Smile Oasis at Sanford PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE OASIS AT SANFORD PA

Practice address

5030 W State Road 46 Ste 1018
Sanford, FL 32771-9247

Phone

(407) 792-0226

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Jacqueline Pierre, DDS

Title

Dentist Owner

Phone

(917) 202-7676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1760209118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 W STATE ROAD 46 STE 1018",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719247",
            "telephone_number": "407-792-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 W STATE ROAD 46 STE 1018",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719247",
            "telephone_number": "407-792-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE OASIS AT SANFORD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "917-202-7676",
        "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": []
}

• Kaley Sinclair
• Sube Singh
• Saundra J Slagter, RPH
• Elliott M Sloas, O.D.
• Alicia Small
• Smiletown Dental LLC
• Brent Smith
• Christopher Smith, PSY. D.
• Latasha Monique Smith
• Leslie L. Smith, D.O.

• Dentist in Sanford, FL
• Providers in Sanford, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.