Cosmic Smiles Family Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COSMIC SMILES FAMILY DENTISTRY

Practice address

1310 San Marco Rd Ste B
Marco Island, FL 34145-4608

Phone

(239) 394-2270

Fax

(239) 259-8572

NPI assigned

Jul 20, 2017

Last updated

Jul 20, 2017By 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. Tamara Kristine Robison, DDS

Title

Owner

Phone

(239) 394-2270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1932622008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN MARCO RD STE B",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454608",
            "telephone_number": "239-259-8572",
            "fax_number": "239-259-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN MARCO RD STE B",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454608",
            "telephone_number": "239-394-2270",
            "fax_number": "239-259-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMIC SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-394-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kylie Curtiss
• Cynthia Ann Gallo PA
• Anthony Daffner-Milos, PT, DPT
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• Pediatric Dentistry in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.