Provider Demographics
NPI:1790448827
Name:SMILE EVERYDAY DAVIE PLLC
Entity type:Organization
Organization Name:SMILE EVERYDAY DAVIE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-682-8000
Mailing Address - Street 1:10450 N CAMELOT CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2257
Mailing Address - Country:US
Mailing Address - Phone:954-682-8000
Mailing Address - Fax:954-320-6287
Practice Address - Street 1:4100 DAVIE RD
Practice Address - Street 2:SUITE 104,105,106
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-3636
Practice Address - Country:US
Practice Address - Phone:954-680-8000
Practice Address - Fax:954-320-6287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty