Provider Demographics
NPI:1588491344
Name:SMART CHOICE DENTAL LLC
Entity type:Organization
Organization Name:SMART CHOICE DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YANDY
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:RODRIGUEZ OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-803-7345
Mailing Address - Street 1:2509 SW 11TH CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-4120
Mailing Address - Country:US
Mailing Address - Phone:786-803-7345
Mailing Address - Fax:
Practice Address - Street 1:16520 S TAMIAMI TRL STE 106
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-5319
Practice Address - Country:US
Practice Address - Phone:786-803-7345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty