Smile Isle Orthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE ISLE ORTHODONTICS PLLC

Practice address

14735 Sully Run
Odessa, FL 33556-4674

Phone

(916) 276-0700

NPI assigned

Oct 30, 2025

Last updated

Oct 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marina Kosturos, DDS MSDNPI 1104520774

Title

Managing Member

Phone

(916) 276-0700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina Louise Kosturos

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Valrico, FL
  • NPI 1104520774
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1043189947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S PALOMA PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14735 SULLY RUN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564674",
            "telephone_number": "916-276-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ISLE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "KOSTUROS",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-276-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David H Silverstein, MD
• Sleepy Head Anesthesiology LLC
• Danielle Smiley, APRN
• Erin Smith
• Kenneth M Snodgrass, PTA
• Secil Said Soliman, PHARMACIST
• Dennis Robins Solomon, DO

• Dental Clinic/Center in Odessa, FL
• Providers in Odessa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.