Palm Harbor Smiles PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALM HARBOR SMILES PA

Practice address

2702 Tampa Rd
Palm Harbor, FL 34684-3311

Phone

(727) 362-6603

Fax

(727) 362-6594

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Andrew Crouch

Title

Vice President

Phone

(321) 872-8820

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1831867183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843311",
            "telephone_number": "727-362-6603",
            "fax_number": "727-362-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843311",
            "telephone_number": "727-362-6603",
            "fax_number": "727-362-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR SMILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "321-872-8820"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Harbor Physical Therapy
• Palm Harbor Plastic Surgery Center
• Palm Harbor Post Acute LLC
• Palm Harbor Premier Dental, Inc.
• Palm Harbor Sedation & Family Dentistry
• Palm Harbor Westchase Medical Group PA
• Palms Heart Center PA
• Brandon Collins Panno
• Efstratios F Pantages, M.D.
• Brittany Davis Pappas, PHARM.D.

• General Practice Dentistry in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.