Organization Active NPI

Sea of Smiles, Inc.

  • Pediatric Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1104214865
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN17430
Legal business name
SEA OF SMILES, INC.
Practice address
3737 Maryweather LN
Wesley Chapel, FL 33544-7779
Phone
(813) 528-8717
Fax
(813) 528-8728
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Dr. Lisa Marie Lapresti, D.M.D.NPI 1386787430
Title
Pediatric Dentist/ Owner
Phone
(813) 528-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DN17430 Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DN14677

Addresses

Primary practice location

3737 Maryweather LN
Wesley Chapel, FL 33544-7779

Mailing address

3737 Maryweather LN
Wesley Chapel, FL 33544-7779
Phone (813) 528-8717

Other identifiers 1

IdentifierTypeStateIssuer
076529500MedicaidFL

National Provider Directory

National Provider Directory

Locations

6060 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 889-4850

3737 Maryweather Ln
Wesley Chapel, FL 33544
Phone (813) 480-6427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1104214865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARYWEATHER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447779",
            "telephone_number": "813-528-8717",
            "fax_number": "813-528-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARYWEATHER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447779",
            "telephone_number": "813-528-8717",
            "fax_number": "813-528-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA OF SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-01-06",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "LAPRESTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/ OWNER",
        "authorized_official_telephone_number": "813-528-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": "DN17430",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": "DN14677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076529500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.