Organization Active NPI

Smileluxe, PA

  • General Practice Dentistry
  • Altamonte Springs, FL
National Provider Identifier
1205656675
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILELUXE, PA
Practice address
1022 W Sr 436 Ste 1008
Altamonte Springs, FL 32714-2919
Phone
(689) 209-0077
Fax
(689) 209-0077
NPI assigned
Oct 11, 2024
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Liliana Santana, DMD
Title
Dentist/Owner
Phone
(689) 209-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1022 W Sr 436 Ste 1008
Altamonte Springs, FL 32714-2919

Mailing address

1022 W Sr 436 Ste 1008
Altamonte Springs, FL 32714-2919
Phone (689) 209-0077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1205656675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W SR 436 STE 1008",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142919",
            "telephone_number": "689-209-0077",
            "fax_number": "689-209-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W SR 436 STE 1008",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142919",
            "telephone_number": "689-209-0077",
            "fax_number": "689-209-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILELUXE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "689-209-0077",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.