Provider Demographics
NPI:1710938329
Name:MICHAEL J SAVOIA, DDS,PA
Entity Type:Organization
Organization Name:MICHAEL J SAVOIA, DDS,PA
Other - Org Name:PBG SMILES
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAVOIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-775-0373
Mailing Address - Street 1:11380 PROSPERITY FARMS RD
Mailing Address - Street 2:115B
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3474
Mailing Address - Country:US
Mailing Address - Phone:561-775-0373
Mailing Address - Fax:561-775-8631
Practice Address - Street 1:11380 PROSPERITY FARMS RD
Practice Address - Street 2:115B
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3474
Practice Address - Country:US
Practice Address - Phone:561-775-0373
Practice Address - Fax:561-775-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN118731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty