Provider Demographics
NPI:1033892021
Name:LITTLE BIG SMILES PLLC
Entity Type:Organization
Organization Name:LITTLE BIG SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEANET
Authorized Official - Middle Name:
Authorized Official - Last Name:ASCUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-951-9732
Mailing Address - Street 1:4312 WATERCOLOR WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1180
Mailing Address - Country:US
Mailing Address - Phone:305-951-9732
Mailing Address - Fax:
Practice Address - Street 1:9377 6 MILE CYPRESS PKWY STE 120
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-6538
Practice Address - Country:US
Practice Address - Phone:239-500-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty