MEDICARE: ALL SMILES DENTAL CARE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN13063	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56290	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1073625653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL SMILES DENTAL CARE PA

Provider Business Mailing Address
First Line	:	3438 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684
Country	:	US
Telephone Number	:	727-786-1077
Fax Number	:	727-781-2131

Provider Business Practice Location Address
First Line	:	3438 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684
Country	:	US
Telephone Number	:	727-786-1077
Fax Number	:	727-781-2131

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTINE Y FERRIER
Credential	:	DDS
Telephone Number	:	727-786-1077

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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Directions to “ALL SMILES DENTAL CARE PA ” Practice Location

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