=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538040787
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SMILE DENTAL CARE CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2025
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2700 NE 14TH STREET CSWY STE 102
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33062-3561
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-781-6170
-----------------------------------------------------
Fax | 954-884-8939
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2700 NE 14TH STREET CSWY STE 102
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33062-3561
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-781-6170
-----------------------------------------------------
Fax | 954-884-8939
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR AND OWNER
-----------------------------------------------------
Name | DR. YUNET DE LA CARIDAD PEREZ
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 954-781-6170
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------