NPIMap

Organization Active NPI

South Familia Dental PA

Doing business as Smile Solutions

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1871043018
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN19152 Issued in FL
Legal business name
SOUTH FAMILIA DENTAL PA
Doing business as
Smile Solutions
Practice address
12720 S Orange Blossom TRL
Ste 22
Orlando, FL 32837-6225
Phone
(407) 240-2255
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Gabriel Joshua Sangalang, DMD
Title
Owner
Phone
(407) 240-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN19152 FL Primary

Addresses

Primary practice location

12720 S Orange Blossom TRL
Ste 22
Orlando, FL 32837-6225

Mailing address

12720 S Orange Blossom TRL
Ste 22
Orlando, FL 32837-6225
Phone (407) 240-2255

Other names 1

  • Smile Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smile Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1871043018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 S ORANGE BLOSSOM TRL",
            "address_2": "STE 22",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376225",
            "telephone_number": "407-240-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 S ORANGE BLOSSOM TRL",
            "address_2": "STE 22",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376225",
            "telephone_number": "407-240-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FAMILIA DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "SANGALANG",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-240-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.