Provider Demographics
NPI:1396382214
Name:DR Z SMILES INC
Entity Type:Organization
Organization Name:DR Z SMILES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZUZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-606-4291
Mailing Address - Street 1:15833 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1203
Mailing Address - Country:US
Mailing Address - Phone:954-443-3030
Mailing Address - Fax:954-443-9431
Practice Address - Street 1:15833 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1203
Practice Address - Country:US
Practice Address - Phone:954-443-3030
Practice Address - Fax:954-443-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004438900Medicaid