Organization Active NPI

Healthy Smiles of Orlando LLC

  • Dentist
  • Lake Mary, FL
National Provider Identifier
1205351657
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21437 Issued in FL
Legal business name
HEALTHY SMILES OF ORLANDO LLC
Practice address
946 International Pkwy Ste 1550
Lake Mary, FL 32746-5219
Phone
(407) 790-4181
NPI assigned
Aug 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Akmal Ahmed, DDS
Title
General Dentist
Phone
(407) 790-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21437 FL Primary

Addresses

Primary practice location

946 International Pkwy Ste 1550
Lake Mary, FL 32746-5219

Mailing address

946 International Pkwy Ste B
Lake Mary, FL 32746-5219
Phone (407) 790-4181

Other identifiers 1

IdentifierTypeStateIssuer
DN21437OtherFLDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

946 International Pkwy
#1550
Lake Mary, FL 32746
Phone (407) 790-4181

946 International Pkwy
Ste B
Lake Mary, FL 32746

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205351657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 INTERNATIONAL PKWY STE B",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-790-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 INTERNATIONAL PKWY STE 1550",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-790-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES OF ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AKMAL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "407-790-4181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN21437",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.