Healthcare Provider Details

I. General information

NPI: 1982517652
Provider Name (Legal Business Name): USA WHITE SMILE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5979 VINELAND RD STE 201
ORLANDO FL
32819-7855
US

IV. Provider business mailing address

5979 VINELAND RD STE 201
ORLANDO FL
32819-7855
US

V. Phone/Fax

Practice location:
  • Phone: 407-683-9822
  • Fax:
Mailing address:
  • Phone: 407-683-9822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PEDRO HENRIQUE DA SILVA ASCHAR
Title or Position: OWNER
Credential:
Phone: 407-683-9822