Active NPI
Little Smiles Dentaloffice #4
- Dental Clinic/Center
- Lake Worth, FL
National Provider Identifier
1073874723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN16953
- Legal business name
- LITTLE SMILES DENTALOFFICE #4
- Practice address
- 1708 N Federal Hwy
Lake Worth, FL 33460-6668 - Phone
- (561) 736-8755
- Fax
- (561) 736-3996
- NPI assigned
- May 30, 2012
- Organization subpart
- Yes
- Parent organization
- LITTLE SMILES DENTAL #1
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gonzalo E Cortes, DMD
- Title
- Owner
- Phone
- (305) 698-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN16953 | FL | Primary |
Addresses
Primary practice location
1708 N Federal Hwy
Lake Worth, FL 33460-6668
Mailing address
1708 N Federal Hwy
Lake Worth, FL 33460-6668
Other names 1
- LITTLE SMILES DENTAL # 1
National Provider Directory
National Provider Directory- Part of
- Little Smiles Dental Office 1
Locations
1708 N Federal Hwy
Lake Worth, FL 33460
Phone (561) 270-0209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338336000000",
"number": "1073874723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 N FEDERAL HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 N FEDERAL HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606668",
"telephone_number": "561-736-8755",
"fax_number": "561-736-3996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE SMILES DENTALOFFICE #4",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LITTLE SMILES DENTAL #1",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A",
"authorized_official_last_name": "CORTES",
"authorized_official_first_name": "GONZALO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-698-7566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "DN16953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LITTLE SMILES DENTAL # 1",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.