Smile Store International, LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

SMILE STORE INTERNATIONAL, LLC

Practice address

850 NW Federal Hwy Ste 408
Stuart, FL 34994-1019

Phone

(772) 207-1281

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Isabel Depirro

Title

Corp Accountant

Phone

(772) 207-1281

Specialties & licenses 1

Addresses

Other names 1

• Smile Again Center Doing business as

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1356922108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 408",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-207-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 408",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "772-207-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STORE INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "DEPIRRO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "CORP ACCOUNTANT",
        "authorized_official_telephone_number": "772-207-1281"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Again Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Sloan
• SLP Health Care
• Jacqueline Small, BCBA
• Candace K Smalls
• Kharyisma Mone Smallwood
• Cheryl Lynn Smith McCants
• Amanda Smith
• Angela Smith
• Angelica Smith
• Antonio Smith

• Dental Laboratory in Stuart, FL
• Providers in Stuart, FL by specialty
• Dental Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.