Provider Demographics
NPI:1851395883
Name:SMILE PERFECT INC.
Entity Type:Organization
Organization Name:SMILE PERFECT INC.
Other - Org Name:WILLIAM L. BALANOFF D.D.S.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:BALANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-566-0754
Mailing Address - Street 1:915 MIDDLE RIVER DR
Mailing Address - Street 2:STE 501
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3561
Mailing Address - Country:US
Mailing Address - Phone:954-566-0751
Mailing Address - Fax:954-566-1674
Practice Address - Street 1:915 MIDDLE RIVER DR
Practice Address - Street 2:STE 501
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3561
Practice Address - Country:US
Practice Address - Phone:954-566-0751
Practice Address - Fax:954-566-1674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL9534122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty