Country:US
Mailing Address - Phone:813-345-8580
Mailing Address - Fax:
Practice Address - Street 1:1180 PONCE DE LEON BLVD STE 401
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-1014
Practice Address - Country:US
Practice Address - Phone:813-345-8580
Practice Address - Fax:813-920-6712
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL SMILES SLEEP SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-27
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies