Healthcare Provider Details

I. General information

NPI: 1033056593
Provider Name (Legal Business Name): RISMONT SMILE DENTAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N FEDERAL HWY STE 407
HALLANDALE BEACH FL
33009-2464
US

IV. Provider business mailing address

18590 NW 67TH AVE STE 101
HIALEAH FL
33015-3540
US

V. Phone/Fax

Practice location:
  • Phone: 786-378-1906
  • Fax:
Mailing address:
  • Phone: 786-378-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LIBIA R RIOS
Title or Position: DENTIST
Credential: DDS
Phone: 786-378-1906