Organization Active NPI

Beautiful Smiles PLLC

Doing business as BAO Dentistry

  • Dentist
  • Haines City, FL
National Provider Identifier
1689544231
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BEAUTIFUL SMILES PLLC
Doing business as
BAO Dentistry
Practice address
740 W Main St
Building 2, Suite 1
Haines City, FL 33844-4118
Phone
(863) 256-2829
Fax
(863) 256-2827
NPI assigned
Nov 10, 2025
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Ana Miriam Garrido de la Rosa, DDSNPI 1386277424
Title
Owner Dentist
Phone
(863) 651-0236

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

740 W Main St
Building 2, Suite 1
Haines City, FL 33844-4118

Mailing address

740 W Main St
Building 2, Suite 1
Haines City, FL 33844-4118
Phone (863) 256-2829

Other names 1

  • BAO Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

740 W Main St
Unit 2
Haines City, FL 33844

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": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1689544231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W MAIN ST",
            "address_2": "BUILDING 2, SUITE 1",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444118",
            "telephone_number": "863-256-2829",
            "fax_number": "863-256-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W MAIN ST",
            "address_2": "BUILDING 2, SUITE 1",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444118",
            "telephone_number": "863-256-2829",
            "fax_number": "863-256-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "GARRIDO DE LA ROSA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "863-651-0236",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAO Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.