Provider Demographics
NPI:1134215445
Name:SMILEBUILDERS INC
Entity type:Organization
Organization Name:SMILEBUILDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-624-2088
Mailing Address - Street 1:2401 PGA BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3516
Mailing Address - Country:US
Mailing Address - Phone:561-624-2088
Mailing Address - Fax:561-624-0015
Practice Address - Street 1:2401 PGA BLVD STE 270
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3516
Practice Address - Country:US
Practice Address - Phone:561-624-2088
Practice Address - Fax:561-624-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN101531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty