Ideal Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDEAL SMILES INC

Doing business as

Ideal Smiles Dental Care

Practice address

6779 Taft St
Hollywood, FL 33024-3902

Phone

(954) 639-9900

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Mike Hoang, DDS

Title

Owner/President

Phone

(954) 639-9900

Specialties & licenses 1

Addresses

Other names 1

• Ideal Smiles Dental Care Doing business as

Locations

Practitioners 2

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

• Susel Maria Perez Ojeda, DDS

  • General Practice Dentistry
  • Hollywood, FL
  • NPI 1467988253
  NPD
• Liana Mah, DMD

  • General Practice Dentistry
  • Tamarac, FL
  • NPI 1548142615
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1245805274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6779 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243902",
            "telephone_number": "954-639-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6779 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243902",
            "telephone_number": "954-639-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12235 W Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333232234",
            "country_code": "US",
            "telephone_number": "954-687-0031",
            "fax_number": "954-372-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6536 N University Dr.",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "33321",
            "country_code": "US",
            "telephone_number": "954-933-1705",
            "fax_number": "954-532-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEAL SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-639-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Hollywood, FL
• Providers in Hollywood, 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 Oct 11, 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.