Celebrity Smiles Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11262 Issued in FL

Legal business name

CELEBRITY SMILES DENTAL

Practice address

13801 Tamiami TRL Ste B
North Port, FL 34287-2017

Phone

(941) 426-1134

Fax

(941) 423-2396

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Gaeta Jr., D.D.S

Title

Owner

Phone

(941) 426-1134

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1093155236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 TAMIAMI TRL STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872017",
            "telephone_number": "941-426-1134",
            "fax_number": "941-423-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 TAMIAMI TRL STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872017",
            "telephone_number": "941-426-1134",
            "fax_number": "941-423-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "GAETA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-426-1134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11262",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Wade Cartee, APRN FNP-C
• Edith M Casimir
• Mayelin Castellanos Perez
• Kayleigh Castillo
• Elizabeth Muddiman Cefalu, M.D., M.P.H.
• Geraldine Grace Cendana-Malvas, RPT
• Centerplace Health, Inc
• Centerplace Health, Inc
• Charlton Cerbone, M.A. LMHC
• Cara Tanille Cessna

• General Practice Dentistry in North Port, FL
• Providers in North Port, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.