Provider Demographics
NPI:1891565057
Name:H&H SMILE DDS, PA
Entity Type:Organization
Organization Name:H&H SMILE DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ABELARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:HEREDIA LAURENCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-498-8451
Mailing Address - Street 1:14267 MINDELLO DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-5685
Mailing Address - Country:US
Mailing Address - Phone:786-498-8451
Mailing Address - Fax:
Practice Address - Street 1:3398 FORUM BLVD STE 102
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5577
Practice Address - Country:US
Practice Address - Phone:239-880-1919
Practice Address - Fax:329-880-1918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental