Organization Active NPI

Smile Design Studio Inc

  • Dentist
  • Lake Mary, FL
National Provider Identifier
1639514045
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12688 Issued in FL
Legal business name
SMILE DESIGN STUDIO INC
Practice address
1331 S International Pkwy
Suite 2271
Lake Mary, FL 32746-1405
Phone
(407) 804-0770
Fax
(407) 804-0773
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Mark A Falco, DMD, MSNPI 1902963572
Title
President
Phone
(407) 804-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN12688 FL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1331 S International Pkwy
Suite 2271
Lake Mary, FL 32746-1405

Mailing address

1331 S International Pkwy
Suite 2271
Lake Mary, FL 32746-1405
Phone (407) 804-0770

National Provider Directory

National Provider Directory

Locations

1331 S International Pkwy
Ste 2271
Lake Mary, FL 32746
Phone (407) 804-0770

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": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1639514045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2271",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461405",
            "telephone_number": "407-804-0770",
            "fax_number": "407-804-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2271",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461405",
            "telephone_number": "407-804-0770",
            "fax_number": "407-804-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-804-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12688",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.