MEDICARE: COSMETIC SMILES DENTAL CARE LLC

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	261QS0112X	Oral and Maxillofacial Surgery Clinic/Center
2	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669156436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COSMETIC SMILES DENTAL CARE LLC

Provider Business Mailing Address
First Line	:	10101 E BAY HARBOR DR APT 309
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-1201
Country	:	US
Telephone Number	:	786-916-7616
Fax Number	:

Provider Business Practice Location Address
First Line	:	11300 NW 87TH CT STE 166
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-4521
Country	:	US
Telephone Number	:	305-364-9322
Fax Number	:	305-364-0983

Authorized Official
Title or Position	:	MGR
Name	:	DR. SANDORF MONTERO
Credential	:	DMD
Telephone Number	:	786-916-7616

Provider Enumeration Date	:	06/13/2023
Last Update Date	:	06/13/2023

Similar Medicare Providers

1841143203 — SECURED KIDS CARE LLC
Practice Location Address:

11300 NW 87TH CT STE 162
HIALEAH, FL
33018-4521

Practice Phone: 786-542-9127
Practice Fax:

1205094034 — BUENA VISTA MEDICAL CENTER INC
Practice Location Address:

11300 NW 87TH CT STE 167 , #167
HIALEAH GARDENS, FL
33018-4521

Practice Phone: 305-828-7520
Practice Fax:

1821462029 — SYLVIA SANTANA PA
Practice Location Address:

11300 NW 87TH CT STE 166
HIALEAH, FL
33018-4521

Practice Phone: 305-364-9322
Practice Fax: 305-364-0983

1609494137 — SANDORF MONTERO DMD
Practice Location Address:

11300 NW 87TH CT STE 166
HIALEAH GARDENS, FL
33018-4521

Practice Phone: 786-702-5643
Practice Fax: 305-364-0983

1861586448 — DR. MICHAEL T PATTEN M.D.
Practice Location Address:

4521 PGA BLVD # 295
PALM BEACH GARDENS, FL
33418-3997

Practice Phone: 561-624-7315
Practice Fax: 561-624-7620

1942357793 — MICHAEL T PATTEN MD PA
Practice Location Address:

4521 PGA BLVD # 295
PALM BEACH GARDENS, FL
33418-3997

Practice Phone: 561-624-7315
Practice Fax: 561-624-7320

Directions to “COSMETIC SMILES DENTAL CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.