MEDICARE: KT SMILES & BEAUTY INC

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

General Provider Information

NPI Number	:	1184572836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KT SMILES & BEAUTY INC

Provider Business Mailing Address
First Line	:	730 GOODLETTE RD STE 206
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5618
Country	:	US
Telephone Number	:	239-379-3798
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 GOODLETTE RD STE 206
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5618
Country	:	US
Telephone Number	:	239-379-3798
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRISTINA TARANOV
Credential	:	DDS
Telephone Number	:	347-447-4668

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “KT SMILES & BEAUTY INC ” Practice Location

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