Provider Demographics
NPI:1073625653
Name:ALL SMILES DENTAL CARE PA
Entity Type:Organization
Organization Name:ALL SMILES DENTAL CARE PA
Other - Org Name:ALL SMILES DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:FERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-786-1077
Mailing Address - Street 1:3438 TAMPA RD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-786-1077
Mailing Address - Fax:727-781-2131
Practice Address - Street 1:3438 TAMPA RD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684
Practice Address - Country:US
Practice Address - Phone:727-786-1077
Practice Address - Fax:727-781-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL56290OtherBLUE CROSS BLUE SHIELD