Mount Dora Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUNT DORA SMILES PLLC

Doing business as

Mount Dora Smiles PLLC

Practice address

19001 US Highway 441
Mount Dora, FL 32757-6708

Phone

(352) 549-9420

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Trang Van, DMDNPI 1346447828

Title

Ceo

Phone

(954) 483-8184

Specialties & licenses 1

Addresses

Other names 1

• Mount Dora Smiles PLLC 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.

• Jennifer T. Van, DMD

  • General Practice Dentistry
  • Saint Cloud, FL
  • NPI 1346447828
  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": "1891571881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 AMARYLLIS CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257432",
            "telephone_number": "954-483-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576708",
            "telephone_number": "352-549-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT DORA SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TRANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-483-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Dora Smiles PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mount Dora Family Dental PLLC
• Mount Dora Family Practice PA
• Mount Dora Medical Institute Inc LLC
• Mount Dora Ophthalmology ASC LLC (Mid Florida Surgery Center)
• Mount Dora Physical Therapy Specialists Inc
• Annette Suzanne Murphy, PA-C
• Constance Murphy, MSW, LCSW
• Mary Jo Murphy, PT
• Shennel Murphy
• John Thomas Murrell, DMD

• Dental Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Dental Clinic/Center 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.