Provider Demographics
NPI:1760867774
Name:DESIGN A SMILE PA
Entity Type:Organization
Organization Name:DESIGN A SMILE PA
Other - Org Name:APNEA CARE FOR SOUTH FLORIDA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-667-8887
Mailing Address - Street 1:6437 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4827
Mailing Address - Country:US
Mailing Address - Phone:305-667-8887
Mailing Address - Fax:305-667-2166
Practice Address - Street 1:6437 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4827
Practice Address - Country:US
Practice Address - Phone:305-667-8887
Practice Address - Fax:305-667-2166
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESIGN A SMILE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-21
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14151122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty