Active NPI
Winter Springs Smiles Dentistry, PA
- Dentist
- Winter Springs, FL
National Provider Identifier
1134645864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- WINTER SPRINGS SMILES DENTISTRY, PA
- Practice address
- 5908 Red Bug Lake Rd
Winter Springs, FL 32708-5011 - Phone
- (407) 439-1230
- NPI assigned
- Aug 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minh B Pham
- Title
- DDS / Owner
- Phone
- (407) 439-1230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5908 Red Bug Lake Rd
Winter Springs, FL 32708-5011
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890
National Provider Directory
National Provider DirectoryLocations
5908 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (407) 270-1093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502755200000",
"number": "1134645864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145626",
"telephone_number": "714-845-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5908 RED BUG LAKE RD",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085011",
"telephone_number": "407-439-1230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTER SPRINGS SMILES DENTISTRY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "MINH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DDS / OWNER",
"authorized_official_telephone_number": "407-439-1230"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.