Magical Smiles Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN22279 Issued in FL

Legal business name

MAGICAL SMILES PEDIATRIC DENTISTRY

Practice address

918 Williston Park PT
Lake Mary, FL 32746-2122

Phone

(407) 878-1318

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Falastin Abu-Samn, DDSNPI 1063649580

Title

Dentist/Owner

Phone

(407) 417-0847

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.

• Falastin R. Abu-Samn, DDS

  • Pediatric Dentistry
  • Daytona Beach, FL
  • NPI 1063649580
  NPD (past) Authorized official

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1659886034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 WILLISTON PARK PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462122",
            "telephone_number": "321-363-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 WILLISTON PARK PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462122",
            "telephone_number": "407-878-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGICAL SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "ABU-SAMN",
        "authorized_official_first_name": "FALASTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "407-417-0847",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN22279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lita M Madlang, OT
• Bhavana Madyahnapu, M.D
• Veronica Anais Magana
• Edward J Magee, M.D.
• James Maggert
• Devon Magill
• Antonette Magnatta, MOTR/L
• Devicka A Mahadeo, RBT
• Sithembile Mahlatini, ED.D, LCSW
• Elizabeth Makar, PHARMD

• Dental Clinic/Center in Lake Mary, FL
• Providers in Lake Mary, 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 Dec 7, 2017; 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.