Healthcare Provider Details

I. General information

NPI: 1598673741
Provider Name (Legal Business Name): SMILEAGAIN DENTAL HOLDINGS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 EXECUTIVE PARK CT STE 1600
APOPKA FL
32703-6080
US

IV. Provider business mailing address

660 EXECUTIVE PARK CT STE 1600
APOPKA FL
32703-6080
US

V. Phone/Fax

Practice location:
  • Phone: 407-952-2493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: PAUL GUNDIAN
Title or Position: OWNER
Credential: DMD
Phone: 407-952-2493