Fortune Smiles Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D18770 Issued in FL

Legal business name

FORTUNE SMILES INC

Practice address

2879 S University Dr
Davie, FL 33328-1440

Phone

(954) 474-2499

Fax

(954) 474-1966

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Madelene Michelle Trujillo, DDS

Title

Dentist

Phone

(305) 259-9120

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fortune Smiles Inc2 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.

• Fortune Smiles, Inc.

  • Dental Clinic/Center
  • Cutler Bay, FL
  • NPI 1568784270
  NPD tax ID

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1982077939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281440",
            "telephone_number": "954-474-2499",
            "fax_number": "954-474-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281440",
            "telephone_number": "954-474-2499",
            "fax_number": "954-474-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MADELENE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-259-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "D18770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naisha Forestal
• Patricia Forte Diaz Arguelles
• Samantha Forte, CF-SLP
• Catalina Fortich
• Angela Fortuna Garcia
• Foster Medical Supply, Inc.
• Gina M. Foster-Moumoutjis, MD
• Matthew Thomas Fostier, O.D.
• Nicole Fournier
• Lindsay Diane Frady, APRN FNP-C

• Dentist in Davie, FL
• Providers in Davie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.