Cosmic Smiles Pediatric Dentistry

LBN: Cosmic Smiles Pediatric Dentistry
Cosmic Smiles Pediatric Dentistry is an health care organization with primary practice located at 3027 E Commercial Blvd , Fort Lauderdale FL 33308-3330. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Cosmic Smiles Pediatric Dentistry can be contacted via phone (646) 409-6540, or through Berlin, Julian via phone (954) 246-4777.

Contact Information

Primary practice address
3027 E Commercial Blvd Fort Lauderdale FL 33308-3330
Phone: (646) 409-6540
Fax: (954) 246-4577
Website:
Map and Directions
Authorized official contact:
Name: Berlin, Julian Doctor of Dental Surgery (DDS)
Phone: (954) 246-4777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1366910333
LBN Legal business name Cosmic Smiles Pediatric Dentistry
DBA Doing business as
Authorized official Berlin, Julian Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2018
Last updated Nov 8th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366910333 NPPES
New York MEDICAID 03716034

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