Fortune Smiles Inc

LBN: Fortune Smiles Inc
Fortune Smiles Inc is an health care organization with primary practice located at 2879 S University Dr , Davie FL 33328-1440. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fortune Smiles Inc can be contacted via phone (954) 474-2499, or through Trujillo, Madelene Michelle via phone (305) 259-9120.

Contact Information

Primary practice address
2879 S University Dr Davie FL 33328-1440
Phone: (954) 474-2499
Fax: (954) 474-1966
Website:
Map and Directions
Authorized official contact:
Name: Trujillo, Madelene Michelle Doctor of Dental Surgery (DDS)
Phone: (305) 259-9120

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D18770 Florida

Profile Details

NPI number 1982077939
LBN Legal business name Fortune Smiles Inc
DBA Doing business as
Authorized official Trujillo, Madelene Michelle Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2015
Last updated Nov 12th, 2015 - about 11 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 1982077939 NPPES
Florida MEDICAID 013776

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