Provider Demographics
NPI:1497052625
Name:SWEET SMILE GROUP INC.
Entity Type:Organization
Organization Name:SWEET SMILE GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-236-4482
Mailing Address - Street 1:5050 NW 7TH ST APT 501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3428
Mailing Address - Country:US
Mailing Address - Phone:786-236-4482
Mailing Address - Fax:864-277-0116
Practice Address - Street 1:5050 NW 7TH ST APT 501
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3428
Practice Address - Country:US
Practice Address - Phone:786-236-4482
Practice Address - Fax:864-277-0116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL691765896251G00000X
FL691765898385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child