Organization Active NPI

Leesburg Smiles

  • Dental Clinic/Center
  • Leesburg, FL
National Provider Identifier
1740841865
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEESBURG SMILES
Practice address
8305 County Road 44 Leg a # 1
Leesburg, FL 34788-3706
Phone
(407) 831-1203
Fax
(407) 831-9716
NPI assigned
Jun 28, 2019
Last updated
Jun 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Amer Alshareef, DDS
Title
Owner
Phone
(407) 831-1203

Specialties & licenses 1

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

Addresses

Primary practice location

8305 County Road 44 Leg a # 1
Leesburg, FL 34788-3706

Mailing address

604 Maitland Ave
Altamonte Springs, FL 32701-6834
Phone (407) 831-1203

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 97.68.191.58 Direct

National Provider Directory

National Provider Directory

Locations

604 Maitland Ave
Altamonte Springs, FL 32701
Phone (407) 831-1203

8305 County Road 44 Leg A
#1
Leesburg, FL 34788
Phone (407) 831-1203

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1740841865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "407-831-1203",
            "fax_number": "407-831-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 COUNTY ROAD 44 LEG A # 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883706",
            "telephone_number": "407-831-1203",
            "fax_number": "407-831-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "ALSHAREEF",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-831-1203",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "97.68.191.58",
            "affiliation": "N",
            "endpointDescription": "Dentrix",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dentrix",
            "address_1": "590 S Main St",
            "city": "Wildwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347854832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.