DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ST. CLOUD SMILES, INC.

MEDICARE: ST. CLOUD SMILES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN18003FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023338597
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. CLOUD SMILES, INC.
Provider Business Mailing Address
First Line : 2050 OLD HICKORY TREE RD
Second Line : SUITE J
City : SAINT CLOUD
State : FL
Zip : 34772-8926
Country : US
Telephone Number : 407-556-3969
Fax Number :
Provider Business Practice Location Address
First Line : 2050 OLD HICKORY TREE RD
Second Line : SUITE J
City : SAINT CLOUD
State : FL
Zip : 34772-8926
Country : US
Telephone Number : 407-556-3969
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MISS JENNIFER TRANG VAN
Credential : D.M.D
Telephone Number : 954-483-8184
Provider Enumeration Date : 06/08/2010
Last Update Date : 06/08/2010

Similar Medicare Providers

1346447828 — JENNIFER T. VAN DMD
Practice Location Address:
2050 OLD HICKORY TREE RD , SUITE I
SAINT CLOUD, FL
34772-8926
Practice Phone: 407-556-3969
Practice Fax:
1528251907 — COLLEEN BUI OD
Practice Location Address:
2050 OLD HICKORY TREE RD , SUITE I
SAINT CLOUD, FL
34772-8926
Practice Phone: 407-556-3969
Practice Fax:
1144459215 — CAITLYN WOODS LYNNE OD
Practice Location Address:
2050 OLD HICKORY TREE RD
SAINT CLOUD, FL
34772-8926
Practice Phone: 407-556-3969
Practice Fax:
1093035032 — ST. CLOUD EYE CARE
Practice Location Address:
2050 OLD HICKORY TREE RD , SUITE I
SAINT CLOUD, FL
34772-8926
Practice Phone: 407-556-3969
Practice Fax:
1528371366 — CATHERINE SELLERS BALL D.M.D
Practice Location Address:
2050 OLD HICKORY TREE RD
SAINT CLOUD, FL
34772-8926
Practice Phone: 407-556-3969
Practice Fax:
1982043451 — PHU VAN D.M.D.
Practice Location Address:
2050 OLD HICKORY TREE RD
SAINT CLOUD, FL
34772-8926
Practice Phone: 954-579-1843
Practice Fax:

Directions to “ST. CLOUD SMILES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.