Provider Demographics
NPI:1326396748
Name:LESTER GIL DDS, PA
Entity Type:Organization
Organization Name:LESTER GIL DDS, PA
Other - Org Name:SMILE PLUS OF THE KEYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DR
Authorized Official - Prefix:DR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:O
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-247-5161
Mailing Address - Street 1:11399 OVERSEAS HWY SUITE#5
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050
Mailing Address - Country:US
Mailing Address - Phone:305-247-5161
Mailing Address - Fax:305-247-5120
Practice Address - Street 1:11399 OVERSEAS HWY STE 5
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-3412
Practice Address - Country:US
Practice Address - Phone:305-247-5161
Practice Address - Fax:305-247-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18301122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty