Destin Smiles. PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15111 Issued in FL

Legal business name

DESTIN SMILES. PA

Practice address

12273 US Highway 98 W
Suite 117
Miramar Beach, FL 32550-6963

Phone

(850) 424-7887

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Olivier Broutin, D.M.D., M.A.G.D.

Title

Director

Phone

(850) 259-5611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1982154340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W",
            "address_2": "SUITE 117",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506963",
            "telephone_number": "850-424-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W",
            "address_2": "SUITE 117",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506963",
            "telephone_number": "850-424-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN SMILES. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "BROUTIN",
        "authorized_official_first_name": "OLIVIER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-259-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karoline Casey Dempsey, PAC
• Samuel R Denardo, M.D.
• Destin Center for Endodontics
• Destin Hearing Specialists, LLC
• Destin Regional Imaging Center LLC
• Developmental Therapies, LLC
• Katia Dieguez-Otero, M.D
• Nicholas Martin Dietschweiler, DO
• Marion Dompierre
• Katie Dougherty

• General Practice Dentistry in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.