Dradak Enterprises

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DRADAK ENTERPRISES

Doing business as

Smile Cove Pediatric Dentistry

Practice address

401 S Parsons Ave Ste a
Brandon, FL 33511-5241

Phone

(813) 880-0100

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew DietrichNPI 1922378785

Title

President

Phone

(863) 398-0013

Specialties & licenses 1

Addresses

Other names 1

• Smile Cove Pediatric Dentistry Doing business as

Locations

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.

• Andrew Dietrich, D.M.D., M.S., P.A.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakeland, FL
  • NPI 1922378785
  NPD Authorized official

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1801672050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131727",
            "telephone_number": "863-398-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S PARSONS AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115241",
            "telephone_number": "813-880-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRADAK ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-398-0013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Cove Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Boris Kawliche
• Dr. G. Mark Laskerr and Associates, O.D., P.a.
• Dr. Lake and Associates
• Dr. Monica Lake, PLLC (Dr. Lake & Associates)
• Dr. Philip K Winkler & Assoc, P.a.
• Dradak Enterprises PLLC (Smile Cove Pediatric Dentistry)
• Samantha Niccole Drager, RBT
• Donna Dreslin
• Kelly Cason Driver, DO
• Dsi South Tampa LLC (U.S. Renal Care South Tampa Dialysis)

• Pediatric Dentistry in Brandon, FL
• Providers in Brandon, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.