Provider Demographics
NPI:1578915369
Name:CARE SMILE, L.L.C.
Entity Type:Organization
Organization Name:CARE SMILE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:JOHANNA
Authorized Official - Last Name:DE VERA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-360-4768
Mailing Address - Street 1:8700 W FLAGLER ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2401
Mailing Address - Country:US
Mailing Address - Phone:786-360-4768
Mailing Address - Fax:877-221-8084
Practice Address - Street 1:8700 W FLAGLER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2401
Practice Address - Country:US
Practice Address - Phone:786-360-4768
Practice Address - Fax:877-221-8084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN188471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty