Provider Demographics
NPI:1164112165
Name:ENJOY DENTAL, LLC
Entity Type:Organization
Organization Name:ENJOY DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:NICTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE BALBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-370-0069
Mailing Address - Street 1:7150 W 20TH AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5509
Mailing Address - Country:US
Mailing Address - Phone:305-871-9111
Mailing Address - Fax:
Practice Address - Street 1:7150 W 20TH AVE STE 114
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5509
Practice Address - Country:US
Practice Address - Phone:305-871-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental