Organization Active NPI

M & R Gentle Smile

  • Dental Clinic/Center
  • Davie, FL
National Provider Identifier
1649010513
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M & R GENTLE SMILE
Practice address
9112 W State Road 84 # C09
Davie, FL 33324-4416
Phone
(305) 804-3011
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Marisoly Daniel, DMDNPI 1346801123
Title
President
Phone
(305) 804-3011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9112 W State Road 84 # C09
Davie, FL 33324-4416

Mailing address

9112 W State Road 84 # C09
Davie, FL 33324-4416
Phone (305) 804-3011

Other names 1

  • M&R Gentle Smile Former legal business name

National Provider Directory

National Provider Directory

Locations

9112 W State Road 84
#C9
Davie, FL 33324
Phone (305) 804-3011

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1649010513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 W STATE ROAD 84 # C09",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244416",
            "telephone_number": "305-804-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 W STATE ROAD 84 # C09",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244416",
            "telephone_number": "305-804-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & R GENTLE SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "MARISOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-804-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M&R Gentle Smile",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.