Smile Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE DENTAL PLLC

Practice address

9500 Bonita Beach Rd SE Ste 301
Bonita Springs, FL 34135-4698

Phone

(239) 319-2440

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Samanta AndiscoNPI 1326298753

Title

Manager

Phone

(239) 319-2440

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Samanta Andisco, D.M.D.

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1326298753
  NPD (past) Authorized official

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1952815003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9491 CEDAR CREEK DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357517",
            "telephone_number": "954-649-5588",
            "fax_number": "954-649-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BONITA BEACH RD SE STE 301",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354698",
            "telephone_number": "239-319-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "ANDISCO",
        "authorized_official_first_name": "SAMANTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-319-2440"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114280245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326298753",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trae Michael Sinn, DC
• Skin Cancer Center of Naples LLC
• Sleeptreatmentdirectinc
• Marvin M Sloin, DO
• David Michael Small, PHD
• Smiles by Critchfield
• Caroline Smith, FNP
• Ethan Smith, PHARMD
• Kayla Janelle Smith, DC
• SN Early Intervention Services

• Dental Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, 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 Nov 28, 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.