Organization Active NPI

Sailfish Smiles, PLLC

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1801673868
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAILFISH SMILES, PLLC
Practice address
2614 SE Willoughby Blvd
Stuart, FL 34994-4700
Phone
(914) 879-9558
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Dr. Danielle Sophia Guerrino, DMDNPI 1114301918
Title
President
Phone
(914) 879-9558

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2614 SE Willoughby Blvd
Stuart, FL 34994-4700

Mailing address

700 W Granada Blvd Ste 100
Ormond Beach, FL 32174-5194
Phone (914) 879-9558

National Provider Directory

National Provider Directory

Locations

700 W Granada Blvd
Ste 100
Ormond Beach, FL 32174

2614 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 283-8555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1801673868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W GRANADA BLVD STE 100",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745194",
            "telephone_number": "914-879-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944700",
            "telephone_number": "914-879-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAILFISH SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "GUERRINO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-879-9558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.