Provider Demographics
NPI:1659874196
Name:ALL SMILES SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:ALL SMILES SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MEREDITH
Authorized Official - Last Name:GRIMAUDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-345-8580
Mailing Address - Street 1:17200 CAMELOT CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7202
Mailing Address - Country:US
Mailing Address - Phone:813-345-8580
Mailing Address - Fax:
Practice Address - Street 1:17200 CAMELOT CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7202
Practice Address - Country:US
Practice Address - Phone:813-345-8580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL SMILES SLEEP SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-12
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN175421223G0001X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty