Provider Demographics
NPI:1396302485
Name:ALL SMILES PEDIATRIC DENTISTRY PLLC
Entity type:Organization
Organization Name:ALL SMILES PEDIATRIC DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD/ORTHODONTIST
Authorized Official - Phone:727-442-0609
Mailing Address - Street 1:11701 BELCHER RD S STE 13
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-5135
Mailing Address - Country:US
Mailing Address - Phone:727-442-6098
Mailing Address - Fax:
Practice Address - Street 1:1433 COURT ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-6146
Practice Address - Country:US
Practice Address - Phone:727-442-6098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty