Smile Mission Sarasota PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE MISSION SARASOTA PLLC

Practice address

11525 State Road 70 E Unit 11525
Lakewood Ranch, FL 34202-9419

Phone

(786) 701-8246

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dustin Pfundheller, DMDNPI 1538673207

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin Mark Pfundheller, DMD

  • Dentist
  • Miami, FL
  • NPI 1538673207
  Authorized official Same address or phone

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1366227654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 STATE ROAD 70 E UNIT 11525",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029419",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MISSION SARASOTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Jean Skinner
• George P Skopis, MD
• Benjamin Joseph Slavens
• Olga Slinko
• SMH Physician Services Inc (First Physicians Group)
• Ana Smith, RN
• Anne Marie Smith, CRNA
• Brittany Smith, RDN, LDN
• Anna V Soendker, MD
• Ainsley Campbell Sorenson, PA-C

• Dental Clinic/Center in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.