Provider Demographics
NPI:1649012832
Name:AMERICAS BRIGHT SMILES OF POMPANO BEACH
Entity type:Organization
Organization Name:AMERICAS BRIGHT SMILES OF POMPANO BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WIERZBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-941-2490
Mailing Address - Street 1:2701 NE 14TH STREET CSWY STE 1
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-3535
Mailing Address - Country:US
Mailing Address - Phone:954-941-2490
Mailing Address - Fax:954-941-1470
Practice Address - Street 1:2701 NE 14TH STREET CSWY STE 1
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-3535
Practice Address - Country:US
Practice Address - Phone:954-941-2490
Practice Address - Fax:954-941-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental