Organization Name: | LITTLE SMILES DENTAL OFFICE #2 |
NPI Number: | 1659616233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BAYARDO CORTES (DR OWNER) |
Mailing Address: | 10205 South Dixie Highway Suite 200/201 Pinecrest |
State: | FL US |
Postal Code: | 33156 |
Phone Number: | 3052794312 |
Fax Number: | 3055966632 |
NPI Enumeration Date: | 12/07/2012 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN15894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |