MEDICARE: SMILES BY YORDANSKA, PA.

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1083571681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILES BY YORDANSKA, PA.

Provider Business Mailing Address
First Line	:	8145 CEREBELLUM WAY STE 102
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-1788
Country	:	US
Telephone Number	:	727-355-2322
Fax Number	:

Provider Business Practice Location Address
First Line	:	8145 CEREBELLUM WAY STE 102
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-1788
Country	:	US
Telephone Number	:	727-355-2322
Fax Number	:

Authorized Official
Title or Position	:	GENERAL DENTIST
Name	:	YORDANSKA FERNANDEZ CABADA
Credential	:	DMD
Telephone Number	:	430-280-5635

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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