Organization Active NPI

Perfect Smile Dental Group, L.L.C

  • Dentist
  • Hialeah Gardens, FL
National Provider Identifier
1982947537
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PERFECT SMILE DENTAL GROUP, L.L.C
Practice address
10550 NW 77TH CT Ste 220
Hialeah Gardens, FL 33016-2071
Phone
(305) 556-9473
Fax
(305) 556-9486
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Ana T Soteras, D.D.S
Title
Dentist
Phone
(305) 556-9473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10550 NW 77TH CT Ste 220
Hialeah Gardens, FL 33016-2071

Mailing address

10550 NW 77TH CT Ste 220
Hialeah Gardens, FL 33016-2071
Phone (305) 556-9473

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1982947537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 220",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162071",
            "telephone_number": "305-556-9473",
            "fax_number": "305-556-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 NW 77TH CT STE 220",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162071",
            "telephone_number": "305-556-9473",
            "fax_number": "305-556-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILE DENTAL GROUP, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "SOTERAS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-556-9473",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.