NPIMap

Organization Active NPI

New Smile Dentistry of Altamonte Springs, PA

  • Dentist
  • Altamonte Springs, FL
National Provider Identifier
1598160145
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17064 Issued in FL
Legal business name
NEW SMILE DENTISTRY OF ALTAMONTE SPRINGS, PA
Practice address
512 E Altamonte Drive
Altamonte Springs, FL 32701
Phone
(407) 767-8000
Fax
(407) 767-8010
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Firas Marouf, DMD
Title
President / Dentist
Phone
(407) 767-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN17064 FL Primary

Addresses

Primary practice location

512 E Altamonte Drive
Altamonte Springs, FL 32701

Mailing address

512 E Altamonte Drive
Altamonte Springs, FL 32701
Phone (407) 767-8000

National Provider Directory

National Provider Directory

Locations

512 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 767-8000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1598160145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E ALTAMONTE DRIVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-767-8000",
            "fax_number": "407-767-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E ALTAMONTE DRIVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-767-8000",
            "fax_number": "407-767-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE DENTISTRY OF ALTAMONTE SPRINGS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "MAROUF",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "PRESIDENT / DENTIST",
        "authorized_official_telephone_number": "407-767-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17064",
            "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 24, 2014; 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.