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General NPI Number Information
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NPI Number | 1225857519
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Entity Type | Organization
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Legal Business Name | PERFECT SMILES OF SOUTH FLORIDA, LLC
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 5481 N UNIVERSITY DR STE 103A
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4643
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Country | US
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Telephone | 954-609-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 5481 N UNIVERSITY DR STE 103A
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4643
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Country | US
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Telephone | 954-507-1245
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW SEGELNICK
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Credential | DMD
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Telephone | 954-507-1245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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